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Review Article
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Volume 347:505-516 August 15, 2002 Number 7
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Illness after International Travel
Edward T. Ryan, M.D., Mary E. Wilson, M.D., and Kevin C. Kain, M.D.

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Between 20 and 70 percent of the 50 million people who travel from the industrialized world to the developing world each year report some illness associated with their travel.1,2 Although most illnesses reported by travelers are mild, 1 to 5 percent of travelers become ill enough to seek medical attention either during or immediately after travel, 0.01 to 0.1 percent require medical evacuation, and 1 in 100,000 dies.1 People who visit family and friends while abroad and adventure travelers are at increased risk of becoming ill during travel.3,4,5,6,7,8 People who visit family and friends often stay in local homes off . . . [Full Text of this Article]

Fever

Undifferentiated Fever

            Malaria

            Dengue

            Rickettsia

            Leptospirosis

            Typhoid Fever

Fever Associated with Hemorrhage

Fever Associated with Involvement of the Central Nervous System

Fever Associated with Respiratory Findings

Fever Associated with Sexual or Blood Exposures

Fever Associated with Eosinophilia

Diarrhea

Dermatologic Conditions

Papules

Subcutaneous Swellings and Nodules

Ulcers

Linear and Migratory Lesions


Source Information

From the Tropical and Geographic Medicine Center and the Travelers' Advice and Immunization Center, Division of Infectious Diseases, Massachusetts General Hospital and Harvard Medical School, Boston (E.T.R.); the Travel Resource Center, Division of Infectious Diseases, Mount Auburn Hospital, Cambridge, Mass., and Harvard Medical School, Boston (M.E.W.); and the Centre for Travel and Tropical Medicine, Division of Infectious Diseases, Toronto General Hospital, University of Toronto, Toronto (K.C.K.).

Address reprint requests to Dr. Ryan at the Tropical and Geographic Medicine Center, Division of Infectious Diseases, Jackson 504, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, or at etryan@partners.org.


Related Letters:

Illness after International Travel
Caumes E., Bricaire F., Basnyat B., Ryan E. T., Wilson M. E., Kain K. C.
Extract | Full Text | PDF  
N Engl J Med 2002; 347:1984, Dec 12, 2002. Correspondence

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