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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
| Section 13. Infectious Diseases > |
Chapter 156. World Travelers
Sections: World Travelers: Introduction, Initial Evaluation of the Returning Traveler, Clinical Diagnosis Based on Syndromic Presentation, References.
Topics Discussed: foreign travel problem; tropical disease.
Excerpt:"The popularity of transcontinental travel allows even exotic
destinations to be reached within 36 hours. Greater numbers of immunologically naïve
travelers venture abroad each year, and many travelers visit tropical
nations where illness burden is largely due to poverty, civil unrest, poor
environmental hygiene, malnutrition, and tropical illnesses.1 Many returning
travelers have neither serious nor exotic illnesses. The likely causes
of acute symptoms are common problems such as upper respiratory
infections, diarrheal illnesses, or reactions to stress, fatigue,
or new medications. The ED physician often does not confirm the
final diagnosis, but rather protects the health of the public from
potentially communicable diseases, begins diagnostic and therapeutic
interventions, and provides appropriate referral. Local or regional
international health clinics are good resources for referral of
patients who need more advanced evaluation, serologic testing, and
long-term follow-up (see http://www.travelersvaccines.com/en/clinics/clinic_locator.cfm)...."
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