Management of travelers with fever and exanthema, notably dengue and chikungunya infections
Autor(es): Hochedez Patrick, Canestri Ana, Guihot Amélie, Brichler Ségolène, Bricaire François, Caumes Eric
Resumo: Febrile exanthema frequently presents as an acute condition in travelers. Sixty-two travelers who presented with febrile exanthema were prospectively included over a 20-month period. Diagnostic tests were performed according to clinical presentation - risk exposures. Symptoms occurred after return in 56% of these travelers, - the median interval between return - symptom onset was 2 days. The 3 main travel destinations were the Indian Ocean (35%), Africa (21%), - Asia (18%). The 3 main etiologies were chikungunya (35%), dengue (26%), - African tick bite fever (ATBF) (10%). Travel to the Indian Ocean - South Africa was significantly associated with respectively chikungunya - ATBF. Arthralgias were significantly more frequent in chikungunya than in dengue, whereas leucopenia, neutropenia, - thrombopenia were significantly more frequent in dengue. Travelers presenting with febrile exanthema should therefore be screened for arboviral infections according to the area visited.
Imprenta: The American Journal of Tropical Medicine and Hygiene, v. 78, n. 5, p. 710-713, 2008
Descritores: Chikungunya virus - Pathogenesis ; Chikungunya virus - Infectious diseases ; Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Dengue ; Chikungunya virus - Public health
Data de publicação: 2008
