id sid tid token lemma pos cord-287030-xzothuf7 1 1 key key JJ cord-287030-xzothuf7 2 1 : : : cord-287030-xzothuf7 2 2 cord-287030-xzothuf7 cord-287030-xzothuf7 NN cord-287030-xzothuf7 2 3 authors author NNS cord-287030-xzothuf7 2 4 : : : cord-287030-xzothuf7 2 5 Pigott Pigott NNP cord-287030-xzothuf7 2 6 , , , cord-287030-xzothuf7 2 7 David David NNP cord-287030-xzothuf7 2 8 C. C. NNP cord-287030-xzothuf7 2 9 title title NN cord-287030-xzothuf7 2 10 : : : cord-287030-xzothuf7 2 11 Emergency emergency NN cord-287030-xzothuf7 2 12 department department NN cord-287030-xzothuf7 2 13 evaluation evaluation NN cord-287030-xzothuf7 2 14 of of IN cord-287030-xzothuf7 2 15 the the DT cord-287030-xzothuf7 2 16 febrile febrile JJ cord-287030-xzothuf7 2 17 traveler traveler NN cord-287030-xzothuf7 2 18 date date NN cord-287030-xzothuf7 2 19 : : : cord-287030-xzothuf7 2 20 2006 2006 CD cord-287030-xzothuf7 2 21 - - HYPH cord-287030-xzothuf7 2 22 05 05 CD cord-287030-xzothuf7 2 23 - - HYPH cord-287030-xzothuf7 2 24 23 23 CD cord-287030-xzothuf7 2 25 journal journal NN cord-287030-xzothuf7 2 26 : : : cord-287030-xzothuf7 2 27 J J NNP cord-287030-xzothuf7 2 28 Infect infect VB cord-287030-xzothuf7 2 29 DOI DOI NNP cord-287030-xzothuf7 2 30 : : : cord-287030-xzothuf7 2 31 10.1016 10.1016 CD cord-287030-xzothuf7 3 1 /j.jinf.2006.03.028 /j.jinf.2006.03.028 NFP cord-287030-xzothuf7 3 2 sha sha NN cord-287030-xzothuf7 3 3 : : : cord-287030-xzothuf7 4 1 4c9148a63a61aadcbfc86d77af99f8c6602e62cb 4c9148a63a61aadcbfc86d77af99f8c6602e62cb LS cord-287030-xzothuf7 5 1 doc_id doc_id CD cord-287030-xzothuf7 5 2 : : : cord-287030-xzothuf7 5 3 287030 287030 CD cord-287030-xzothuf7 5 4 cord_uid cord_uid NNS cord-287030-xzothuf7 5 5 : : : cord-287030-xzothuf7 6 1 xzothuf7 xzothuf7 NNP cord-287030-xzothuf7 6 2 The the DT cord-287030-xzothuf7 6 3 emergency emergency NN cord-287030-xzothuf7 6 4 department department NN cord-287030-xzothuf7 6 5 evaluation evaluation NN cord-287030-xzothuf7 6 6 of of IN cord-287030-xzothuf7 6 7 the the DT cord-287030-xzothuf7 6 8 febrile febrile JJ cord-287030-xzothuf7 6 9 traveler traveler NN cord-287030-xzothuf7 6 10 presents present VBZ cord-287030-xzothuf7 6 11 the the DT cord-287030-xzothuf7 6 12 emergency emergency NN cord-287030-xzothuf7 6 13 physician physician NN cord-287030-xzothuf7 6 14 with with IN cord-287030-xzothuf7 6 15 a a DT cord-287030-xzothuf7 6 16 set set NN cord-287030-xzothuf7 6 17 of of IN cord-287030-xzothuf7 6 18 unique unique JJ cord-287030-xzothuf7 6 19 and and CC cord-287030-xzothuf7 6 20 often often RB cord-287030-xzothuf7 6 21 challenging challenging JJ cord-287030-xzothuf7 6 22 circumstances circumstance NNS cord-287030-xzothuf7 6 23 . . . cord-287030-xzothuf7 7 1 In in IN cord-287030-xzothuf7 7 2 addition addition NN cord-287030-xzothuf7 7 3 to to IN cord-287030-xzothuf7 7 4 evaluating evaluate VBG cord-287030-xzothuf7 7 5 and and CC cord-287030-xzothuf7 7 6 managing manage VBG cord-287030-xzothuf7 7 7 the the DT cord-287030-xzothuf7 7 8 usual usual JJ cord-287030-xzothuf7 7 9 array array NN cord-287030-xzothuf7 7 10 of of IN cord-287030-xzothuf7 7 11 community community NN cord-287030-xzothuf7 7 12 - - HYPH cord-287030-xzothuf7 7 13 acquired acquire VBN cord-287030-xzothuf7 7 14 infections infection NNS cord-287030-xzothuf7 7 15 , , , cord-287030-xzothuf7 7 16 the the DT cord-287030-xzothuf7 7 17 clinician clinician NN cord-287030-xzothuf7 7 18 must must MD cord-287030-xzothuf7 7 19 be be VB cord-287030-xzothuf7 7 20 prepared prepared JJ cord-287030-xzothuf7 7 21 to to TO cord-287030-xzothuf7 7 22 diagnose diagnose VB cord-287030-xzothuf7 7 23 and and CC cord-287030-xzothuf7 7 24 treat treat VB cord-287030-xzothuf7 7 25 a a DT cord-287030-xzothuf7 7 26 host host NN cord-287030-xzothuf7 7 27 of of IN cord-287030-xzothuf7 7 28 uncommon uncommon JJ cord-287030-xzothuf7 7 29 and and CC cord-287030-xzothuf7 7 30 potentially potentially RB cord-287030-xzothuf7 7 31 life life NN cord-287030-xzothuf7 7 32 - - HYPH cord-287030-xzothuf7 7 33 threatening threaten VBG cord-287030-xzothuf7 7 34 pathogens pathogen NNS cord-287030-xzothuf7 7 35 . . . cord-287030-xzothuf7 8 1 This this DT cord-287030-xzothuf7 8 2 diseases disease NNS cord-287030-xzothuf7 8 3 range range VBP cord-287030-xzothuf7 8 4 from from IN cord-287030-xzothuf7 8 5 widespread widespread JJ cord-287030-xzothuf7 8 6 tropical tropical JJ cord-287030-xzothuf7 8 7 diseases disease NNS cord-287030-xzothuf7 8 8 such such JJ cord-287030-xzothuf7 8 9 as as IN cord-287030-xzothuf7 8 10 malaria malaria NN cord-287030-xzothuf7 8 11 to to IN cord-287030-xzothuf7 8 12 the the DT cord-287030-xzothuf7 8 13 more more RBR cord-287030-xzothuf7 8 14 exotic exotic JJ cord-287030-xzothuf7 8 15 and and CC cord-287030-xzothuf7 8 16 lethal lethal JJ cord-287030-xzothuf7 8 17 viral viral JJ cord-287030-xzothuf7 8 18 hemorrhagic hemorrhagic JJ cord-287030-xzothuf7 8 19 fevers fever NNS cord-287030-xzothuf7 8 20 . . . cord-287030-xzothuf7 9 1 A a DT cord-287030-xzothuf7 9 2 thoughtful thoughtful JJ cord-287030-xzothuf7 9 3 approach approach NN cord-287030-xzothuf7 9 4 guided guide VBN cord-287030-xzothuf7 9 5 by by IN cord-287030-xzothuf7 9 6 geographic geographic JJ cord-287030-xzothuf7 9 7 patterns pattern NNS cord-287030-xzothuf7 9 8 of of IN cord-287030-xzothuf7 9 9 illness illness NN cord-287030-xzothuf7 9 10 offers offer VBZ cord-287030-xzothuf7 9 11 a a DT cord-287030-xzothuf7 9 12 reliable reliable JJ cord-287030-xzothuf7 9 13 method method NN cord-287030-xzothuf7 9 14 for for IN cord-287030-xzothuf7 9 15 determining determine VBG cord-287030-xzothuf7 9 16 the the DT cord-287030-xzothuf7 9 17 most most RBS cord-287030-xzothuf7 9 18 likely likely JJ cord-287030-xzothuf7 9 19 sources source NNS cord-287030-xzothuf7 9 20 of of IN cord-287030-xzothuf7 9 21 fever fever NN cord-287030-xzothuf7 9 22 in in IN cord-287030-xzothuf7 9 23 the the DT cord-287030-xzothuf7 9 24 returned return VBN cord-287030-xzothuf7 9 25 traveler traveler NN cord-287030-xzothuf7 9 26 as as RB cord-287030-xzothuf7 9 27 well well RB cord-287030-xzothuf7 9 28 as as IN cord-287030-xzothuf7 9 29 a a DT cord-287030-xzothuf7 9 30 focused focused JJ cord-287030-xzothuf7 9 31 diagnostic diagnostic JJ cord-287030-xzothuf7 9 32 and and CC cord-287030-xzothuf7 9 33 treatment treatment NN cord-287030-xzothuf7 9 34 strategy strategy NN cord-287030-xzothuf7 9 35 . . . cord-287030-xzothuf7 10 1 While while IN cord-287030-xzothuf7 10 2 the the DT cord-287030-xzothuf7 10 3 presentation presentation NN cord-287030-xzothuf7 10 4 of of IN cord-287030-xzothuf7 10 5 a a DT cord-287030-xzothuf7 10 6 patient patient NN cord-287030-xzothuf7 10 7 with with IN cord-287030-xzothuf7 10 8 undifferentiated undifferentiated JJ cord-287030-xzothuf7 10 9 febrile febrile JJ cord-287030-xzothuf7 10 10 illness illness NN cord-287030-xzothuf7 10 11 to to IN cord-287030-xzothuf7 10 12 the the DT cord-287030-xzothuf7 10 13 emergency emergency NN cord-287030-xzothuf7 10 14 department department NN cord-287030-xzothuf7 10 15 is be VBZ cord-287030-xzothuf7 10 16 rarely rarely RB cord-287030-xzothuf7 10 17 a a DT cord-287030-xzothuf7 10 18 cause cause NN cord-287030-xzothuf7 10 19 for for IN cord-287030-xzothuf7 10 20 alarm alarm NN cord-287030-xzothuf7 10 21 , , , cord-287030-xzothuf7 10 22 the the DT cord-287030-xzothuf7 10 23 additional additional JJ cord-287030-xzothuf7 10 24 factor factor NN cord-287030-xzothuf7 10 25 of of IN cord-287030-xzothuf7 10 26 recent recent JJ cord-287030-xzothuf7 10 27 international international JJ cord-287030-xzothuf7 10 28 travel travel NN cord-287030-xzothuf7 10 29 suggests suggest VBZ cord-287030-xzothuf7 10 30 a a DT cord-287030-xzothuf7 10 31 host host NN cord-287030-xzothuf7 10 32 of of IN cord-287030-xzothuf7 10 33 unusual unusual JJ cord-287030-xzothuf7 10 34 pathogens pathogen NNS cord-287030-xzothuf7 10 35 , , , cord-287030-xzothuf7 10 36 some some DT cord-287030-xzothuf7 10 37 with with IN cord-287030-xzothuf7 10 38 the the DT cord-287030-xzothuf7 10 39 potential potential NN cord-287030-xzothuf7 10 40 for for IN cord-287030-xzothuf7 10 41 rapid rapid JJ cord-287030-xzothuf7 10 42 and and CC cord-287030-xzothuf7 10 43 devastating devastating JJ cord-287030-xzothuf7 10 44 transmission transmission NN cord-287030-xzothuf7 10 45 among among IN cord-287030-xzothuf7 10 46 both both DT cord-287030-xzothuf7 10 47 patients patient NNS cord-287030-xzothuf7 10 48 and and CC cord-287030-xzothuf7 10 49 health health NN cord-287030-xzothuf7 10 50 care care NN cord-287030-xzothuf7 10 51 workers worker NNS cord-287030-xzothuf7 10 52 . . . cord-287030-xzothuf7 11 1 Other other JJ cord-287030-xzothuf7 11 2 infectious infectious JJ cord-287030-xzothuf7 11 3 diseases disease NNS cord-287030-xzothuf7 11 4 may may MD cord-287030-xzothuf7 11 5 lead lead VB cord-287030-xzothuf7 11 6 to to IN cord-287030-xzothuf7 11 7 significant significant JJ cord-287030-xzothuf7 11 8 morbidity morbidity NN cord-287030-xzothuf7 11 9 and and CC cord-287030-xzothuf7 11 10 mortality mortality NN cord-287030-xzothuf7 11 11 if if IN cord-287030-xzothuf7 11 12 not not RB cord-287030-xzothuf7 11 13 rapidly rapidly RB cord-287030-xzothuf7 11 14 identified identify VBN cord-287030-xzothuf7 11 15 and and CC cord-287030-xzothuf7 11 16 treatment treatment NN cord-287030-xzothuf7 11 17 initiated initiate VBN cord-287030-xzothuf7 11 18 . . . cord-287030-xzothuf7 12 1 With with IN cord-287030-xzothuf7 12 2 the the DT cord-287030-xzothuf7 12 3 current current JJ cord-287030-xzothuf7 12 4 ease ease NN cord-287030-xzothuf7 12 5 and and CC cord-287030-xzothuf7 12 6 rapidity rapidity NN cord-287030-xzothuf7 12 7 of of IN cord-287030-xzothuf7 12 8 global global JJ cord-287030-xzothuf7 12 9 travel travel NN cord-287030-xzothuf7 12 10 , , , cord-287030-xzothuf7 12 11 the the DT cord-287030-xzothuf7 12 12 likelihood likelihood NN cord-287030-xzothuf7 12 13 that that IN cord-287030-xzothuf7 12 14 exotic exotic JJ cord-287030-xzothuf7 12 15 infectious infectious JJ cord-287030-xzothuf7 12 16 agents agent NNS cord-287030-xzothuf7 12 17 may may MD cord-287030-xzothuf7 12 18 appear appear VB cord-287030-xzothuf7 12 19 at at IN cord-287030-xzothuf7 12 20 any any DT cord-287030-xzothuf7 12 21 given give VBN cord-287030-xzothuf7 12 22 hospital hospital NN cord-287030-xzothuf7 12 23 has have VBZ cord-287030-xzothuf7 12 24 increased increase VBN cord-287030-xzothuf7 12 25 significantly significantly RB cord-287030-xzothuf7 12 26 . . . cord-287030-xzothuf7 13 1 The the DT cord-287030-xzothuf7 13 2 search search NN cord-287030-xzothuf7 13 3 for for IN cord-287030-xzothuf7 13 4 these these DT cord-287030-xzothuf7 13 5 rare rare JJ cord-287030-xzothuf7 13 6 diseases disease NNS cord-287030-xzothuf7 13 7 should should MD cord-287030-xzothuf7 13 8 not not RB cord-287030-xzothuf7 13 9 , , , cord-287030-xzothuf7 13 10 however however RB cord-287030-xzothuf7 13 11 , , , cord-287030-xzothuf7 