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Fever in the Returned Pediatric Traveler

Nahed Abdel-Haq1,2,3, Basim I Asmar1,2,3

  • 1Children's Hospital of Michigan, Detroit, MI, USA.

Global Pediatric Health
|August 23, 2021
PubMed

Insights

Evaluating febrile children after international travel requires careful assessment of medical history and exposures. This guidance aids in diagnosing infections like malaria and typhoid fever in returning pediatric travelers.

Area of Science:

  • Pediatric infectious diseases
  • Travel medicine
  • Global health

Background:

  • Global mobility has increased, posing diagnostic challenges for febrile children returning from international travel.
  • The COVID-19 pandemic has further complicated the evaluation and management of sick returned travelers.
  • Children visiting friends and relatives abroad are at higher risk for infections.

Purpose of the Study:

  • To provide guidance on the initial assessment of febrile children after international travel.
  • To highlight key diagnostic clues from medical history, physical examination, and laboratory findings.
  • To facilitate early identification of critical and contagious travel-related infections.

Main Methods:

  • Review of medical literature on travel-related infections in children.
  • Guidance on interpreting clinical and laboratory data for febrile pediatric travelers.
  • Discussion of epidemiology, evaluation, and management strategies.

Main Results:

  • Key diagnostic factors include exposure history, incubation periods, and vaccination status.
  • Specific infections discussed: malaria, typhoid fever, dengue fever, viral hemorrhagic fevers, rickettsiosis, leptospirosis, schistosomiasis, gastrointestinal, and respiratory infections.
  • Emphasis on early recognition of severe and highly contagious diseases.

Conclusions:

  • Systematic assessment is crucial for diagnosing infections in febrile pediatric travelers.
  • Understanding travel-specific risks and pathogen characteristics improves diagnostic accuracy.
  • Prompt management of travel-related illnesses is essential for child health outcomes.

Keywords:
childfeverinfectionstravel

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