Fever in the Returned Paediatric Traveller
It was unusual for children to travel to the tropics until recently. The speed and ease of air travel means that children can now return from the tropics within the incubation period for most infections. These children can thus present with ‘tropical’ infections which their local paediatricians may not expect or recognize. It is essential that a detailed travel history is taken in all children presenting with fever.
Many paediatricians see returning travellers infrequently, unless they work in an area with a large immigrant population. The distribution of migrants in the UK is uneven with the majority living in London or the South East. However, many South Asians live in cities in the Midlands or North West of England (HPA, 2006). Other regions of the UK are now seeing large increases in the non-UK-born population. Thus, paediatricians in London and the Midlands are most likely to see children with imported infections, but paediatricians working in other parts of the UK...
KeywordsKawasaki Disease Indian Subcontinent Severe Malaria Cerebral Malaria Dengue Fever
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