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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Management of travelers with fever and exanthema, notably dengue and chikungunya infections.
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Management of travelers with fever and exanthema, notably dengue and chikungunya infections.

机译：处理发烧和皮疹的旅客，尤其是登革热和基孔肯雅热感染。

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摘要

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 and risk exposures. Symptoms occurred after return in 56% of these travelers, and the median interval between return and symptom onset was 2 days. The 3 main travel destinations were the Indian Ocean (35%), Africa (21%), and Asia (18%). The 3 main etiologies were chikungunya (35%), dengue (26%), and African tick bite fever (ATBF) (10%). Travel to the Indian Ocean and South Africa was significantly associated with respectively chikungunya and ATBF. Arthralgias were significantly more frequent in chikungunya than in dengue, whereas leucopenia, neutropenia, and thrombopenia were significantly more frequent in dengue. Travelers presenting with febrile exanthema should therefore be screened for arboviral infections according to the area visited.
机译：高热性皮疹经常表现为旅行者的急性病。在20个月的时间里，有62名旅行者出现了发热性皮疹。根据临床表现和风险暴露进行诊断测试。这些旅行者中有56％的人在返回后出现症状，并且返回和症状发作之间的中位间隔为2天。 3个主要的旅行目的地是印度洋（35％），非洲（21％）和亚洲（18％）。 3种主要病因是基孔肯雅热（35％），登革热（26％）和非洲tick叮咬热（ATBF）（10％）。前往印度洋和南非的旅行分别与基孔肯雅热和ATBF密切相关。基孔肯雅热患关节痛的频率明显高于登革热，而登革热的白细胞减少症，中性粒细胞减少症和血小板减少症的发生率则明显更高。因此，应根据所探访的地区筛查出现发热性先皮炎的旅行者是否感染了虫媒病毒。

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