FEVER IN THE RETURNED TRAVELER - 09/09/11
Résumé |
The image of an acutely ill, febrile patient who just returned from the depths of tropical Africa stirs the imagination and quickens the pulse of all clinicians. Could it be a rare “hot zone” virus causing hemorrhagic fever, a severe case of Plasmodium falciparum malaria, or some entirely new entity? In reality, it is just as likely to be a common infection acquired during travel, such as pneumonia or pyelonephritis or an illness unrelated to travel. Clinicians are faced with the daunting task of considering many exotic infectious agents, however, that North American physicians seldom encounter. There have been several reviews of this topic recently, especially the masterful assessment by Strickland, which contains many useful tables to assist in differential diagnosis.45, 60, 133 In addition, others have provided clinically useful approaches to the evaluation of the febrile traveler to Africa,56, 157 Southeast Asia and Oceania,76 South West Asia and the Middle East,47, 100 and Latin America.65, 82 Wilson's Guide to World Infections is also an invaluable resource.153
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| Address reprint requests to Alan J. Magill, MD, US NAMRID, Unit 3800, APO AA, 34031–3800 |
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| The views of the author do not necessarily reflect the position of the Department of the Army or the Department of Defense |
Vol 12 - N° 2
P. 445-469 - juin 1998 Retour au numéro
Article précédent
- SCREENING RETURNING TRAVELERS
- J. Dick MacLean, M. Libman
- SKIN PROBLEMS IN THE TRAVELER
- Mary E. Wilson
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