Fieber nach Reiser�ckkehr

Abstract

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. Approximately 3 percent of people traveling internationally for short periods (<2 weeks) report fever even after travel. Careful assessment of the travel history, likely incubation period, exposure history, associated signs and symptoms, duration of fever, immunization status use or nonuse of antimalarial chemoprophylaxis, and degree of compliance with a chemoprophylactic regimen, if used, helps to establish the diagnosis. Determining an approximate incubation period can be particular helpful in ruling out possible causes of fever. Specific examinations targeting the individual infection, assumed to be responsible for the development of febrile disease may ascertain diagnosis and lead to effective treatment.

Fieber mittlerer Dauer nach Rückkehr von den Kanaren

“…Sulfonamide sind kontraindiziert, da sie das Wachstum der Rickettsien stimulieren. Wenn frühzeitig behandelt wird, liegt die Mortalität unter 1% [2,4]. Falls Doxycyclin binnen 72 Stunden nicht zu einer Entfieberung führt, ist eine Rickettsiose unwahrscheinlich und die Diagnostik muss ausgeweitet werden (.…”