13 12 come come VB cord-287030-xzothuf7 13 13 at at IN cord-287030-xzothuf7 13 14 the the DT cord-287030-xzothuf7 13 15 expense expense NN cord-287030-xzothuf7 13 16 of of IN cord-287030-xzothuf7 13 17 a a DT cord-287030-xzothuf7 13 18 ' ' '' cord-287030-xzothuf7 13 19 ' ' `` cord-287030-xzothuf7 13 20 common common JJ cord-287030-xzothuf7 13 21 sense sense NN cord-287030-xzothuf7 13 22 ' ' '' cord-287030-xzothuf7 13 23 ' ' '' cord-287030-xzothuf7 13 24 approach approach NN cord-287030-xzothuf7 13 25 to to IN cord-287030-xzothuf7 13 26 the the DT cord-287030-xzothuf7 13 27 evaluation evaluation NN cord-287030-xzothuf7 13 28 of of IN cord-287030-xzothuf7 13 29 the the DT cord-287030-xzothuf7 13 30 febrile febrile JJ cord-287030-xzothuf7 13 31 patient patient NN cord-287030-xzothuf7 13 32 . . . cord-287030-xzothuf7 14 1 Additional additional JJ cord-287030-xzothuf7 14 2 information information NN cord-287030-xzothuf7 14 3 about about IN cord-287030-xzothuf7 14 4 specific specific JJ cord-287030-xzothuf7 14 5 international international JJ cord-287030-xzothuf7 14 6 travel travel NN cord-287030-xzothuf7 14 7 destinations destination NNS cord-287030-xzothuf7 14 8 can can MD cord-287030-xzothuf7 14 9 help help VB cord-287030-xzothuf7 14 10 guide guide VB cord-287030-xzothuf7 14 11 the the DT cord-287030-xzothuf7 14 12 evaluation evaluation NN cord-287030-xzothuf7 14 13 while while IN cord-287030-xzothuf7 14 14 suggesting suggest VBG cord-287030-xzothuf7 14 15 more more RBR cord-287030-xzothuf7 14 16 likely likely JJ cord-287030-xzothuf7 14 17 infectious infectious JJ cord-287030-xzothuf7 14 18 agents agent NNS cord-287030-xzothuf7 14 19 that that WDT cord-287030-xzothuf7 14 20 may may MD cord-287030-xzothuf7 14 21 be be VB cord-287030-xzothuf7 14 22 endemic endemic JJ cord-287030-xzothuf7 14 23 to to IN cord-287030-xzothuf7 14 24 that that DT cord-287030-xzothuf7 14 25 region region NN cord-287030-xzothuf7 14 26 . . . cord-287030-xzothuf7 15 1 Common common JJ cord-287030-xzothuf7 15 2 things thing NNS cord-287030-xzothuf7 15 3 being be VBG cord-287030-xzothuf7 15 4 common common JJ cord-287030-xzothuf7 15 5 , , , cord-287030-xzothuf7 15 6 febrile febrile JJ cord-287030-xzothuf7 15 7 patientsd patientsd NN cord-287030-xzothuf7 15 8 even even RB cord-287030-xzothuf7 15 9 those those DT cord-287030-xzothuf7 15 10 returning return VBG cord-287030-xzothuf7 15 11 from from IN cord-287030-xzothuf7 15 12 destinations destination NNS cord-287030-xzothuf7 15 13 in in IN cord-287030-xzothuf7 15 14 developing develop VBG cord-287030-xzothuf7 15 15 nationsdare nationsdare NNP cord-287030-xzothuf7 15 16 still still RB cord-287030-xzothuf7 15 17 likely likely JJ cord-287030-xzothuf7 15 18 to to TO cord-287030-xzothuf7 15 19 present present VB cord-287030-xzothuf7 15 20 with with IN cord-287030-xzothuf7 15 21 routine routine JJ cord-287030-xzothuf7 15 22 viral viral JJ cord-287030-xzothuf7 15 23 and and CC cord-287030-xzothuf7 15 24 bacterial bacterial JJ cord-287030-xzothuf7 15 25 illnesses illness NNS cord-287030-xzothuf7 15 26 . . . cord-287030-xzothuf7 16 1 1,2 1,2 LS cord-287030-xzothuf7 17 1 A a DT cord-287030-xzothuf7 17 2 prospective prospective JJ cord-287030-xzothuf7 17 3 review review NN cord-287030-xzothuf7 17 4 of of IN cord-287030-xzothuf7 17 5 195 195 CD cord-287030-xzothuf7 17 6 febrile febrile JJ cord-287030-xzothuf7 17 7 patients patient NNS cord-287030-xzothuf7 17 8 requiring require VBG cord-287030-xzothuf7 17 9 admission admission NN cord-287030-xzothuf7 17 10 after after IN cord-287030-xzothuf7 17 11 returning return VBG cord-287030-xzothuf7 17 12 to to IN cord-287030-xzothuf7 17 13 the the DT cord-287030-xzothuf7 17 14 United United NNP cord-287030-xzothuf7 17 15 Kingdom Kingdom NNP cord-287030-xzothuf7 17 16 from from IN cord-287030-xzothuf7 17 17 the the DT cord-287030-xzothuf7 17 18 tropics tropic NNS cord-287030-xzothuf7 17 19 found find VBD cord-287030-xzothuf7 17 20 that that IN cord-287030-xzothuf7 17 21 while while IN cord-287030-xzothuf7 17 22 malaria malaria NN cord-287030-xzothuf7 17 23 ( ( -LRB- cord-287030-xzothuf7 17 24 42 42 CD cord-287030-xzothuf7 17 25 % % NN cord-287030-xzothuf7 17 26 ) ) -RRB- cord-287030-xzothuf7 17 27 was be VBD cord-287030-xzothuf7 17 28 the the DT cord-287030-xzothuf7 17 29 most most RBS cord-287030-xzothuf7 17 30 common common JJ cord-287030-xzothuf7 17 31 cause cause NN cord-287030-xzothuf7 17 32 for for IN cord-287030-xzothuf7 17 33 hospital hospital NN cord-287030-xzothuf7 17 34 admission admission NN cord-287030-xzothuf7 17 35 , , , cord-287030-xzothuf7 17 36 non non JJ cord-287030-xzothuf7 17 37 - - JJ cord-287030-xzothuf7 17 38 specific specific JJ cord-287030-xzothuf7 17 39 viral viral JJ cord-287030-xzothuf7 17 40 illness illness NN cord-287030-xzothuf7 17 41 and and CC cord-287030-xzothuf7 17 42 bacterial bacterial JJ cord-287030-xzothuf7 17 43 infections infection NNS cord-287030-xzothuf7 17 44 ( ( -LRB- cord-287030-xzothuf7 17 45 including include VBG cord-287030-xzothuf7 17 46 urinary urinary JJ cord-287030-xzothuf7 17 47 tract tract NN cord-287030-xzothuf7 17 48 infection infection NN cord-287030-xzothuf7 17 49 , , , cord-287030-xzothuf7 17 50 community community NN cord-287030-xzothuf7 17 51 - - HYPH cord-287030-xzothuf7 17 52 acquired acquire VBN cord-287030-xzothuf7 17 53 pneumonia pneumonia NN cord-287030-xzothuf7 17 54 and and CC cord-287030-xzothuf7 17 55 pharyngitis pharyngitis NN cord-287030-xzothuf7 