Schedel I
Abteilung Gastroenterologie, Hepatologie und Endokrinologie, Zentrum Innere Medizin, Medizinische Hochschule Hannover.
Internist (Berl). 2004 Jun;45(6):641-54. doi: 10.1007/s00108-004-1211-x.
Between 20 and 70 percent of the 50 million people who travel from the industrialized world to the developing world each year report some illness associated with their travel. Approximately 3 percent of people traveling internationally for short periods (<2 weeks) report fever even after travel. Careful assessment of the travel history, likely incubation period, exposure history, associated signs and symptoms, duration of fever, immunization status use or nonuse of antimalarial chemoprophylaxis, and degree of compliance with a chemoprophylactic regimen, if used, helps to establish the diagnosis. Determining an approximate incubation period can be particular helpful in ruling out possible causes of fever. Specific examinations targeting the individual infection, assumed to be responsible for the development of febrile disease may ascertain diagnosis and lead to effective treatment.
每年有5000万人从工业化国家前往发展中国家旅行,其中20%至70%的人报告称旅行期间患有某种疾病。约3%的短期(<2周)国际旅行者即使在旅行后仍有发热症状。仔细评估旅行史、可能的潜伏期、接触史、相关体征和症状、发热持续时间、免疫状况、是否使用抗疟化学预防药物以及(若使用)对化学预防方案的依从程度,有助于确诊。确定大致的潜伏期对排除可能的发热原因尤其有帮助。针对假定导致发热性疾病的个体感染进行的特定检查,可确诊并带来有效治疗。