[Imported infectious diseases in fever of unknown origin in migrant children: 2 cases]

M Ruiz Goikoetxea1, R Urabayen, M Herranz

  • 1Servicio de Pediatría, Complejo Hospitalario de Navarra, Pamplona, Spain. maite.ruiz.goikoetxea@navarra.es

Insights

Increased migration has led to a rise in infectious diseases. Two immigrant children with fever were diagnosed with typhoid fever, highlighting the need to consider imported infections in children from endemic areas.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Global migration patterns are increasing the incidence of infectious diseases previously uncommon in many regions.
  • Fever in children recently arrived from endemic areas necessitates the investigation of potential imported infectious diseases.

Observation:

  • Two cases of typhoid fever were diagnosed in immigrant children recently arrived from high-prevalence countries.
  • Both children presented with fever of unknown origin and had been in the country for less than one month.

Findings:

  • Blood cultures identified the causative gram-negative bacillus, confirming the etiological diagnosis of typhoid fever.
  • Intravenous antibiotic therapy was administered, leading to negative blood and stool cultures before patient discharge.

Implications:

  • These cases underscore the importance of considering imported infectious diseases, such as typhoid fever, in the differential diagnosis of febrile illnesses in immigrant children.
  • Prompt diagnosis and appropriate antibiotic treatment are crucial for successful management and resolution of these imported infections.

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