Evaluation of the sick returned traveler
Identifieur interne : 001408 ( Pmc/Curation ); précédent : 001407; suivant : 001409Evaluation of the sick returned traveler
Auteurs : Henry M. WuSource :
- Seminars in Diagnostic Pathology [ 0740-2570 ] ; 2019.
Abstract
Infections are common during travel, and frontline physicians frequently must evaluate sick returned travelers. Sick travelers can be clinically challenging due to the wide range of endemic diseases in different geographic regions. To guide the diagnostic and treatment plan, consideration of endemic and emerging infections in the region of travel, as well as careful review of the travelers’ exposures and preventative measures are necessary. Routine laboratory tests and cultures cannot confirm many tropical infections, and pathogen directed testing is typically required. Common tropical infections that can be severe, such as malaria, dengue, and enteric fever, should always be considered in the diagnostic evaluation. Providers should also be vigilant for rare but highly pathogenic emerging infections such as Ebola virus disease and Middle East respiratory syndrome (MERS).
Url:
DOI: 10.1053/j.semdp.2019.04.014
PubMed: 31072653
PubMed Central: 7125857
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Wu</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">31072653</idno><idno type="pmc">7125857</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125857</idno><idno type="RBID">PMC:7125857</idno><idno type="doi">10.1053/j.semdp.2019.04.014</idno><date when="2019">2019</date><idno type="wicri:Area/Pmc/Corpus">001408</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001408</idno><idno type="wicri:Area/Pmc/Curation">001408</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001408</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Evaluation of the sick returned traveler</title><author><name sortKey="Wu, Henry M" sort="Wu, Henry M" uniqKey="Wu H" first="Henry M." last="Wu">Henry M. Wu</name></author></analytic><series><title level="j">Seminars in Diagnostic Pathology</title><idno type="ISSN">0740-2570</idno><idno type="eISSN">0740-2570</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Infections are common during travel, and frontline physicians frequently must evaluate sick returned travelers. Sick travelers can be clinically challenging due to the wide range of endemic diseases in different geographic regions. To guide the diagnostic and treatment plan, consideration of endemic and emerging infections in the region of travel, as well as careful review of the travelers’ exposures and preventative measures are necessary. Routine laboratory tests and cultures cannot confirm many tropical infections, and pathogen directed testing is typically required. Common tropical infections that can be severe, such as malaria, dengue, and enteric fever, should always be considered in the diagnostic evaluation. Providers should also be vigilant for rare but highly pathogenic emerging infections such as Ebola virus disease and Middle East respiratory syndrome (MERS).</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Freedman, D O" uniqKey="Freedman D">D.O. Freedman</name></author><author><name sortKey="Chen, L H" uniqKey="Chen L">L.H. Chen</name></author><author><name sortKey="Kozarsky, P E" uniqKey="Kozarsky P">P.E. Kozarsky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Angelo, K M" uniqKey="Angelo K">K.M. Angelo</name></author><author><name sortKey="Kozarsky, P E" uniqKey="Kozarsky P">P.E. Kozarsky</name></author><author><name sortKey="Ryan, E T" uniqKey="Ryan E">E.T. Ryan</name></author><author><name sortKey="Chen, L H" uniqKey="Chen L">L.H. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Semin Diagn Pathol</journal-id><journal-id journal-id-type="iso-abbrev">Semin Diagn Pathol</journal-id><journal-title-group><journal-title>Seminars in Diagnostic Pathology</journal-title></journal-title-group><issn pub-type="ppub">0740-2570</issn><issn pub-type="epub">0740-2570</issn><publisher><publisher-name>Elsevier Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">31072653</article-id><article-id pub-id-type="pmc">7125857</article-id><article-id pub-id-type="publisher-id">S0740-2570(19)30046-2</article-id><article-id pub-id-type="doi">10.1053/j.semdp.2019.04.014</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Evaluation of the sick returned traveler</article-title></title-group><contrib-group><contrib contrib-type="author" id="au0001"><name><surname>Wu</surname><given-names>Henry M.</given-names></name><email>henry.m.wu@emory.edu</email></contrib></contrib-group><aff id="aff0001">Division of Infectious Diseases, Department of Medicine, Emory University, 550 Peachtree St NE, Atlanta, GA 30308, United States</aff><pub-date pub-type="pmc-release"><day>17</day><month>4</month><year>2019</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>5</month><year>2019</year></pub-date><pub-date pub-type="epub"><day>17</day><month>4</month><year>2019</year></pub-date><volume>36</volume><issue>3</issue><fpage>197</fpage><lpage>202</lpage><permissions><copyright-statement>© 2019 Elsevier Inc. All rights reserved.</copyright-statement><copyright-year>2019</copyright-year><copyright-holder>Elsevier Inc.</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract id="abs0001"><p>Infections are common during travel, and frontline physicians frequently must evaluate sick returned travelers. Sick travelers can be clinically challenging due to the wide range of endemic diseases in different geographic regions. To guide the diagnostic and treatment plan, consideration of endemic and emerging infections in the region of travel, as well as careful review of the travelers’ exposures and preventative measures are necessary. Routine laboratory tests and cultures cannot confirm many tropical infections, and pathogen directed testing is typically required. Common tropical infections that can be severe, such as malaria, dengue, and enteric fever, should always be considered in the diagnostic evaluation. Providers should also be vigilant for rare but highly pathogenic emerging infections such as Ebola virus disease and Middle East respiratory syndrome (MERS).</p></abstract><kwd-group id="keys00001"><title>Keywords</title><kwd>Travel medicine</kwd><kwd>Differential diagnosis</kwd><kwd>Returned traveler</kwd><kwd>Diagnosis</kwd><kwd>Risk assessment</kwd><kwd>Fever</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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