1

Post Travel Effect

MARGIE'S TRAVEL

: Health
BY : D E S A K S U K A S A N T I ( 1 6 7 0 1 2 1 0 5 7 )

M SGD 4
 2

Travel Itinerary

o The itinerary and activities in which the traveler participated are crucial to
formulating a differential diagnosis
o A 2013 study from the GeoSentinel Surveillance Network found a distinct
pattern of diagnoses depending on the region of the world visited.
o In travelers to sub-Saharan Africa presenting with fever, malaria was the
most common specific diagnosis
MARGIE'S TRAVEL

o On the other hand, febrile patients after travel to Latin America or Southeast
Asia were much more likely to have dengue

M
 3

Timing of Illness in Relation to Travel

o Most ill travelers will seek medical attention within 1 month of return from
their destination
o Occasionally, however, infections such as schistosomiasis, leishmaniasis, or
tuberculosis can manifest months or even years later.
o Therefore, in unusual cases, a detailed history that extends beyond a few
months before presentation can be helpful.
MARGIE'S TRAVEL

The most common travel-related infections with short incubation periods are
listed in

M
 4 The most common travel-related infections with short incubation periods are
listed in
MARGIE'S TRAVEL

M
 5
MARGIE'S TRAVEL

M
 6

Underlying Medical Illness

o Comorbidities can affect the susceptibility to infection, as well as the clinical

manifestations and severity of illness.
o An increasing number of immunosuppressed people (due to organ
transplants, immune-modulating medications, HIV infection, or other primary
or acquired immunodeficiencies) are international travelers
MARGIE'S TRAVEL

Vaccines Received and Prophylaxis Used

M
 7

Individual Exposure History

o insect bites
o contaminated food or water
o freshwater swimming
o backpacking and camping in rural areas
o Body fluid exposure (such as tattoos, sexual activity)
MARGIE'S TRAVEL

M
 8

COMMON SYNDROMES

o The most common clinical presentations after travel to developing countries

include systemic febrile illness, diarrheal illness, and dermatologic conditions
o Respiratory Complaints
o Eosinophilia
MARGIE'S TRAVEL

M
 9

References

o CDC. Yellow Book, Health Information for International Travel. New York:
Oxford University Press; 2012.
o Unknown. 2018. Travelers Health. Available at
https://wwwnc.cdc.gov/travel/destinations/list. Accessed on September 10th
2018.
MARGIE'S TRAVEL

M
 10
MARGIE'S TRAVEL

M
THANK YOU