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Fever in the returning traveller.
J R Coll Physicians Edinb. 2012 Mar; 42(1):43-6; quiz 46.JR

Abstract

International travel is increasing and a significant number of travellers will develop a febrile illness during or shortly after their return from the tropics. The differential diagnosis is broad and a systematic approach to the management of these patients is required in order to establish the diagnosis and to initiate prompt and effective treatment. Fever may be due to infectious agents found only in tropical countries, or due to infections unrelated to travel and found worldwide. Important infections that should be considered in all returning travellers include malaria, dengue, enteric fever, rickettsial infections, and HIV seroconversion. Other diagnoses will be considered after a detailed history including countries visited with dates, activities undertaken and symptoms. At a minimum, all travellers from countries where there is malaria transmission should be tested repeatedly for malaria as well as having several sets of blood cultures taken. Many tropical infections are diagnosed serologically at specialist reference laboratories. Specialist advice on the investigation and management of returning travellers should be sought from infectious diseases physicians and microbiologists. Patients with malaria or enteric fever may deteriorate rapidly and travellers should be advised to seek prompt medical attention if they become unwell after travel to the tropics. This review will focus on some of the more important imported infections, diagnostic clues from the history, examination and investigations, and important considerations in their management.

Authors+Show Affiliations

Gartnavel General Hospital, Glasgow, UK. david.bell@ggc.scot.nhs.uk

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22441064

Citation

Bell, D J.. "Fever in the Returning Traveller." The Journal of the Royal College of Physicians of Edinburgh, vol. 42, no. 1, 2012, pp. 43-6; quiz 46.
Bell DJ. Fever in the returning traveller. J R Coll Physicians Edinb. 2012;42(1):43-6; quiz 46.
Bell, D. J. (2012). Fever in the returning traveller. The Journal of the Royal College of Physicians of Edinburgh, 42(1), 43-6; quiz 46. https://doi.org/10.4997/JRCPE.2012.110
Bell DJ. Fever in the Returning Traveller. J R Coll Physicians Edinb. 2012;42(1):43-6; quiz 46. PubMed PMID: 22441064.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fever in the returning traveller. A1 - Bell,D J, PY - 2012/3/24/entrez PY - 2012/3/24/pubmed PY - 2013/3/9/medline SP - 43-6; quiz 46 JF - The journal of the Royal College of Physicians of Edinburgh JO - J R Coll Physicians Edinb VL - 42 IS - 1 N2 - International travel is increasing and a significant number of travellers will develop a febrile illness during or shortly after their return from the tropics. The differential diagnosis is broad and a systematic approach to the management of these patients is required in order to establish the diagnosis and to initiate prompt and effective treatment. Fever may be due to infectious agents found only in tropical countries, or due to infections unrelated to travel and found worldwide. Important infections that should be considered in all returning travellers include malaria, dengue, enteric fever, rickettsial infections, and HIV seroconversion. Other diagnoses will be considered after a detailed history including countries visited with dates, activities undertaken and symptoms. At a minimum, all travellers from countries where there is malaria transmission should be tested repeatedly for malaria as well as having several sets of blood cultures taken. Many tropical infections are diagnosed serologically at specialist reference laboratories. Specialist advice on the investigation and management of returning travellers should be sought from infectious diseases physicians and microbiologists. Patients with malaria or enteric fever may deteriorate rapidly and travellers should be advised to seek prompt medical attention if they become unwell after travel to the tropics. This review will focus on some of the more important imported infections, diagnostic clues from the history, examination and investigations, and important considerations in their management. SN - 2042-8189 UR - https://www.unboundmedicine.com/medline/citation/22441064/Fever_in_the_returning_traveller_ L2 - http://hivinsite.ucsf.edu/InSite?page=kb-05-04-04 DB - PRIME DP - Unbound Medicine ER -