Topics Discussed: fever; foreign travel problem; health promotion and disease prevention.
Sections: Clinical Presentation, Differential Diagnosis, Diagnosis, Initial Management, Diagnosis and Management of Specific Infections, References.
Excerpt:"More than 50 million people travel to the tropics and the developing world every year and are exposed to diseases that are not commonly seen in the United States and other developed countries. Even though child travelers represent only a small fraction of this number, they constitute about a quarter of all travel-related hospital admissions.1 Management of sick children after international travel is complicated: febrile illness caused by common, universally transmitted infections such as respiratory and gastrointestinal viruses is extremely common in this population, yet children are also vulnerable to tropical infections acquired during the travel. Although pediatric data are lacking, the etiology of fever among returned travelers is generally equally distributed among the tropical diseases, commonly acquired infections (those found both in developed and developing countries) and illnesses of unknown etiology. Thus, a complete evaluation requires elements that are not usually included in a general pediatric review: assessment of travel vaccinations and prophylaxis, specific destination and exposure history, and probable incubation period. The most common tropical diseases in the returning traveler are malaria, traveler's diarrhea, dengue, rickettsiosis, and typhoid fever...."
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