Clinical Case Database / Category: Patient Management
Fever in a returning traveller from Africa
Heather Black MBChB, MRCP, DTM&H, Nick Kennedy MD, FRCP(Edin), FRCPSG, DTM&H
Foundation Years Journal, volume 9, issue 5, p.29 (123Doc Education, London, May 2015)
We describe a clinical case of a patient returning to the UK from Africa with fever in the context of a viral haemorrhagic fever (VHF) outbreak in 2014-15. A logical approach to the returning traveller is required, including a prompt VHF risk assessment in accordance with the UK Advisory Committee on Dangerous Pathogens (ACDP) guidance. Although important, cases of imported VHF are very rare in the UK with malaria being a much more common imported infection. Malaria can be severe and should be considered in every returning traveller with fever.
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Heather Black MBChB, MRCP, DTM&H
Area Infectious Diseases Unit
Monklands Hospital, Monkscourt Avenue, Airdrie, ML6 0JS
Nick Kennedy MD, FRCP(Edin), FRCPSG, DTM&H (Corresponding author)
Area Infectious Diseases Unit
Monklands Hospital, Monkscourt Avenue
Airdrie, ML6 0JS
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3. Advisory Committee on Dangerous Pathogens. Management of Hazard Group 4 viral haemorrhagic fevers and similar human infectious diseases of high consequence. November 2014. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/377143/VHF_guidance_document_updated_19112014.pdf.
4. Viral Haemorrhagic Fevers Risk Assessment (Version 5: 06.11.2014). https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/377142/Algorithm_v5.pdf.
5. Chiodini PL, Field VK, Whitty CJM and Lalloo DG. Guidelines for malaria prevention in travellers from the United Kingdom. London, Public Health England, July 2014. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/337761/Guidelines_for_malaria_prevention_in_travellers_UK_PC.pdf.
6. Lalloo DG, Shingadia D, Pasvol G, et al for the HPA Advisory Committee on Malaria Prevention in UK Travellers. UK malaria treatment guidelines, Journal of Infection 2007; 54: 111-121. doi:10.1016/j.jinf.2006.12.003.
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