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旅行者归国后面临的传染病紧急情况:特别关注疟疾、登革热和基孔肯雅热。

Infectious disease emergencies in returning travelers: special reference to malaria, dengue fever, and chikungunya.

机构信息

Department of Clinical Microbiology and Immunology, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.

出版信息

Med Clin North Am. 2012 Nov;96(6):1225-55. doi: 10.1016/j.mcna.2012.08.004.

Abstract

This review article discusses important infectious illnesses, namely malaria, dengue, and chikungunya, in travelers returning from endemic areas. Malaria and dengue are two of the most common systemic illnesses reported in returning travelers. Because chikungunya is gaining importance, it is also briefly discussed. The clinical significance of these diseases is mainly due to the possibility of sudden deterioration with high mortality in clinically healthy looking patients. The key clinical features, their diagnosis, and treatment algorithms are discussed in detail to help in early diagnosis and appropriate clinical management of such travelers presenting in emergency departments.

摘要

这篇综述文章讨论了旅行者从流行地区返回后可能感染的几种重要传染病,包括疟疾、登革热和基孔肯雅热。疟疾和登革热是报告中最常见的两种旅行者系统性疾病。由于基孔肯雅热的重要性日益增加,本文也对其进行了简要讨论。这些疾病的临床意义主要在于临床外观健康的患者可能会突然恶化并导致高死亡率。本文详细讨论了这些疾病的关键临床特征、诊断和治疗方案,以帮助急诊科中出现的此类旅行者进行早期诊断和适当的临床管理。

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