McLellan Susan L F
Infectious Diseases Section, School of Medicine, Tulane University Health Sciences Center, New Orleans, LA 70112, USA.
Prim Care. 2002 Dec;29(4):947-69. doi: 10.1016/s0095-4543(02)00045-3.
The primary care practitioner often is the first clinician sought out by a returning traveler, and it is important that he or she be alert to the possibility of exotic illness while remembering the more mundane causes of fever. Malaria remains one of the most serious diagnoses in a febrile traveler and should be looked for repeatedly. Other diagnoses may be suggested by exposure history and patterns of laboratory findings. A directed diagnostic workup, rational empiric therapy, and appropriate consultation are the tools with which the primary care provider successfully can manage the challenging dilemma posed by the returning traveler with fever.
初级保健医生通常是归国旅行者寻求诊疗的首位临床医生，重要的是，医生在记住更常见发热病因的同时，要警惕外来疾病的可能性。疟疾仍是发热旅行者最严重的诊断之一，应反复排查。其他诊断可能由接触史和实验室检查结果模式提示。有针对性的诊断检查、合理的经验性治疗及适当的会诊，是初级保健医生成功应对发热归国旅行者所带来的挑战性难题的工具。
