Jiménez-Morillas Francisco, Gil-Mosquera Manuel, García-Lamberechts Eric Jorge
Servicio de Urgencias, Hospital Universitario 12 de Octubre, Madrid, Spain.
Servicio de Urgencias, Hospital Clínico San Carlos, Madrid, Spain.
Med Clin (Engl Ed). 2019 Sep 13;153(5):205-212. doi: 10.1016/j.medcle.2019.03.013. Epub 2019 Jul 27.
The increase in international travel, the growing presence of arbovirus vectors in our country, and notifications of haemorrhagic fever such as the current outbreak of Ebola in D.R. Congo and the cases of Crimea-Congo haemorrhagic fever in our country have again cast the spotlight on tropical diseases. Isolating suspected cases of highly contagious and lethal diseases must be a priority (haemorrhagic fever, MERS-CoV). Assessing the patient, taking a careful medical history based on epidemiological aspects of the area of origin, activities they have carried out, their length of stay in the area and the onset of symptoms, will eventually help us, if not to make a definitive diagnosis, at least to exclude diseases that pose a threat to these patients. Malaria should be ruled out because of its frequency, without forgetting other common causes of fever familiar to emergency doctors.
国际旅行的增加、我国虫媒病毒载体的不断出现,以及诸如刚果民主共和国当前埃博拉疫情和我国克里米亚-刚果出血热病例等出血热疫情通报,再次将热带疾病置于聚光灯下。隔离具有高度传染性和致命性疾病的疑似病例必须成为首要任务(出血热、中东呼吸综合征冠状病毒)。评估患者,根据其原籍地区的流行病学情况、所开展的活动、在该地区的停留时间以及症状发作情况仔细询问病史,最终将有助于我们即使不能做出明确诊断,至少也能排除对这些患者构成威胁的疾病。鉴于疟疾的高发率,应排除疟疾,同时也不要忘记急诊医生所熟知的其他常见发热原因。