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Inicio Medicina Clínica (English Edition) Fever in travellers returning from the tropics
Journal Information
Vol. 153. Issue 5.
Pages 205-212 (September 2019)
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Vol. 153. Issue 5.
Pages 205-212 (September 2019)
Review
Fever in travellers returning from the tropics
Fiebre en el viajero retornado del trópico
Visits
4
Francisco Jiménez-Morillasa,
Corresponding author
franciscojmorillas@hotmail.com

Corresponding author.
, Manuel Gil-Mosqueraa, Eric Jorge García-Lamberechtsb, on behalf of the INFURG-SEMES tropical diseases department 1
a Servicio de Urgencias, Hospital Universitario 12 de Octubre, Madrid, Spain
b Servicio de Urgencias, Hospital Clínico San Carlos, Madrid, Spain
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Tables (6)
Table 1. Exposure and activity carried out.
Table 2. Incubation periods.
Table 3. Findings in the exploration and aetiological possibility.
Table 4. Criteria for severe malaria.
Table 5. Treatment of malaria.
Table 6. Most frequent rickettsioses.
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Abstract

The increase in international travel, the growing presence of arbovirus vectors in our country, and notifications of haemorrhagic fever such as the current outbreak of Ebola in D.R. Congo and the cases of Crimea-Congo haemorrhagic fever in our country have again cast the spotlight on tropical diseases. Isolating suspected cases of highly contagious and lethal diseases must be a priority (haemorrhagic fever, MERS-CoV). Assessing the patient, taking a careful medical history based on epidemiological aspects of the area of origin, activities they have carried out, their length of stay in the area and the onset of symptoms, will eventually help us, if not to make a definitive diagnosis, at least to exclude diseases that pose a threat to these patients. Malaria should be ruled out because of its frequency, without forgetting other common causes of fever familiar to emergency doctors.

Keywords:
Fever
Traveller
Tropics
Malaria
Haemorrhagic fever
Resumen

El incremento de los viajes internacionales, la creciente presencia de vectores transmisores de arbovirusen nuestro país, las alertas de fiebres hemorrágicas, como el actual brote de ébola en la R. D. del Congoy los casos autóctonos de fiebre hemorrágica de Crimea-Congo en nuestro país, ponen de nuevo enprimer plano las enfermedades tropicales. El aislamiento de los casos sospechosos de enfermedades dealta transmisibilidad y letalidad ha de ser una prioridad (fiebres hemorrágicas, MERS-CoV). Al valorar alpaciente, una cuidadosa historia clínica basada en los aspectos epidemiológicos de la zona de procedencia,las actividades realizadas, el tiempo de estancia en el mismo y el inicio de los síntomas nos ayudaránfinalmente, si no al diagnóstico definitivo, sí al menos a descartar las enfermedades que signifiquen unaamenaza para él. Por su frecuencia y gravedad la malaria debe ser descartada, sin olvidar las otras causashabituales de fiebre con las que el médico de urgencias debe estar familiarizado también.

Palabras clave:
Fiebre
Viajero
Trópico
Malaria
Fiebre hemorrágica

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