title: [Fever in children returning from travel].
abstract: Child travelers are numerous, exposed to the risk of diseases, both infectious and noninfectious, for which practitioners often lack experience. The assessment of febrile returning child travelers is becoming more frequent and challenging. The question of previous travel should be foremost in the checklist of the interview of any febrile child traveler, because this implies a possible tropical disease such as malaria that may be life-threatening. These need to be investigated and treated effectively and rapidly. There are highly contagious infections that could pose public health risks requiring implementation of hygienic and public health measures. A detailed immunization, medical, and travel history for exposure to infectious risks using geographic, seasonal, environmental, sociocultural, and epidemiological data are needed. Along with clinical examination and elementary first-line investigations, the history should guide second-line exams, which will provide the etiology and optimal treatment in approximately 75 % of cases. The majority of children will have a cosmopolitan infection that resolves spontaneously or is simple to treat. Malaria will need urgent and specific treatment. This article describes guidance on first-line evaluation and management of febrile child travelers as recommended in France.
authors.affiliation: Service de pédiatrie générale, hôpital Necker, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France; Service de pédiatrie générale, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, 48, boulevard Sérurier, 75019 Paris, France; Groupe de pédiatrie tropicale de la Société française de pédiatrie, 75019 Paris, France. Electronic address: freedso@gmail.com.
authors.forename: F
authors.initials: F
authors.lastname: Sorge
authors.affiliation: Groupe de pédiatrie tropicale de la Société française de pédiatrie, 75019 Paris, France; Service de pédiatrie, centre hospitalier, 1, rue Marne, 35400 Saint-Malot, France.
authors.forename: N
authors.initials: N
authors.lastname: Velayudhan-Deschamps
authors.affiliation: Service de pédiatrie générale, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, 48, boulevard Sérurier, 75019 Paris, France; Groupe de pédiatrie tropicale de la Société française de pédiatrie, 75019 Paris, France; Université Paris 7 Denis Diderot, Sorbonne Paris Cité, 75006 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Faye
authors.affiliation: Service de pédiatrie générale, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, 48, boulevard Sérurier, 75019 Paris, France.
authors.forename: R
authors.initials: R
authors.lastname: Blondé
authors.affiliation: Service de pédiatrie générale, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, 48, boulevard Sérurier, 75019 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Naudin
mesh_terms: D000465:Algorithms; D002648:Child; D005334:Fever / Q000209:etiology*; D006801:Humans; D007239:Infections / Q000150:complications* / Q000175:diagnosis*; D012306:Risk; D014195:Travel