17 56 ) ) -RRB- cord-287030-xzothuf7 17 57 accounted account VBD cord-287030-xzothuf7 17 58 for for IN cord-287030-xzothuf7 17 59 34 34 CD cord-287030-xzothuf7 17 60 % % NN cord-287030-xzothuf7 17 61 of of IN cord-287030-xzothuf7 17 62 patients patient NNS cord-287030-xzothuf7 17 63 . . . cord-287030-xzothuf7 18 1 2 2 LS cord-287030-xzothuf7 19 1 In in IN cord-287030-xzothuf7 19 2 this this DT cord-287030-xzothuf7 19 3 issue issue NN cord-287030-xzothuf7 19 4 , , , cord-287030-xzothuf7 19 5 Woodrow Woodrow NNP cord-287030-xzothuf7 19 6 et et NNP cord-287030-xzothuf7 19 7 al al NNP cord-287030-xzothuf7 19 8 . . NNP cord-287030-xzothuf7 19 9 , , , cord-287030-xzothuf7 19 10 demonstrate demonstrate VB cord-287030-xzothuf7 19 11 in in IN cord-287030-xzothuf7 19 12 their -PRON- PRP$ cord-287030-xzothuf7 19 13 work work NN cord-287030-xzothuf7 19 14 on on IN cord-287030-xzothuf7 19 15 viral viral JJ cord-287030-xzothuf7 19 16 hemorrhagic hemorrhagic JJ cord-287030-xzothuf7 19 17 fever fever NN cord-287030-xzothuf7 19 18 ( ( -LRB- cord-287030-xzothuf7 19 19 VHF VHF NNP cord-287030-xzothuf7 19 20 ) ) -RRB- cord-287030-xzothuf7 19 21 screening screening NN cord-287030-xzothuf7 19 22 that that WDT cord-287030-xzothuf7 19 23 a a DT cord-287030-xzothuf7 19 24 more more RBR cord-287030-xzothuf7 19 25 comprehensive comprehensive JJ cord-287030-xzothuf7 19 26 strategy strategy NN cord-287030-xzothuf7 19 27 that that WDT cord-287030-xzothuf7 19 28 accounts account VBZ cord-287030-xzothuf7 19 29 for for IN cord-287030-xzothuf7 19 30 even even RB cord-287030-xzothuf7 19 31 rare rare JJ cord-287030-xzothuf7 19 32 pathogens pathogen NNS cord-287030-xzothuf7 19 33 is be VBZ cord-287030-xzothuf7 19 34 likely likely RB cord-287030-xzothuf7 19 35 the the DT cord-287030-xzothuf7 19 36 most most RBS cord-287030-xzothuf7 19 37 appropriate appropriate JJ cord-287030-xzothuf7 19 38 means mean NNS cord-287030-xzothuf7 19 39 of of IN cord-287030-xzothuf7 19 40 evaluating evaluate VBG cord-287030-xzothuf7 19 41 the the DT cord-287030-xzothuf7 19 42 febrile febrile JJ cord-287030-xzothuf7 19 43 returned return VBN cord-287030-xzothuf7 19 44 traveler traveler NN cord-287030-xzothuf7 19 45 . . . cord-287030-xzothuf7 20 1 3 3 LS cord-287030-xzothuf7 21 1 In in IN cord-287030-xzothuf7 21 2 their -PRON- PRP$ cord-287030-xzothuf7 21 3 article article NN cord-287030-xzothuf7 21 4 , , , cord-287030-xzothuf7 21 5 they -PRON- PRP cord-287030-xzothuf7 21 6 develop develop VBP cord-287030-xzothuf7 21 7 a a DT cord-287030-xzothuf7 21 8 risk risk NN cord-287030-xzothuf7 21 9 - - HYPH cord-287030-xzothuf7 21 10 stratification stratification NN cord-287030-xzothuf7 21 11 strategy strategy NN cord-287030-xzothuf7 21 12 for for IN cord-287030-xzothuf7 21 13 patients patient NNS cord-287030-xzothuf7 21 14 presenting present VBG cord-287030-xzothuf7 21 15 to to IN cord-287030-xzothuf7 21 16 the the DT cord-287030-xzothuf7 21 17 London London NNP cord-287030-xzothuf7 21 18 Hospital Hospital NNP cord-287030-xzothuf7 21 19 for for IN cord-287030-xzothuf7 21 20 tropical tropical JJ cord-287030-xzothuf7 21 21 diseases disease NNS cord-287030-xzothuf7 21 22 with with IN cord-287030-xzothuf7 21 23 fever fever NN cord-287030-xzothuf7 21 24 in in IN cord-287030-xzothuf7 21 25 an an DT cord-287030-xzothuf7 21 26 effort effort NN cord-287030-xzothuf7 21 27 to to TO cord-287030-xzothuf7 21 28 identify identify VB cord-287030-xzothuf7 21 29 those those DT cord-287030-xzothuf7 21 30 patients patient NNS cord-287030-xzothuf7 21 31 at at IN cord-287030-xzothuf7 21 32 moderate moderate JJ cord-287030-xzothuf7 21 33 or or CC cord-287030-xzothuf7 21 34 high high JJ cord-287030-xzothuf7 21 35 risk risk NN cord-287030-xzothuf7 21 36 for for IN cord-287030-xzothuf7 21 37 VHF VHF NNP cord-287030-xzothuf7 21 38 . . . cord-287030-xzothuf7 22 1 Through through IN cord-287030-xzothuf7 22 2 a a DT cord-287030-xzothuf7 22 3 simple simple JJ cord-287030-xzothuf7 22 4 triage triage NN cord-287030-xzothuf7 22 5 tool tool NN cord-287030-xzothuf7 22 6 that that WDT cord-287030-xzothuf7 22 7 uses use VBZ cord-287030-xzothuf7 22 8 criteria criterion NNS cord-287030-xzothuf7 22 9 including include VBG cord-287030-xzothuf7 22 10 recent recent JJ cord-287030-xzothuf7 22 11 fever fever NN cord-287030-xzothuf7 22 12 , , , cord-287030-xzothuf7 22 13 travel travel NN cord-287030-xzothuf7 22 14 to to IN cord-287030-xzothuf7 22 15 a a DT cord-287030-xzothuf7 22 16 country country NN cord-287030-xzothuf7 22 17 endemic endemic JJ cord-287030-xzothuf7 22 18 for for IN cord-287030-xzothuf7 22 19 VHF VHF NNP cord-287030-xzothuf7 22 20 , , , cord-287030-xzothuf7 22 21 travel travel NN cord-287030-xzothuf7 22 22 outside outside IN cord-287030-xzothuf7 22 23 urban urban JJ cord-287030-xzothuf7 22 24 areas area NNS cord-287030-xzothuf7 22 25 or or CC cord-287030-xzothuf7 22 26 contact contact NN cord-287030-xzothuf7 22 27 with with IN cord-287030-xzothuf7 22 28 animals animal NNS cord-287030-xzothuf7 22 29 , , , cord-287030-xzothuf7 22 30 they -PRON- PRP cord-287030-xzothuf7 22 31 demonstrate demonstrate VBP cord-287030-xzothuf7 22 32 that that IN cord-287030-xzothuf7 22 33 patients patient NNS cord-287030-xzothuf7 22 34 with with IN cord-287030-xzothuf7 22 35 moderate moderate JJ cord-287030-xzothuf7 22 36 or or CC cord-287030-xzothuf7 22 37 high high JJ cord-287030-xzothuf7 22 38 risk risk NN cord-287030-xzothuf7 22 39 for for IN cord-287030-xzothuf7 22 40 VHF VHF