Abstract
The diagnosis of fever in the returned traveller is an important challenge to the physician. An accurate travel history and knowledge of the incubation period of common diseases is required to assess the risk of infection with a specific infectious agent. Although many febrile illnesses are benign and self-limiting, failure to diagnose malaria and enteric fevers may have disastrous consequences. All patients returning with fever should have thick and thin blood films for malaria and blood cultures performed. Other haematological and biochemical tests are useful in identifying a group of patients in whom empirical anti-microbial therapy is indicated. Thought must be given to the isolation of patients and notification of certain suspected or proven diseases to the local Consultant for Communicable Disease Control. Preventative measures in those likely to travel again should be discussed.
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References
- Bradley DJ, Bannister B. Guidelines for malaria prevention in travellers from the United Kingdom for 2001. Com Dis and Pub Health 2001; 4: 84-101.
- Chitnis V, Chitnis D, Verma S, et al; Multidrug-resistant Salmonella typhi in India. Lancet 1999; 354(9177): 514-5.
- Brown JL, Wilkinson RJ, Davidson RN, et al; Rapid diagnosis and determination of duration of viraemia in dengue fever using a reverse transcriptase polymerase chain reaction. Trans R Soc Trop Med Hyg 1996; 90(2): 140-3.
- Management and Control of Viral Haemorrhagic Fevers. Summary of Guidance from the Advisory Committee on Dangerous Pathogens. 1996.
- Melzer M, Brown M, Mullen J, et al; Undiagnosed symptomatic primary HIV infections in South London. J Infect 2001; 42(4): 297-8.
- Gransden WR, Eykyn SJ, Phillips I. Staphylococcus aureus bacteraemia:400 episodes in St Thomas’s Hospital. Br Med J 1984; 288(6413): 300-3.
- Brown M, Eykyn SJ. Non-typhoidal Salmonella bacteraemia without gastroenteritis: a marker of underlying immunosuppression. Review of cases at St. Thomas’ Hospital 1970-1999. J Infect 2000; 41(3): 256-9.
- Fox AJ. Nucleic acid technologies and meningococcal infection. J Infect 2001; 42(2): 100-3.
- Pasvol G, Jacobs M. What is the future of exchange transfusion for falciparum malaria? J Infect 1999; 39(3): 183-4.
- 1996 Immunisation against Infectious Diseases. Department of Health, Welsh Office, Scottish Office Department of Health, DHSS (Northern Ireland)
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