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Review
. 2018 Jan;46(1):2-9.
doi: 10.1016/j.mpmed.2017.10.006. Epub 2017 Nov 28.

Assessment of returning travellers with fever

Affiliations
Review

Assessment of returning travellers with fever

Jayne Ellis et al. Medicine (Abingdon). 2018 Jan.

Abstract

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.

Keywords: Fever aetiology; MRCP; fever assessment; fever diagnosis; imported fever; travel; traveller.

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References

    1. Office for National Statistics UK . Office for National Statistics; 2015. Travel trends. https://www.ons.gov.uk/peoplepopulationandcommunity/leisureandtourism/ar....
    1. Johnston V., Stockley J.M., Dockrell D. Fever in returning travellers presenting in the United Kingdom: recommendations for investigation and initial management. J Infect. 2009;59:1–18. - PubMed
    1. Brasil P., Pereira J.P., Jr., Moreira M.E. Zika virus infection in pregnant women in Rio de Janeiro. N Engl J Med. 2016;375:2321–2334. - PMC - PubMed
    1. Reyburn H., Behrens R.H., Warhurst D., Bradley D. The effect of chemoprophylaxis on the timing of onset of falciparum malaria. Trop Med Int Health. 1998;3:281–285. - PubMed
    1. Dave J., Warburton F., Freedman J. What were the risk factors and trends in antimicrobial resistance for enteric fever in London 2005–2012? J Med Microbiol. 2017;66:698–705. - PubMed

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