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. 2018 May;12(57):3385-3389.
doi: 10.1016/j.med.2018.05.007. Epub 2018 Jun 4.

[Diagnostic protocol for imported febrile syndrome]

[Article in Spanish]
E García Vázquez  1   2 , A Hernández Torres  1   2 , E Moral Escudero  1 , J A Herrero Martínez  1   2 , J Gómez Gómez  1   2 , M Segovia Hernández  3
Affiliations

[Diagnostic protocol for imported febrile syndrome]

[Article in Spanish]
E García Vázquez et al. Medicine (Madr). 2018 May.

Abstract
in English, Spanish

In this protocol we shall set out the steps to follow in the clinical assessment of the patient with fever and where there is an epidemiological history of travel to tropical or subtropical areas. This is not intended to be exhaustive, but as a guide to doctors in their initial diagnostic approach to the patient who has come from the tropics consulting with a fever in the Emergency Department or the hospital ward. Differential diagnosis should be approached first and foremost on the basis of excluding malaria, but haemorrhagic fevers, rickettsiosis, typhoid fever and many other infections, some that are unique to tropical areas, and others that are cosmopolitan but more prevalent in such areas should also be taken into account.

En este protocolo expondremos los pasos a seguir en la evaluación clínica del paciente con fiebre y antecedente epidemiológico de estancia en zonas tropicales o subtropicales. No pretendemos ser exhaustivos, sino proporcionar una guía al médico que se enfrenta a una primera aproximación diagnóstica, en el Servicio de Urgencias o en la sala de hospitalización, de un enfermo procedente del trópico y que consulta por fiebre. El diagnóstico diferencial debe ir encaminado sobre todo y en primer lugar a excluir la malaria, pero también fiebres hemorrágicas, ricketsiosis, fiebre tifoidea y otras muchas infecciones, algunas solo propias de zonas tropicales y otras cosmopolitas pero de mayor prevalencia en dichas áreas.

Keywords: Haemorrhagic fever; Imported infections; Malaria; Rickettsiosis; Typhoid fever.

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Figures

Fig. 1
Fig. 1
Algoritmo de actuación en el síndrome febril de importación. CMV: citomegalovirus; PAAF: punción aspiración con aguja fina; PCR: reacción en cadena de la polimerasa; Rx: radiografía; VEB: virus de Epstein-Barr; VHA: virus de la hepatitis A; VHB: virus de la hepatitis B; VHC: virus de la hepatitis C; VIH: virus de la inmunodeficiencia humana. *Para el diagnóstico de síndrome de meningoencefalitis (focalidad neurológica) ver el protocolo dedicado a él en esta misma unidad temática.
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