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Fever in the Returning Traveler

Felicia A Scaggs Huang1, Elizabeth Schlaudecker1

  • 1Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Infectious Disease Clinics of North America
|February 7, 2018
PubMed

Insights

Millions of children travel yearly and may develop fever after returning home. Doctors must consider serious infections like malaria, enteric fever, and dengue fever in pediatric travelers.

Area of Science:

  • Pediatric Travel Medicine
  • Infectious Diseases in Children
  • Global Health

Background:

  • Millions of children travel internationally each year for various reasons.
  • A significant number of these young travelers develop febrile illnesses during or after their trips.
  • Prompt diagnosis and treatment are crucial for managing fever in returning pediatric travelers.

Purpose of the Study:

  • To highlight the importance of considering serious infections in children presenting with fever after travel.
  • To emphasize the need for a high index of suspicion among healthcare providers.
  • To inform clinical practice regarding the differential diagnosis of fever in pediatric travelers.

Main Methods:

  • Review of clinical presentations and diagnostic challenges in pediatric travel-related febrile illness.
  • Analysis of common and serious infections encountered in returning child travelers.
  • Emphasis on differential diagnosis including infectious etiologies.

Main Results:

  • While routine infections are common (up to 34%), serious conditions pose significant risks.
  • Malaria, enteric fever, and dengue fever are critical considerations due to high morbidity and mortality.
  • Timely diagnosis and appropriate management are essential for favorable outcomes.

Conclusions:

  • Fever in a child returning from travel warrants thorough evaluation.
  • Serious infectious diseases must be included in the differential diagnosis.
  • Vigilance and prompt medical attention are key to preventing severe outcomes in pediatric travelers.

Keywords:
ChildFeverInternational travelReturning travelerTropical infections

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