Fever in the Returned Traveler

Acute febrile hepato-renal dysfunction in the tropics: co-infection of malaria and leptospirosis

“…Thus, it is reasonable to expect that a proportion of malaria patients presenting with clouding of consciousness, renal failure, coagulopathy, etc., could have coexisting leptospirosis, particularly in tropical countries like India. The similar clinical presentations of acute malaria, leptospirosis, and other undifferentiated fevers make discrimination on clinical grounds difficult [12]. We report two cases with clinical and laboratory evidence of co-infection with malaria and leptospirosis in India.…”

Dengue: an escalating problem

“…Travellers may unwittingly be infected with dengue virus because transmission is maintained even between epidemics; malaria should be ruled out in those returning with symptoms from an endemic area 34. In Australia and Germany up to 8% of travellers returning with febrile illnesses were found to have dengue 35 – 37.…”

Co-Infection With Malaria and Leptospirosis

“…The similar clinical presentations of acute malaria, leptospirosis, and other undifferentiated fevers make discrimination on clinical grounds difficult. 10 We report seven cases with clinical and laboratory evidence of co-infection with malaria and leptospirosis in western Thailand.…”