n CME : Your SA Journal of CPD - The returning traveller with fever : main topic




Thorough history of illness and travel movements is essential. <br>Ask about existing medical conditions. <br>Focus initially on diagnosing infections that are dangerous for patient and community. <br>Skin lesions are important clues to many travel-related infections. <br>Malaria must always be considered in a traveller with fever and flu-like symptoms. <br>Tick bite fever is common in travellers in Africa, and the typical rash may be absent. <br>Fever, rash and arthritis is suggestive of arboviral infections. <br>Fever and eosinophilia is commonly due to acute schistosomiasis (Katayama fever). <br>Full blood count, blood smear examination, and liver function tests are obligatory initial investigations. <br>Getting a diagnosis before treatment is ideal, but must be balanced against the need to treat severe illness.


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