Fever in children returning from abroad

Abstract Imported infections often present with fever, but surprisingly few clinical studies have examined the patterns of imported diseases in adults or in children. A full travel history, together with clues from symptoms and signs, usually enables a working diagnosis to be made. The key priority is to detect and treat malaria, and to perform the appropriate investigations to confirm clinical suspicion of other treatable illness. This review concentrates on the clinical and epidemiological approaches to diagnosis and general management of children who have returned from abroad with fever. Public health measures to protect contacts, and education to prevent the acquisition of illness during travel abroad, are also important.

[1]  P. Leggat,et al.  Principles and Practice of Travel Medicine , 2006 .

[2]  R. López-Vélez,et al.  Imported Falciparum malaria in Europe: sentinel surveillance data from the European network on surveillance of imported infectious diseases. , 2002, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[3]  R. Hague Fever of unknown origin—investigation and management , 2001 .

[4]  D. Walshaw,et al.  The causes of fever in children attending hospital in the north of England. , 2001, The Journal of infection.

[5]  J. Torresi,et al.  Fever in returned travelers: review of hospital admissions for a 3-year period. , 2001, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[6]  M. Evans,et al.  Travel illness in British package holiday tourists: prospective cohort study. , 2001, The Journal of infection.

[7]  D. Bradley,et al.  Guidelines for malaria prevention in travellers from the United Kingdom for 2001. , 2001, Communicable disease and public health.

[8]  M. Levin,et al.  Meningococcal disease due to W135: fresh public health concerns , 2001, Archives of disease in childhood.

[9]  C. Hart,et al.  Genotypic analysis of multidrug-resistant Salmonella enterica Serovar typhi, Kenya. , 2000, Emerging infectious diseases.

[10]  I. Cropley,et al.  Rapid diagnosis of falciparum malaria by using the ParaSight F test in travellers returning to the United Kingdom: prospective study , 2000, BMJ : British Medical Journal.

[11]  T. Jelínek,et al.  Dengue fever in international travelers. , 2000, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[12]  J. Knobloch,et al.  Schistosomiasis in German children , 2000, European Journal of Pediatrics.

[13]  P. Ormerod [Tuberculosis and travel]. , 2000, Revue des maladies respiratoires.

[14]  M. Jacobs Imported fever: A survival guide , 2000, Journal of the Royal Society of Medicine.

[15]  R. Snow,et al.  Malaria transmission and morbidity. , 1999, Parassitologia.

[16]  J. Ehrich,et al.  Renal involvement in Gambian children with cerebral or mild malaria , 1999, Tropical medicine & international health : TM & IH.

[17]  A. Colville,et al.  Fever from the tropics , 1998, BMJ.

[18]  K. Kain,et al.  Imported malaria: prospective analysis of problems in diagnosis and management. , 1998, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[19]  J. Klein,et al.  Prospective, hospital based study of fever in children in the United Kingdom who had recently spent time in the tropics , 1998, BMJ.

[20]  F. Riordan,et al.  Imported infections in east Birmingham children. , 1998, Postgraduate medical journal.

[21]  B. Brabin,et al.  Imported malaria in children in the UK , 1997, Archives of disease in childhood.

[22]  A. Humar,et al.  Fortnightly Review: Evaluating fever in travellers returning from tropical countries , 1996 .

[23]  A. Bryceson,et al.  Fever as the presenting complaint of travellers returning from the tropics. , 1995, QJM : monthly journal of the Association of Physicians.

[24]  E. Caumes,et al.  Dermatoses associated with travel to tropical countries: a prospective study of the diagnosis and management of 269 patients presenting to a tropical disease unit. , 1995, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[25]  N. Grist,et al.  A cumulative review of studies on travellers, their experience of illness and the implications of these findings. , 1990, The Journal of infection.

[26]  P. Phillips-Howard,et al.  Risk of malaria in British residents returning from malarious areas. , 1990, BMJ.

[27]  D. Reid,et al.  Imported Infections in Children , 1980, Journal of the Royal College of Physicians of London.

[28]  Z. Memish Meningococcal disease and travel. , 2002, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[29]  M. Newell Vertical transmission of HIV-1 infection. , 2000, Transactions of the Royal Society of Tropical Medicine and Hygiene.

[30]  Bai,et al.  International Travel and Health , 1997 .

[31]  R. Piarroux,et al.  Choice of therapy for imported cases of falciparum malaria in children: a retrospective study of 100 cases seen in Marseilles, France. , 1993, Transactions of the Royal Society of Tropical Medicine and Hygiene.