NNP cord-287030-xzothuf7 22 41 can can MD cord-287030-xzothuf7 22 42 be be VB cord-287030-xzothuf7 22 43 identified identify VBN cord-287030-xzothuf7 22 44 without without IN cord-287030-xzothuf7 22 45 the the DT cord-287030-xzothuf7 22 46 need need NN cord-287030-xzothuf7 22 47 for for IN cord-287030-xzothuf7 22 48 unnecessary unnecessary JJ cord-287030-xzothuf7 22 49 hospitalization hospitalization NN cord-287030-xzothuf7 22 50 or or CC cord-287030-xzothuf7 22 51 extensive extensive JJ cord-287030-xzothuf7 22 52 use use NN cord-287030-xzothuf7 22 53 of of IN cord-287030-xzothuf7 22 54 viral viral JJ cord-287030-xzothuf7 22 55 polymerase polymerase NN cord-287030-xzothuf7 22 56 chain chain NN cord-287030-xzothuf7 22 57 reaction reaction NN cord-287030-xzothuf7 22 58 ( ( -LRB- cord-287030-xzothuf7 22 59 PCR PCR NNP cord-287030-xzothuf7 22 60 ) ) -RRB- cord-287030-xzothuf7 22 61 assays assay NNS cord-287030-xzothuf7 22 62 . . . cord-287030-xzothuf7 23 1 Expanding expand VBG cord-287030-xzothuf7 23 2 this this DT cord-287030-xzothuf7 23 3 methodology methodology NN cord-287030-xzothuf7 23 4 to to TO cord-287030-xzothuf7 23 5 account account VB cord-287030-xzothuf7 23 6 for for IN cord-287030-xzothuf7 23 7 other other JJ cord-287030-xzothuf7 23 8 potential potential JJ cord-287030-xzothuf7 23 9 infectious infectious JJ cord-287030-xzothuf7 23 10 agents agent NNS cord-287030-xzothuf7 23 11 that that WDT cord-287030-xzothuf7 23 12 may may MD cord-287030-xzothuf7 23 13 present present VB cord-287030-xzothuf7 23 14 to to IN cord-287030-xzothuf7 23 15 a a DT cord-287030-xzothuf7 23 16 given give VBN cord-287030-xzothuf7 23 17 hospital hospital NN cord-287030-xzothuf7 23 18 or or CC cord-287030-xzothuf7 23 19 emergency emergency NN cord-287030-xzothuf7 23 20 department department NN cord-287030-xzothuf7 23 21 can can MD cord-287030-xzothuf7 23 22 provide provide VB cord-287030-xzothuf7 23 23 some some DT cord-287030-xzothuf7 23 24 guidance guidance NN cord-287030-xzothuf7 23 25 for for IN cord-287030-xzothuf7 23 26 clinicians clinician NNS cord-287030-xzothuf7 23 27 who who WP cord-287030-xzothuf7 23 28 may may MD cord-287030-xzothuf7 23 29 encounter encounter VB cord-287030-xzothuf7 23 30 febrile febrile JJ cord-287030-xzothuf7 23 31 patients patient NNS cord-287030-xzothuf7 23 32 who who WP cord-287030-xzothuf7 23 33 have have VBP cord-287030-xzothuf7 23 34 recently recently RB cord-287030-xzothuf7 23 35 returned return VBN cord-287030-xzothuf7 23 36 from from IN cord-287030-xzothuf7 23 37 any any DT cord-287030-xzothuf7 23 38 geographic geographic JJ cord-287030-xzothuf7 23 39 region region NN cord-287030-xzothuf7 23 40 , , , cord-287030-xzothuf7 23 41 unwittingly unwittingly RB cord-287030-xzothuf7 23 42 harboring harbor VBG cord-287030-xzothuf7 23 43 undiagnosed undiagnosed JJ cord-287030-xzothuf7 23 44 viral viral JJ cord-287030-xzothuf7 23 45 , , , cord-287030-xzothuf7 23 46 bacterial bacterial JJ cord-287030-xzothuf7 23 47 or or CC cord-287030-xzothuf7 23 48 parasitic parasitic JJ cord-287030-xzothuf7 23 49 infection infection NN cord-287030-xzothuf7 23 50 . . . cord-287030-xzothuf7 24 1 Rather rather RB cord-287030-xzothuf7 24 2 than than IN cord-287030-xzothuf7 24 3 a a DT cord-287030-xzothuf7 24 4 scattershot scattershot JJ cord-287030-xzothuf7 24 5 approach approach NN cord-287030-xzothuf7 24 6 to to IN cord-287030-xzothuf7 24 7 evaluation evaluation NN cord-287030-xzothuf7 24 8 of of IN cord-287030-xzothuf7 24 9 the the DT cord-287030-xzothuf7 24 10 febrile febrile JJ cord-287030-xzothuf7 24 11 returned return VBN cord-287030-xzothuf7 24 12 traveler traveler NN cord-287030-xzothuf7 24 13 where where WRB cord-287030-xzothuf7 24 14 all all DT cord-287030-xzothuf7 24 15 patients patient NNS cord-287030-xzothuf7 24 16 are be VBP cord-287030-xzothuf7 24 17 tested test VBN cord-287030-xzothuf7 24 18 for for IN cord-287030-xzothuf7 24 19 virtually virtually RB cord-287030-xzothuf7 24 20 any any DT cord-287030-xzothuf7 24 21 etiology etiology NN cord-287030-xzothuf7 24 22 , , , cord-287030-xzothuf7 24 23 a a DT cord-287030-xzothuf7 24 24 focused focused JJ cord-287030-xzothuf7 24 25 strategy strategy NN cord-287030-xzothuf7 24 26 is be VBZ cord-287030-xzothuf7 24 27 more more RBR cord-287030-xzothuf7 24 28 likely likely JJ cord-287030-xzothuf7 24 29 to to TO cord-287030-xzothuf7 24 30 be be VB cord-287030-xzothuf7 24 31 effective effective JJ cord-287030-xzothuf7 24 32 . . . cord-287030-xzothuf7 25 1 A a DT cord-287030-xzothuf7 25 2 concise concise JJ cord-287030-xzothuf7 25 3 , , , cord-287030-xzothuf7 25 4 specific specific JJ cord-287030-xzothuf7 25 5 , , , cord-287030-xzothuf7 25 6 travel travel NN cord-287030-xzothuf7 25 7 history history NN cord-287030-xzothuf7 25 8 is be VBZ cord-287030-xzothuf7 25 9 essential essential JJ cord-287030-xzothuf7 25 10 , , , cord-287030-xzothuf7 25 11 including include VBG cord-287030-xzothuf7 25 12 names name NNS cord-287030-xzothuf7 25 13 of of IN cord-287030-xzothuf7 25 14 visited visit VBN cord-287030-xzothuf7 25 15 countries country NNS cord-287030-xzothuf7 25 16 and and CC cord-287030-xzothuf7 25 17 regions region NNS cord-287030-xzothuf7 25 18 , , , cord-287030-xzothuf7 25 19 duration duration NN cord-287030-xzothuf7 25 20 and and CC cord-287030-xzothuf7 25 21 purpose purpose NN cord-287030-xzothuf7 25 22 of of IN cord-287030-xzothuf7 25 23 visit visit NN cord-287030-xzothuf7 25 24 , , , cord-287030-xzothuf7 25 25 as as RB