Viruses acquired abroad: What does the primary care physician need to know?
Autor(es): Schmidt-Chanasit Jonas, Schmiedel Stefan, Fleischer Bernhard, Burchard Gerd-Dieter
Resumo: Viral infections are imported by travelers - immigrants from tropical or subtropical regions. The primary care physician should be able to include these diseases in the differential diagnosis of various clinical conditions. This review is based on pertinent articles retrieved by a selective search of the literature, including guidelines from Germany - abroad. The available data on imported viral infections in Germany constitute low-level evidence, because most such infections are not reportable in this country. Useful data have, however, been collected by international surveillance networks. Imported viral infections usually present with fever, often also with a rash - elevated transaminases. An average of 230 cases occur in Germany each year; the most common diagnosis among them is dengue fever. An imported viral infection should also be included in the differential diagnosis of fever with arthralgia, as chikungunya virus causes an average of 38 such cases per year. On the other h-, in the past two years, there have been only five cases of imported viral infections causing encephalitis (West Nile virus - Japanese encephalitis virus). The primary care physician should take a thorough history so that specifically targeted laboratory tests can be ordered as soon as possible. If the suspicion of an imported viral infection is confirmed, the patient should be transferred to a specialized treatment center.
Imprenta: Deutsches A?rzteblatt International, v. 109, n. 41, p. 681-691, quiz 692, 2012
Identificador do objeto digital: 10.3238/arztebl.2012.0681
Descritores: Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Dengue
Data de publicação: 2012
