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Related Experiment Videos

Medical problems in the returning expatriate.

Natasha Hochberg1, Edward T Ryan

  • 1Department of Internal Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

Clinics in Occupational and Environmental Medicine
|March 27, 2004
PubMed
Summary
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Returning expatriates face unique infectious disease risks. Comprehensive medical evaluations, including targeted lab tests, are crucial for diagnosing conditions like malaria, typhoid, and parasitic infections.

Area of Science:

  • Tropical medicine
  • Infectious diseases
  • Public health

Background:

  • Expatriates are susceptible to infectious diseases uncommon in short-term travelers.
  • Long-term overseas deployment increases exposure risks.
  • Returning expatriates require specialized medical assessment.

Purpose of the Study:

  • To outline the diagnostic approach for infectious diseases in returning expatriates.
  • To highlight key conditions to consider in febrile and symptomatic expatriates.
  • To emphasize the importance of tailored laboratory testing based on exposure history.

Main Methods:

  • Review of common and serious infectious diseases encountered by expatriates.
  • Emphasis on clinical history, geographic exposure, and symptom patterns for diagnosis.

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  • Recommendations for physical examination and laboratory investigations.

    • Main Results:

    • Malaria, typhoid, leishmaniasis, brucellosis, tuberculosis, HIV, and syphilis are critical diagnoses in febrile expatriates.
    • Gastrointestinal issues may stem from helminths, amebiasis, or schistosomiasis.
    • Eosinophilia and dermatologic manifestations suggest specific infections like filariasis or leishmaniasis.

    Conclusions:

    • A thorough medical evaluation is essential for returning expatriates.
    • Diagnosis requires considering specific exposures and clinical presentations.
    • Prompt identification and treatment of infections are vital for expatriate health.