cord-287030-xzothuf7 25 26 well well RB cord-287030-xzothuf7 25 27 as as IN cord-287030-xzothuf7 25 28 trips trip NNS cord-287030-xzothuf7 25 29 to to IN cord-287030-xzothuf7 25 30 non non JJ cord-287030-xzothuf7 25 31 - - JJ cord-287030-xzothuf7 25 32 urban urban JJ cord-287030-xzothuf7 25 33 areas area NNS cord-287030-xzothuf7 25 34 or or CC cord-287030-xzothuf7 25 35 areas area NNS cord-287030-xzothuf7 25 36 where where WRB cord-287030-xzothuf7 25 37 infectious infectious JJ cord-287030-xzothuf7 25 38 diseases disease NNS cord-287030-xzothuf7 25 39 are be VBP cord-287030-xzothuf7 25 40 known know VBN cord-287030-xzothuf7 25 41 to to TO cord-287030-xzothuf7 25 42 be be VB cord-287030-xzothuf7 25 43 endemic endemic JJ cord-287030-xzothuf7 25 44 . . . cord-287030-xzothuf7 26 1 Freedman Freedman NNP cord-287030-xzothuf7 26 2 et et NNP cord-287030-xzothuf7 26 3 al al NNP cord-287030-xzothuf7 26 4 . . NNP cord-287030-xzothuf7 26 5 , , , cord-287030-xzothuf7 26 6 in in IN cord-287030-xzothuf7 26 7 a a DT cord-287030-xzothuf7 26 8 recent recent JJ cord-287030-xzothuf7 26 9 review review NN cord-287030-xzothuf7 26 10 of of IN cord-287030-xzothuf7 26 11 GeoSentinel GeoSentinel NNP cord-287030-xzothuf7 26 12 infectious infectious JJ cord-287030-xzothuf7 26 13 disease disease NN cord-287030-xzothuf7 26 14 surveillance surveillance NN cord-287030-xzothuf7 26 15 data datum NNS cord-287030-xzothuf7 26 16 gathered gather VBD cord-287030-xzothuf7 26 17 on on IN cord-287030-xzothuf7 26 18 more more JJR cord-287030-xzothuf7 26 19 than than IN cord-287030-xzothuf7 26 20 17,000 17,000 CD cord-287030-xzothuf7 26 21 patients patient NNS cord-287030-xzothuf7 26 22 from from IN cord-287030-xzothuf7 26 23 30 30 CD cord-287030-xzothuf7 26 24 sites site NNS cord-287030-xzothuf7 26 25 worldwide worldwide RB cord-287030-xzothuf7 26 26 , , , cord-287030-xzothuf7 26 27 found find VBD cord-287030-xzothuf7 26 28 that that IN cord-287030-xzothuf7 26 29 significant significant JJ cord-287030-xzothuf7 26 30 regional regional JJ cord-287030-xzothuf7 26 31 differences difference NNS cord-287030-xzothuf7 26 32 were be VBD cord-287030-xzothuf7 26 33 noted note VBN cord-287030-xzothuf7 26 34 among among IN cord-287030-xzothuf7 26 35 ill ill JJ cord-287030-xzothuf7 26 36 returned return VBN cord-287030-xzothuf7 26 37 travelers traveler NNS cord-287030-xzothuf7 26 38 . . . cord-287030-xzothuf7 27 1 4 4 LS cord-287030-xzothuf7 27 2 Specific specific JJ cord-287030-xzothuf7 27 3 destinations destination NNS cord-287030-xzothuf7 27 4 were be VBD cord-287030-xzothuf7 27 5 associated associate VBN cord-287030-xzothuf7 27 6 with with IN cord-287030-xzothuf7 27 7 increased increase VBN cord-287030-xzothuf7 27 8 probability probability NN cord-287030-xzothuf7 27 9 of of IN cord-287030-xzothuf7 27 10 certain certain JJ cord-287030-xzothuf7 27 11 diseases disease NNS cord-287030-xzothuf7 27 12 , , , cord-287030-xzothuf7 27 13 potentially potentially RB cord-287030-xzothuf7 27 14 guiding guide VBG cord-287030-xzothuf7 27 15 diagnostic diagnostic JJ cord-287030-xzothuf7 27 16 and and CC cord-287030-xzothuf7 27 17 empiric empiric JJ cord-287030-xzothuf7 27 18 treatment treatment NN cord-287030-xzothuf7 27 19 strategies strategy NNS cord-287030-xzothuf7 27 20 . . . cord-287030-xzothuf7 28 1 After after IN cord-287030-xzothuf7 28 2 an an DT cord-287030-xzothuf7 28 3 initial initial JJ cord-287030-xzothuf7 28 4 travel travel NN cord-287030-xzothuf7 28 5 history history NN cord-287030-xzothuf7 28 6 is be VBZ cord-287030-xzothuf7 28 7 obtained obtain VBN cord-287030-xzothuf7 28 8 , , , cord-287030-xzothuf7 28 9 a a DT cord-287030-xzothuf7 28 10 list list NN cord-287030-xzothuf7 28 11 of of IN cord-287030-xzothuf7 28 12 the the DT cord-287030-xzothuf7 28 13 most most RBS cord-287030-xzothuf7 28 14 likely likely JJ cord-287030-xzothuf7 28 15 etiologies etiology NNS cord-287030-xzothuf7 28 16 for for IN cord-287030-xzothuf7 28 17 a a DT cord-287030-xzothuf7 28 18 patient patient NN cord-287030-xzothuf7 28 19 's 's POS cord-287030-xzothuf7 28 20 illness illness NN cord-287030-xzothuf7 28 21 can can MD cord-287030-xzothuf7 28 22 be be VB cord-287030-xzothuf7 28 23 developed develop VBN cord-287030-xzothuf7 28 24 based base VBN cord-287030-xzothuf7 28 25 on on IN cord-287030-xzothuf7 28 26 the the DT cord-287030-xzothuf7 28 27 relative relative JJ cord-287030-xzothuf7 28 28 risk risk NN cord-287030-xzothuf7 28 29 of of IN cord-287030-xzothuf7 28 30 various various JJ cord-287030-xzothuf7 28 31 illnesses illness NNS cord-287030-xzothuf7 28 32 according accord VBG cord-287030-xzothuf7 28 33 to to IN cord-287030-xzothuf7 28 34 geographic geographic JJ cord-287030-xzothuf7 28 35 region region NN cord-287030-xzothuf7 28 36 . . . cord-287030-xzothuf7 29 1 For for IN cord-287030-xzothuf7 29 2 example example NN cord-287030-xzothuf7 29 3 , , , cord-287030-xzothuf7 29 4 in in IN cord-287030-xzothuf7 29 5 patients patient NNS cord-287030-xzothuf7 29 6 returning return VBG cord-287030-xzothuf7 29 7 from from IN cord-287030-xzothuf7 29 8 recent recent JJ cord-287030-xzothuf7 29 9 travel travel NN cord-287030-xzothuf7 29 10 to to IN cord-287030-xzothuf7 29 11 sub sub JJ cord-287030-xzothuf7 29 12 - - JJ cord-287030-xzothuf7 29 13 Saharan Saharan NNP cord-287030-xzothuf7 29 14 Africa Africa NNP cord-287030-xzothuf7 29 15 , , , cord-287030-xzothuf7 29 16 malaria malaria NN cord-287030-xzothuf7 29 17 is be VBZ cord-287030-xzothuf7 29 18 generally