Thursday, September 16, 2010

Fever after International Travel



Yesterday we discussed the classic case of fever in a returning traveler.
There are many diagnostic approaches to take in this situation but a careful travel history is often the key to the diagnosis. Never forget that when people travel, the may do riskier things then is typical for them (or that they may care to admit) both in the environment or with other people. Point is: you need to ask and you need to look.
Inquire about chemoprophylaxis, vaccines and sick contacts and take a minute to check out the country's information on the CDC website.
An oldie but goodie review from NEJM can be found here and does a nice job with the differential diagnosis.

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