Fever in the returning traveller
International travel is increasingly common. The United Nations World Tourism Organization estimates that by 2030, nearly 2 billion people will travel internationally each year, most of them to emerging economies. In the UK alone, there were more than 70 million visits abroad by UK residents in 2016, and 37 million overseas residents visiting the UK. Illness associated with travel is common. Most infections are mild or self limiting; however, their nonspecific presentations make them challenging to distinguish from life threatening infections such as malaria. Studies from the UK indicate that a risk assessment after travel is recorded in only 5% to 20% of potentially eligible patients presenting to a hospital with fever. This can result in delayed diagnosis, increased morbidity and mortality, and an increased risk of onward transmission. This clinical update provides a framework for the timely evaluation and initial management of febrile returning travellers. Read the article on this subject then take the multiple choice assessment.
Upon completion of this module you should know:
- How to investigate patients with fever who have returned from travelling abroad
- How to diagnose common causes of fever in such patients
- How to manage common causes of fever in such patients.
Assessment questions were written by BMJ clinical editors.
02 Mar 2018
02 Mar 2018
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