9: Infections in the returned traveller

The usual presentation of a returned traveller is with a particular syndrome - fever, respiratory infection, diarrhoea, eosinophilia, or skin or soft tissue infection - or for screening for asymptomatic infection. Fever in a returned traveller requires prompt investigation to prevent deaths from mal...

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Bibliographic Details
Published inMedical journal of Australia Vol. 177; no. 4; p. 212
Main Authors Looke, David F M, Robson, Jennifer M B
Format Journal Article
LanguageEnglish
Published Australia 19.08.2002
Subjects
Adult
Aged
Animals
Communicable Diseases - diagnosis
Communicable Diseases - etiology
Communicable Diseases - physiopathology
Diarrhea - diagnosis
Diarrhea - etiology
Diarrhea - prevention & control
Female
Fever - etiology
HIV Infections - diagnosis
HIV Infections - transmission
Humans
Malaria, Falciparum - mortality
Malaria, Falciparum - physiopathology
Malaria, Falciparum - therapy
Male
Time Factors
Travel
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Summary:The usual presentation of a returned traveller is with a particular syndrome - fever, respiratory infection, diarrhoea, eosinophilia, or skin or soft tissue infection - or for screening for asymptomatic infection. Fever in a returned traveller requires prompt investigation to prevent deaths from malaria; diagnosis of malaria may require up to three blood films over 36-48 hours. Diarrhoea is the most common health problem in travellers and is caused predominantly by bacteria; persistent diarrhoea is less likely to have an infectious cause, but its prognosis is usually good. While most travel-related infections present within six months of return, some important chronic infections may present months or years later (eg, strongyloidiasis, schistosomiasis). Travellers who have been bitten by an animal require evaluation for rabies prophylaxis.
ISSN:0025-729X
DOI:10.5694/j.1326-5377.2002.tb04736.x