Courtney Malachi, Shetty Avinash K
Department of Pediatrics, Wake Forest University Health Sciences, Winston-Salem, NC 27157, USA.
Pediatr Emerg Care. 2009 Nov;25(11):769-72. doi: 10.1097/PEC.0b013e3181bec8c7.
Fever in a returned traveler from the tropics often poses a diagnostic challenge to the emergency department physician because of the potential for serious morbidity and mortality associated with certain infections such as falciparum malaria and dengue. We report a case of imported dengue fever in a 15-year-old adolescent boy acquired during a recent travel to Guatemala. Dengue fever is a mosquito-transmitted viral infection of global importance. The majority of US residents with dengue become infected during travel to tropical areas. In recent years, dengue has remerged in US tropical and subtropical areas. The disease is underreported in the United States along the Mexican border. The epidemiology, clinical manifestations, diagnosis, control, and prevention of this important global reemerging infectious disease are reviewed. Clinicians should include dengue in the differential diagnosis of febrile illness in children who have recently returned from dengue endemic areas.
对于急诊科医生来说，来自热带地区的归国旅行者发热常常带来诊断难题，因为某些感染（如恶性疟疾和登革热）可能会导致严重的发病率和死亡率。我们报告一例15岁青少年男孩输入性登革热病例，他是近期前往危地马拉旅行期间感染的。登革热是一种由蚊子传播的具有全球重要性的病毒感染。大多数感染登革热的美国居民是在前往热带地区旅行期间被感染的。近年来，登革热在美国热带和亚热带地区再度出现。在美国墨西哥边境地区，该疾病报告不足。本文对这种重要的全球再度出现的传染病的流行病学、临床表现、诊断、控制和预防进行了综述。临床医生应将登革热纳入近期从登革热流行地区归来儿童发热性疾病的鉴别诊断中。
