Seyahatten Sonra Ateş
Özet
Seyahat dönüşünde diğer semptomların eşlik ettiği ya da tek başına ateş görülebilmektedir. Ateşi olan olguda enfeksiyonun bulaştırıcılık riski yüksek ise mutlaka izolasyon başta olmak üzere gerekli önlemler alınmalıdır. Bu hastalarda en sık konulan spesifik tanılar sıtma ve Dang olmuştur. Her 4 olgudan birinde ateşin nedeni belirlenememiştir. Afrika sahra bölgesi seyahatinden dönenlerde ateşin kaynağı olarak en sık sıtma saptanırken, Güneydoğu Asya’dan dönenlerde daha çok Dang ateşi tanımlanmıştır. Bunun dışında CHIV, BNV, Japon ensefalit virüsü, ZIVK, tripanosomiyaz, histoplazmoz, leptospiroz, şistozomiyaz, koksidioidomikoz seyahat sonrası ateşten sorumludur. Hemorajik lezyonları olan olgular hemorajik ateş sendromları, meningokoksemi, leptospiroz, riketsiyoz ve vibrio enfeksiyonları yönünden araştırılmalıdır. Labaoratuvar incelemesinde rutin hematolojik, biyokimyasal ve mikrobiyolojik testlerin yanında sıtma değerlendirilmesi yapılmalıdır.
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