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Related Experiment Videos

Confusion in travellers.

Abdul G Habib1, Paul A Tambyah

  • 1Travel Screening and Vaccination Clinic, Department of Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore Singapore 119074.

Travel Medicine and Infectious Disease
|February 13, 2007
PubMed
Summary
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A young traveler developed sudden confusion and abnormal behavior during a flight after a recent typhoid fever infection. This case highlights the importance of considering infections like typhoid psychosis in diagnosing traveler confusion.

Area of Science:

  • Medical Case Reports
  • Travel Medicine
  • Infectious Diseases

Background:

  • Travelers can experience acute confusion and behavioral changes during long flights.
  • Recent infections, such as typhoid fever, may predispose individuals to neurological complications.
  • Differential diagnosis of in-flight confusion is critical for appropriate patient management.

Purpose of the Study:

  • To report a case of acute onset confusion in a traveler with recent typhoid fever.
  • To discuss typhoid psychosis as a potential cause of traveler's confusion.
  • To review other infectious and non-infectious causes of confusion in travelers.

Main Methods:

  • Case presentation of a 24-year-old female experiencing acute confusion during a flight.
  • Literature review on typhoid psychosis and traveler's confusion.

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  • Discussion of potential medico-legal and ethical considerations.

    • Main Results:

    • The patient presented with acute confusion, restlessness, disorientation, and abnormal behavior.
    • Recent typhoid fever was identified as a significant preceding factor.
    • The case underscores the link between systemic infections and acute neurological disturbances in travelers.

    Conclusions:

    • Typhoid fever can lead to neurological complications such as typhoid psychosis, manifesting as acute confusion in travelers.
    • Practitioners should consider infectious etiologies, including typhoid psychosis, in the differential diagnosis of in-flight confusion.
    • Prompt recognition and management are essential to address potential medico-legal and ethical issues.