title: Fever in the returning child traveller: approach to diagnosis and management.
abstract: During the last half century there has been an exponential increase in international travel including to more exotic and long-haul destinations. The assessment of febrile returning child travellers presents diagnostic challenges and is often performed poorly. A detailed travel and medical history, clinical examination and appropriate first-line investigations are essential. While the majority of children will have a common self-limiting or easily treatable infection, it is important to consider other causes, including imported infections, which may be life-threatening or highly contagious. In this article, we provide guidance on the initial assessment and management of such children with a focus on some of the more important imported infections, including malaria, dengue, typhoid fever, travellers' diarrhoea, respiratory infections, tuberculosis, schistosomiasis and rickettsial diseases.
authors.affiliation: Department of Paediatrics, Lister Hospital, Stevenage, Hertfordshire, UK.
authors.forename: J
authors.initials: J
authors.lastname: Halbert
authors.affiliation: Department of Infectious Diseases, Great Ormond Street Hospital for Children, London, UK.
authors.forename: D
authors.initials: D
authors.lastname: Shingadia
authors.affiliation: Academic Centre For Travel Medicine & Vaccines, WHO Collaborating Centre for Reference, Research and Training in Travel Medicine, University College London Medical School, London, UK.
authors.forename: Jane N
authors.initials: JN
authors.lastname: Zuckerman
mesh_terms: D002648:Child; D003141:Communicable Diseases / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D005334:Fever / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D014195:Travel
keywords: Accident & Emergency; General Paediatrics; Infectious Diseases; Tropical Inf Dis; Tropical Paediatrics