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Fever After a Tropical Trip: A Guide to Differential Diagnosis

Fevers caused by infection are mainly common in people who’ve traveled to developing nations or parts of the world where health care resources and sanitation are limited. Any international traveler who develops a fever in the weeks after a tropical trip needs to be evaluated. Doctors at NYU Langone can identify the numerous sorts of travel-associated infections that cause fever. The most common of these encompass malaria, dengue, typhoid fever, and chikungunya.

Malaria is a common cause of fever after a tropical trip mainly among people who’ve traveled to sub-Saharan Africa, Asia, or Latin America. However, all tourists to nations in which malaria is present are susceptible to contamination. Dengue is observed in tropical and subtropical climates worldwide, frequently in urban areas. People with weakened immune structures in addition to people with a second or subsequent dengue infection are believed to be at more danger of developing dengue hemorrhagic fever. Typhoid fever occurs worldwide, in the main in developing nations with poor sanitation, in which hand washing is less common and water is likely to be contaminated with sewage.

Chikungunya is a viral disease spread through infected mosquitoes that reasons fever and severe joint pain, mainly in the small joints of the hands and feet. It also can purpose muscle pain, fatigue, headache, nausea, and a rash. Symptoms normally begin three to seven days after being bitten by an infected mosquito and may be severe. Joint pain due to chikungunya is regularly debilitating, normally lasting from some days to three weeks. Most people recover fully, however, joint pain can also additionally persist for several months, even years. Chikungunya can also additionally cause eye problems consisting of redness or blurred vision, neurological complications consisting of facial paralysis and Guillain–Barré syndrome, and gastrointestinal symptoms such as nausea and vomiting. Chikungunya most often occurs in travelers to Africa, Asia, and the Indian subcontinent.

Image by Lorri Lang from Pixabay

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