发热归国旅行者中的虫媒病毒疹作为诊断线索
Arbovirus Rash in the Febrile Returning Traveler as a Diagnostic Clue.
作者信息
Wong Eduardo, Suárez José Antonio, Naranjo Laura, Castrejón-Alba María Mercedes
机构信息
Facultad de Medicina, Universidad de Panamá, Panamá, Panamá.
Instituto Conmemorativo Gorgas de Estudio de la Salud and Sistema Nacional de Investigaciòn, SENACYT, Panamá, Panamá.
出版信息
Curr Trop Med Rep. 2021;8(2):91-98. doi: 10.1007/s40475-021-00229-2. Epub 2021 Feb 20.
PURPOSE OF REVIEW
This review aims to describe briefly the general information of arboviruses dengue, Zika, and chikungunya infections and emphasize the clinical manifestations of each, to help identify and make a quick diagnosis of each.
RECENT FINDINGS
The most relevant advances in the study of these arboviruses' infections have been in the epidemiological distribution, mainly due to international travel, migration, and climate change; in the clinical manifestations of these diseases, the development of clinical decision-making software, which can help improve the management and outcomes of these patients; and in the prevention of this disease.
SUMMARY
Although arboviruses infections constitute a clinical challenge for the attending physician in the scope of a febrile returning traveler, a thorough clinical history and exam can help to aid diagnostic reasoning. The characteristics of the rash are a very helpful clue in the evaluation of these patients. Currently, there are clinical decision aid tools that help to get the diagnosis more quickly.
综述目的
本综述旨在简要描述登革热、寨卡病毒和基孔肯雅热感染这几种虫媒病毒的一般信息，并强调每种病毒感染的临床表现，以帮助识别并快速诊断这些疾病。
最新发现
这些虫媒病毒感染研究中最相关的进展在于流行病学分布，这主要归因于国际旅行、移民和气候变化；在于这些疾病的临床表现，临床决策软件的开发有助于改善这些患者的管理和治疗结果；还在于该疾病的预防。
总结
尽管虫媒病毒感染对于发热的归国旅行者而言对主治医生构成了临床挑战，但详尽的临床病史和检查有助于辅助诊断推理。皮疹的特征是评估这些患者时非常有用的线索。目前，有临床决策辅助工具可帮助更快地做出诊断。
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