In this podcast, James talks to Dr Indy Sandaradura about how to evaluate and manage a febrile returned traveller.
Fever in a returned traveller
Fever in the returned traveller is a common presentation to Emergency Departments across Australia. Estimations suggest that febrile illness occurs in about 2-3% of travellers. Febrile illness occurs when the patient runs a temperature at 38 degrees Celsius or above. For example, returned travellers suffering a fever accounts for about a quarter of post-travel presentations for medical care.
For instance, some common causes of travel-related fever include:
malaria,
influenza,
dengue fever,
rickettsial infections,
non-specific viral syndromes, and
bacterial diarrhea.
However, it can be a diagnostic challenge for junior doctors to determine the cause and management of these potentially contagious patients. Hence, your best chance of accurately evaluating the patient is to take a detailed history, targeted examination and thorough evaluation.
Summary Writers: Jeff Duncan, Viola Korczak
Editor: Indy Sandaradura
Interviewee: Indy Sandaradura
About Dr Indy Sandaradura
Indy Sandaradura is an Infectious Diseases Physician and Clinical Microbiologist at the Centre for Infectious Diseases and Microbiology at Westmead Hospital, Sydney, and a Clinical Lecturer at the University of Sydney. He completed his medical degree in New Zealand and his specialty training in Sydney.