Jacobs F
Clinique des Maladies Infectieuses et Tropicales, Hôpital Erasme, Bruxelles.
Rev Med Brux. 1994 Jul-Aug;15(4):176-9.
Tropical infections are responsible for about half of the febrile episodes among travelers coming back from (sub-)tropical areas. Among these, the infections requiring urgent therapy must be recognized in priority. Without early and specific therapy, malaria may rapidly become lethal. This infection must therefore be searched by repeated blood smears. If negative, typhoid fever, amoebic liver abscess or rickettsial infection are frequent and may also be lethal if left untreated. The diagnostic approach of a febrile illness in a traveler coming back from the tropics is developed.
热带感染约占从（亚）热带地区归来的旅行者发热病例的一半。其中，必须优先识别需要紧急治疗的感染。如果没有早期和特异性治疗，疟疾可能会迅速致命。因此，必须通过反复血涂片检查来排查这种感染。如果结果为阴性，伤寒、阿米巴肝脓肿或立克次体感染较为常见，若不治疗也可能致命。本文阐述了对从热带地区归来的发热旅行者疾病的诊断方法。
