Assessment of returning travellers with fever. (January 2018)

• Record Type: Journal Article
• Authors: Ellis, Jayne; Hearn, Pasco; Johnston, Victoria
• Is Part Of: Medicine. Volume 46:Number 1(2018)
• Page Start: 2
• Page End: 9
• Publication Date: 2018-01
• Subjects: Fever aetiology -- fever assessment -- fever diagnosis -- imported fever -- MRCP -- travel -- traveller; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Médecine factuelle -- Périodiques; Medicine; Periodicals; Electronic journals; Electronic journals; 610
• DOI: 10.1016/j.mpmed.2017.10.006
• Languages: English
• ISSNs: 1357-3039

Abstract

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.