generally RB cord-287030-xzothuf7 29 19 the the DT cord-287030-xzothuf7 29 20 most most RBS cord-287030-xzothuf7 29 21 common common JJ cord-287030-xzothuf7 29 22 cause cause NN cord-287030-xzothuf7 29 23 of of IN cord-287030-xzothuf7 29 24 systemic systemic JJ cord-287030-xzothuf7 29 25 febrile febrile JJ cord-287030-xzothuf7 29 26 illness illness NN cord-287030-xzothuf7 29 27 , , , cord-287030-xzothuf7 29 28 while while IN cord-287030-xzothuf7 29 29 among among IN cord-287030-xzothuf7 29 30 recent recent JJ cord-287030-xzothuf7 29 31 visitors visitor NNS cord-287030-xzothuf7 29 32 to to IN cord-287030-xzothuf7 29 33 Central Central NNP cord-287030-xzothuf7 29 34 and and CC cord-287030-xzothuf7 29 35 South South NNP cord-287030-xzothuf7 29 36 America America NNP cord-287030-xzothuf7 29 37 , , , cord-287030-xzothuf7 29 38 both both DT cord-287030-xzothuf7 29 39 dengue dengue NN cord-287030-xzothuf7 29 40 fever fever NN cord-287030-xzothuf7 29 41 and and CC cord-287030-xzothuf7 29 42 malaria malaria NN cord-287030-xzothuf7 29 43 are be VBP cord-287030-xzothuf7 29 44 seen see VBN cord-287030-xzothuf7 29 45 in in IN cord-287030-xzothuf7 29 46 equal equal JJ cord-287030-xzothuf7 29 47 numbers number NNS cord-287030-xzothuf7 29 48 . . . cord-287030-xzothuf7 30 1 Table table NN cord-287030-xzothuf7 30 2 1 1 CD cord-287030-xzothuf7 30 3 , , , cord-287030-xzothuf7 30 4 from from IN cord-287030-xzothuf7 30 5 the the DT cord-287030-xzothuf7 30 6 US US NNP cord-287030-xzothuf7 30 7 Centers Centers NNPS cord-287030-xzothuf7 30 8 for for IN cord-287030-xzothuf7 30 9 Disease Disease NNP cord-287030-xzothuf7 30 10 Control Control NNP cord-287030-xzothuf7 30 11 and and CC cord-287030-xzothuf7 30 12 Prevention Prevention NNP cord-287030-xzothuf7 30 13 ( ( -LRB- cord-287030-xzothuf7 30 14 CDC CDC NNP cord-287030-xzothuf7 30 15 ) ) -RRB- cord-287030-xzothuf7 30 16 ' ' '' cord-287030-xzothuf7 30 17 ' ' '' cord-287030-xzothuf7 30 18 Yellow Yellow NNP cord-287030-xzothuf7 30 19 Book Book NNP cord-287030-xzothuf7 30 20 , , , cord-287030-xzothuf7 30 21 ' ' '' cord-287030-xzothuf7 30 22 ' ' '' cord-287030-xzothuf7 30 23 Health Health NNP cord-287030-xzothuf7 30 24 Information Information NNP cord-287030-xzothuf7 30 25 for for IN cord-287030-xzothuf7 30 26 International International NNP cord-287030-xzothuf7 30 27 Travel Travel NNP cord-287030-xzothuf7 30 28 , , , cord-287030-xzothuf7 30 29 2005e2006 2005e2006 CD cord-287030-xzothuf7 30 30 , , , cord-287030-xzothuf7 30 31 provides provide VBZ cord-287030-xzothuf7 30 32 a a DT cord-287030-xzothuf7 30 33 list list NN cord-287030-xzothuf7 30 34 of of IN cord-287030-xzothuf7 30 35 these these DT cord-287030-xzothuf7 30 36 endemic endemic JJ cord-287030-xzothuf7 30 37 pathogens pathogen NNS cord-287030-xzothuf7 30 38 as as RB cord-287030-xzothuf7 30 39 well well RB cord-287030-xzothuf7 30 40 as as IN cord-287030-xzothuf7 30 41 the the DT cord-287030-xzothuf7 30 42 geographic geographic JJ cord-287030-xzothuf7 30 43 regions region NNS cord-287030-xzothuf7 30 44 where where WRB cord-287030-xzothuf7 30 45 travelers traveler NNS cord-287030-xzothuf7 30 46 may may MD cord-287030-xzothuf7 30 47 potentially potentially RB cord-287030-xzothuf7 30 48 encounter encounter VB cord-287030-xzothuf7 30 49 these these DT cord-287030-xzothuf7 30 50 illnesses illness NNS cord-287030-xzothuf7 30 51 . . . cord-287030-xzothuf7 31 1 5 5 LS cord-287030-xzothuf7 31 2 Travelers traveler NNS cord-287030-xzothuf7 31 3 to to IN cord-287030-xzothuf7 31 4 geographic geographic JJ cord-287030-xzothuf7 31 5 areas area NNS cord-287030-xzothuf7 31 6 where where WRB cord-287030-xzothuf7 31 7 there there EX cord-287030-xzothuf7 31 8 is be VBZ cord-287030-xzothuf7 31 9 elevated elevated JJ cord-287030-xzothuf7 31 10 risk risk NN cord-287030-xzothuf7 31 11 for for IN cord-287030-xzothuf7 31 12 infection infection NN cord-287030-xzothuf7 31 13 with with IN cord-287030-xzothuf7 31 14 endemic endemic JJ cord-287030-xzothuf7 31 15 pathogens pathogen NNS cord-287030-xzothuf7 31 16 should should MD cord-287030-xzothuf7 31 17 be be VB cord-287030-xzothuf7 31 18 viewed view VBN cord-287030-xzothuf7 31 19 with with IN cord-287030-xzothuf7 31 20 high high JJ cord-287030-xzothuf7 31 21 suspicion suspicion NN cord-287030-xzothuf7 31 22 if if IN cord-287030-xzothuf7 31 23 a a DT cord-287030-xzothuf7 31 24 history history NN cord-287030-xzothuf7 31 25 of of IN cord-287030-xzothuf7 31 26 fever fever NN cord-287030-xzothuf7 31 27 or or CC cord-287030-xzothuf7 31 28 other other JJ cord-287030-xzothuf7 31 29 systemic systemic JJ cord-287030-xzothuf7 31 30 symptoms symptom NNS cord-287030-xzothuf7 31 31 is be VBZ cord-287030-xzothuf7 31 32 elicited elicit VBN cord-287030-xzothuf7 31 33 . . . cord-287030-xzothuf7 32 1 In in IN cord-287030-xzothuf7 32 2 addition addition NN cord-287030-xzothuf7 32 3 , , , cord-287030-xzothuf7 32 4 information information NN cord-287030-xzothuf7 32 5 regarding regard VBG cord-287030-xzothuf7 32 6 specific specific JJ cord-287030-xzothuf7 32 7 exposures exposure NNS cord-287030-xzothuf7 32 8 , , , cord-287030-xzothuf7 32 9 such such JJ cord-287030-xzothuf7 32 10 as as IN cord-287030-xzothuf7 32 11 contaminated contaminate VBN cord-287030-xzothuf7 32 12 food food NN cord-287030-xzothuf7 32 13 or or CC cord-287030-xzothuf7 32 14 water water NN cord-287030-xzothuf7 32 15 , , , cord-287030-xzothuf7 32 16 insect insect NN cord-287030-xzothuf7 32 17 bite bite NN cord-287030-xzothuf7 32 