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[The fever of international travel].
Rev Med Chir Soc Med Nat Iasi. 2008 Jul-Sep; 112(3):602-11.RM

Abstract

Between 20 and 70 percent of the 50 million people who travel from the industrialized world to the developing world each year report some illness associated with their travel. Although most illness reported by travellers are mild, 20-70% of travellers become ill enough to seek medical attention, either during or immediately after travel. The full spectrum of health complaints is unknown. Nevertheless the usual presentation of a returned traveller is a particular syndrome-fever, respiratory infection, diarrhoea, eosinophilia, or skin and soft tissue infection- or screening for asymptomatic infection. The most common diseases diagnosed in returning travellers are more often of cosmopolitan than exotic origin. However, fever in returned travelers always should raise suspicion for a severe or potentially life-threatening tropical infection. Therefore, fever in a returned traveller requires prompt investigation focused on infections that are life-threatening, treatable or transmissible. Careful assessment of the travel history, likely incubation period, exposure history, associated signs and symptoms, duration of fever, immunization status, use or non-use of antimalarial chemoprophylaxis and degree of compliance with the prescribed regimen, if used, helps to establish the diagnosis. Determining an approximate incubation period can be particularly helpful in ruling out possible causes of fever. Malaria is the most important cause of fever in the returned traveller. While most travel-related infections present within 6 months of return, some infections with long latent periods or potential for lifetime persistence might be seen in those who have lived abroad.

Authors+Show Affiliations

Institutul de Boli Infecţioase "Prof. Dr. Matei Balş" Bucureşti.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Multicenter Study

Language

rum

PubMed ID

20201239

Citation

Hristea, Adriana, et al. "[The Fever of International Travel]." Revista Medico-chirurgicala a Societatii De Medici Si Naturalisti Din Iasi, vol. 112, no. 3, 2008, pp. 602-11.
Hristea A, Luka AI, Aramă V, et al. [The fever of international travel]. Rev Med Chir Soc Med Nat Iasi. 2008;112(3):602-11.
Hristea, A., Luka, A. I., Aramă, V., & Moroti, R. (2008). [The fever of international travel]. Revista Medico-chirurgicala a Societatii De Medici Si Naturalisti Din Iasi, 112(3), 602-11.
Hristea A, et al. [The Fever of International Travel]. Rev Med Chir Soc Med Nat Iasi. 2008 Jul-Sep;112(3):602-11. PubMed PMID: 20201239.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The fever of international travel]. AU - Hristea,Adriana, AU - Luka,A I, AU - Aramă,Victoria, AU - Moroti,Ruxandra, PY - 2010/3/6/entrez PY - 2008/7/1/pubmed PY - 2010/4/17/medline SP - 602 EP - 11 JF - Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi JO - Rev Med Chir Soc Med Nat Iasi VL - 112 IS - 3 N2 - Between 20 and 70 percent of the 50 million people who travel from the industrialized world to the developing world each year report some illness associated with their travel. Although most illness reported by travellers are mild, 20-70% of travellers become ill enough to seek medical attention, either during or immediately after travel. The full spectrum of health complaints is unknown. Nevertheless the usual presentation of a returned traveller is a particular syndrome-fever, respiratory infection, diarrhoea, eosinophilia, or skin and soft tissue infection- or screening for asymptomatic infection. The most common diseases diagnosed in returning travellers are more often of cosmopolitan than exotic origin. However, fever in returned travelers always should raise suspicion for a severe or potentially life-threatening tropical infection. Therefore, fever in a returned traveller requires prompt investigation focused on infections that are life-threatening, treatable or transmissible. Careful assessment of the travel history, likely incubation period, exposure history, associated signs and symptoms, duration of fever, immunization status, use or non-use of antimalarial chemoprophylaxis and degree of compliance with the prescribed regimen, if used, helps to establish the diagnosis. Determining an approximate incubation period can be particularly helpful in ruling out possible causes of fever. Malaria is the most important cause of fever in the returned traveller. While most travel-related infections present within 6 months of return, some infections with long latent periods or potential for lifetime persistence might be seen in those who have lived abroad. SN - 0048-7848 UR - https://www.unboundmedicine.com/medline/citation/20201239/[The_fever_of_international_travel]_ L2 - https://medlineplus.gov/travelershealth.html DB - PRIME DP - Unbound Medicine ER -