Fever in returned travelers: Review of hospital admissions for a 3-year period
AuthorO'Brien, D; Tobin, S; Brown, GV; Torresi, J
Source TitleCLINICAL INFECTIOUS DISEASES
PublisherUNIV CHICAGO PRESS
University of Melbourne Author/sBrown, Graham
AffiliationMedicine - Royal Melbourne And Western Hospitals
Document TypeJournal Article
CitationsO'Brien, D., Tobin, S., Brown, G. V. & Torresi, J. (2001). Fever in returned travelers: Review of hospital admissions for a 3-year period. CLINICAL INFECTIOUS DISEASES, 33 (5), pp.603-609. https://doi.org/10.1086/322602.
Access StatusThis item is currently not available from this repository
C1 - Journal Articles Refereed
We reviewed 232 consecutive patients admitted to a tertiary-care hospital under the care of an infectious diseases unit for management of febrile illness acquired overseas. A total of 53% presented to hospital within 1 week of return and 96% within 6 months. Malaria was the most common diagnosis (27% of patients), followed by respiratory tract infection (24%), gastroenteritis (14%), dengue fever (8%), and bacterial pneumonia (6%). Pretravel vaccination may have prevented a number of admissions, including influenza (n=11), typhoid fever (n=8) and hepatitis A (n=6). Compared to those who had not traveled to Africa, those who had were 6 times more likely to present with falciparum than nonfalciparum malaria. An itinerary that included Asia was associated with a 13-fold increased risk of dengue, but a lower risk of malaria. Palpable splenomegaly was associated with an 8-fold risk of malaria and hepatomegaly with a 4-fold risk of malaria. As a cause of fever, bacterial pneumonia was > or =5 times more likely in those who were aged >40 years.
KeywordsInfectious Diseases; Epidemiology ; Public Health not elsewhere classified
- Click on "Export Reference in RIS Format" and choose "open with... Endnote".
- Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References