Fever in the Returning Traveler

Infect Dis Clin North Am. 2018 Mar;32(1):163-188. doi: 10.1016/j.idc.2017.10.009.

Abstract

Millions of children travel annually, whether they are refugees, international adoptees, visitors, or vacationers. Although most young travelers do well, many develop a febrile illness during or shortly after their trips. Approaching a fever in the returning traveler requires an appropriate index of suspicion to diagnose and treat in a timely manner. As many as 34% of patients with recent travel history are diagnosed with routine infections, but serious infections such as malaria, enteric fever, and dengue fever should be on the differential diagnosis due the high morbidity and mortality in children.

Keywords: Child; Fever; International travel; Returning traveler; Tropical infections.

Publication types

  • Review

MeSH terms

  • Child
  • Communicable Diseases, Imported / diagnosis*
  • Communicable Diseases, Imported / epidemiology
  • Communicable Diseases, Imported / virology
  • Dengue / diagnosis
  • Dengue / transmission
  • Diagnosis, Differential
  • Fever / diagnosis*
  • Fever / epidemiology
  • Fever / etiology*
  • Fever / virology
  • Humans
  • Internationality
  • Malaria / diagnosis
  • Malaria / transmission
  • Travel
  • Travel-Related Illness*
  • Tropical Climate
  • Typhoid Fever / diagnosis
  • Typhoid Fever / transmission