Fever in returned travellers presenting in the United Kingdom: Recommendations for investigation and initial management

Johnston, Victoria; Stockley, Jane; Dockrell, David H.; Warrell, David A.; Bailey, Robin L.; Pasvol, Geoffrey; Klein, John L.; Ustianowski, Andrew; Jones, Michael E.; Beeching, Nicholas J.; Brown, Michael J.; Chapman, Ann; Sanderson, Frances; Whitty, Christopher J M

doi:10.1016/j.jinf.2009.05.005

Cited by 91 publications

(72 citation statements)

References 97 publications

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“…In Europe, malaria and dengue, and arboviruses such as chikungunya, West Nile fever and Japanese encephalitis are being increasingly seen as a result of their emergence and re-emergence particularly in South East Asia [10,11]. The latter may present with malaise, headache, fever and rash.…”

Section: Travel Historymentioning

confidence: 99%

How to investigate multisystem disease

Watts

2014

Best Practice & Research Clinical Rheumatology

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Section: Travel Historymentioning

confidence: 99%

How to investigate multisystem disease

Watts

2014

Best Practice & Research Clinical Rheumatology

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“…However, bleeding due to cytopenia is very rare in malaria. 18,20,23,30 Both mature parasitized RBCs and cytokines can activate the coagulation cascade; consumption of anti-thrombin III, increased concentration of fibrin degradation products, and increased splenic clearance of platelets contribute well to the coagulopathy and thrombocytopenia in malaria. 31 A study revealed that the association between malaria infection and platelets count was also observed in animal models.…”

mentioning

confidence: 99%

Malaria parasitemia and its association with lipid and hematological parameters among malaria-infected patients attending at Metema Hospital, Northwest Ethiopia

Sirak¹,

Fola²,

Worku³

2016

PLMI

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“…They tend to be at increased risk from infections by virtue of living in closer proximity to the local population; consuming locally prepared foods and drinks; travelling for longer periods; and being less likely to take prophylactic precautions and seek pretravel and post-travel health advice 8 9…”

Section: Initial Assessmentmentioning

confidence: 99%

“…These are infections that are relatively common and can occur worldwide, such as respiratory or urinary tract infections (Case 1) 8 15 16. Leptosporosis, mononucleosis and travellers’ diarrhoea are other important causes worldwide 8 18–23…”

Section: Differential Diagnosismentioning

confidence: 99%

“…Brucellosis should be considered after travel to the Middle East and dengue and coccidioidomycosis after travel to South America and the Caribbean. Rocky Mountain spotted fever (RMSF), Q-fever and tick-borne encephalitis are examples of infections rare in the UK but endemic in North America, Australia and mainland Europe, respectively 8 18–23…”

Section: Differential Diagnosismentioning

confidence: 99%

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Fever in the returning child traveller: approach to diagnosis and management

Halbert

Shingadia

Zuckerman

2014

Archives of Disease in Childhood

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During the last half century there has been an exponential increase in international travel including to more exotic and long-haul destinations. The assessment of febrile returning child travellers presents diagnostic challenges and is often performed poorly. A detailed travel and medical history, clinical examination and appropriate first-line investigations are essential. While the majority of children will have a common self-limiting or easily treatable infection, it is important to consider other causes, including imported infections, which may be life-threatening or highly contagious. In this article, we provide guidance on the initial assessment and management of such children with a focus on some of the more important imported infections, including malaria, dengue, typhoid fever, travellers' diarrhoea, respiratory infections, tuberculosis, schistosomiasis and rickettsial diseases.

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Fever in returned travellers presenting in the United Kingdom: Recommendations for investigation and initial management

Cited by 91 publications

References 97 publications

How to investigate multisystem disease

How to investigate multisystem disease

Malaria parasitemia and its association with lipid and hematological parameters among malaria-infected patients attending at Metema Hospital, Northwest Ethiopia

Fever in the returning child traveller: approach to diagnosis and management

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