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Fever in the returned traveler.

Vincent Lo Re1, Stephen J Gluckman

  • 1Division of Infectious Diseases, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. vincent.lore@uphs.upenn.edu

American Family Physician
|October 22, 2003
PubMed
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Fever in returned travelers can signal serious tropical infections, not just common illnesses. Prompt medical evaluation including travel history is crucial for accurate diagnosis and timely treatment.

Area of Science:

  • Tropical Medicine
  • Travel Medicine
  • Infectious Diseases

Background:

  • International travel to exotic locations is increasing.
  • Family physicians frequently encounter febrile patients returning from tropical regions.
  • While common infections cause fever in most returned travelers, severe tropical diseases must be considered.

Purpose of the Study:

  • To highlight the importance of considering tropical infections in febrile returned travelers.
  • To outline key historical and clinical factors for diagnosis.
  • To provide guidance on initial management of specific tropical diseases.

Main Methods:

  • Review of clinical presentations and diagnostic considerations for febrile returned travelers.
  • Emphasis on detailed patient history, including travel, accommodations, immunizations, sexual history, and exposures.

Related Experiment Videos

  • Discussion of diagnostic clues such as lymphadenopathy and altered mental status.

    • Main Results:

    • Fever in returned travelers necessitates suspicion for severe or life-threatening tropical infections.
    • Malaria must be considered even with brief travel to endemic areas.
    • Specific treatments are recommended for common tropical infections like enteric fever, dengue fever, leptospirosis, and rickettsial infections.

    Conclusions:

    • A thorough travel history is essential for diagnosing febrile patients returning from the tropics.
    • Altered mental status in a febrile traveler is an alarming symptom requiring urgent assessment.
    • Prompt and accurate diagnosis of tropical infections can prevent severe outcomes.