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Assessment of returning travellers with fever

Millions of people travel to the tropics each year and a significant minority of them become ill, either during their stay or shortly after their return. Most have mild, self-limiting illnesses, but a few have a life-threatening condition. This article outlines how to evaluate fever in the returning...

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Detalles Bibliográficos
Autores principales: Ellis, Jayne, Hearn, Pasco, Johnston, Victoria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Ltd. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108237/
https://www.ncbi.nlm.nih.gov/pubmed/32288585
http://dx.doi.org/10.1016/j.mpmed.2017.10.006
Descripción
Sumario:Millions of people travel to the tropics each year and a significant minority of them become ill, either during their stay or shortly after their return. Most have mild, self-limiting illnesses, but a few have a life-threatening condition. This article outlines how to evaluate fever in the returning traveller and discusses important infection control and public health measures. A detailed travel history, which takes into account travel destinations, specific activities and risk factors in relation to the onset of symptoms, is essential for constructing a comprehensive list of differential diagnoses and guiding appropriate investigations. Importantly, all travellers returning from the tropics with a fever should be investigated for malaria.