Medicine
Volume 38, Issue 1 , Pages 2-8, January 2010

Assessment of returning travellers with fever

Victoria Johnston MRCP DTH&H MSc (epi) is at Wellcome Trust Research Fellow in Clinical Tropical Medicine, London School of Hygiene and Tropical Medicine, London, UK. Competing interests: none declared

Philip Gothard MRCP is a Consultant Physician, Hospital for Tropical Diseases, University College London Hospitals NHS Foundation Trust, London, UK. Competing interests: none declared

Abstract 

Travel to the tropics is increasing and a significant minority of travellers fall ill either during or shortly after return. Most illnesses are self-limiting but a few, such as falciparum malaria and typhoid, can be life threatening. A detailed travel history taking account of the patient's activities, type and time of onset of symptoms is important in constructing a differential diagnosis. All travellers returning from the tropics with a fever within three months and sometimes longer should have a blood film for malaria.

Keywords: fever aetiology, fever diagnosis, travel, traveller

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PII: S1357-3039(09)00286-2

doi:10.1016/j.mpmed.2009.09.021

Medicine
Volume 38, Issue 1 , Pages 2-8, January 2010

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