18 or or CC cord-287030-xzothuf7 32 19 ill ill JJ cord-287030-xzothuf7 32 20 contacts contact NNS cord-287030-xzothuf7 32 21 can can MD cord-287030-xzothuf7 32 22 help help VB cord-287030-xzothuf7 32 23 narrow narrow VB cord-287030-xzothuf7 32 24 the the DT cord-287030-xzothuf7 32 25 differential differential JJ cord-287030-xzothuf7 32 26 diagnosis diagnosis NN cord-287030-xzothuf7 32 27 for for IN cord-287030-xzothuf7 32 28 the the DT cord-287030-xzothuf7 32 29 febrile febrile JJ cord-287030-xzothuf7 32 30 traveler traveler NN cord-287030-xzothuf7 32 31 ( ( -LRB- cord-287030-xzothuf7 32 32 see see VB cord-287030-xzothuf7 32 33 Table Table NNP cord-287030-xzothuf7 32 34 2 2 CD cord-287030-xzothuf7 32 35 ) ) -RRB- cord-287030-xzothuf7 32 36 . . . cord-287030-xzothuf7 33 1 Consumption consumption NN cord-287030-xzothuf7 33 2 of of IN cord-287030-xzothuf7 33 3 untreated untreated JJ cord-287030-xzothuf7 33 4 water water NN cord-287030-xzothuf7 33 5 or or CC cord-287030-xzothuf7 33 6 unpasteurized unpasteurized JJ cord-287030-xzothuf7 33 7 dairy dairy NN cord-287030-xzothuf7 33 8 products product NNS cord-287030-xzothuf7 33 9 can can MD cord-287030-xzothuf7 33 10 lead lead VB cord-287030-xzothuf7 33 11 to to IN cord-287030-xzothuf7 33 12 hepatitis hepatitis NNP cord-287030-xzothuf7 33 13 A A NNP cord-287030-xzothuf7 33 14 ( ( -LRB- cord-287030-xzothuf7 33 15 in in IN cord-287030-xzothuf7 33 16 an an DT cord-287030-xzothuf7 33 17 unvaccinated unvaccinated JJ cord-287030-xzothuf7 33 18 traveler traveler NN cord-287030-xzothuf7 33 19 ) ) -RRB- cord-287030-xzothuf7 33 20 , , , cord-287030-xzothuf7 33 21 salmonellosis salmonellosis NN cord-287030-xzothuf7 33 22 , , , cord-287030-xzothuf7 33 23 shigellosis shigellosis NN cord-287030-xzothuf7 33 24 , , , cord-287030-xzothuf7 33 25 as as RB cord-287030-xzothuf7 33 26 well well RB cord-287030-xzothuf7 33 27 as as IN cord-287030-xzothuf7 33 28 parasitic parasitic JJ cord-287030-xzothuf7 33 29 infections infection NNS cord-287030-xzothuf7 33 30 such such JJ cord-287030-xzothuf7 33 31 as as IN cord-287030-xzothuf7 33 32 giardiasis giardiasis NN cord-287030-xzothuf7 33 33 . . . cord-287030-xzothuf7 34 1 6 6 CD cord-287030-xzothuf7 35 1 Although although IN cord-287030-xzothuf7 35 2 substantially substantially RB cord-287030-xzothuf7 35 3 less less RBR cord-287030-xzothuf7 35 4 common common JJ cord-287030-xzothuf7 35 5 , , , cord-287030-xzothuf7 35 6 rare rare JJ cord-287030-xzothuf7 35 7 food food NN cord-287030-xzothuf7 35 8 - - HYPH cord-287030-xzothuf7 35 9 borne bear VBN cord-287030-xzothuf7 35 10 illnesses illness NNS cord-287030-xzothuf7 35 11 such such JJ cord-287030-xzothuf7 35 12 as as IN cord-287030-xzothuf7 35 13 cholera cholera NN cord-287030-xzothuf7 35 14 may may MD cord-287030-xzothuf7 35 15 also also RB cord-287030-xzothuf7 35 16 occur occur VB cord-287030-xzothuf7 35 17 . . . cord-287030-xzothuf7 36 1 The the DT cord-287030-xzothuf7 36 2 incidence incidence NN cord-287030-xzothuf7 36 3 of of IN cord-287030-xzothuf7 36 4 traveler traveler NN cord-287030-xzothuf7 36 5 's 's POS cord-287030-xzothuf7 36 6 diarrhea diarrhea NN cord-287030-xzothuf7 36 7 has have VBZ cord-287030-xzothuf7 36 8 been be VBN cord-287030-xzothuf7 36 9 estimated estimate VBN cord-287030-xzothuf7 36 10 to to TO cord-287030-xzothuf7 36 11 be be VB cord-287030-xzothuf7 36 12 as as RB cord-287030-xzothuf7 36 13 high high JJ cord-287030-xzothuf7 36 14 as as IN cord-287030-xzothuf7 36 15 20e60 20e60 CD cord-287030-xzothuf7 36 16 % % NN cord-287030-xzothuf7 36 17 in in IN cord-287030-xzothuf7 36 18 visitors visitor NNS cord-287030-xzothuf7 36 19 to to IN cord-287030-xzothuf7 36 20 underdeveloped underdeveloped JJ cord-287030-xzothuf7 36 21 nations nation NNS cord-287030-xzothuf7 36 22 and and CC cord-287030-xzothuf7 36 23 the the DT cord-287030-xzothuf7 36 24 GeoSentinel GeoSentinel NNP cord-287030-xzothuf7 36 25 data datum NNS cord-287030-xzothuf7 36 26 also also RB cord-287030-xzothuf7 36 27 confirm confirm VBP cord-287030-xzothuf7 36 28 this this DT cord-287030-xzothuf7 36 29 finding finding NN cord-287030-xzothuf7 36 30 , , , cord-287030-xzothuf7 36 31 describing describe VBG cord-287030-xzothuf7 36 32 a a DT cord-287030-xzothuf7 36 33 high high JJ cord-287030-xzothuf7 36 34 frequency frequency NN cord-287030-xzothuf7 36 35 of of IN cord-287030-xzothuf7 36 36 all all DT cord-287030-xzothuf7 36 37 types type NNS cord-287030-xzothuf7 36 38 of of IN cord-287030-xzothuf7 36 39 diarrheal diarrheal JJ cord-287030-xzothuf7 36 40 illness illness NN cord-287030-xzothuf7 36 41 among among IN cord-287030-xzothuf7 36 42 returned return VBN cord-287030-xzothuf7 36 43 travelers traveler NNS cord-287030-xzothuf7 36 44 . . . cord-287030-xzothuf7 37 1 7 7 CD cord-287030-xzothuf7 38 1 A a DT cord-287030-xzothuf7 38 2 history history NN cord-287030-xzothuf7 38 3 of of IN cord-287030-xzothuf7 38 4 insect insect NN cord-287030-xzothuf7 38 5 bite bite NN cord-287030-xzothuf7 38 6 or or CC cord-287030-xzothuf7 38 7 unexplained unexplained JJ cord-287030-xzothuf7 38 8 soft soft JJ cord-287030-xzothuf7 38 9 tissue tissue NN cord-287030-xzothuf7 38 10 infection infection NN cord-287030-xzothuf7 38 11 or or CC cord-287030-xzothuf7 38 12 abscess abscess NN cord-287030-xzothuf7 38 13 should should MD cord-287030-xzothuf7 38 14 prompt prompt VB cord-287030-xzothuf7 38 15 the the DT cord-287030-xzothuf7 38 16 clinician clinician NN cord-287030-xzothuf7 38 17 to to TO cord-287030-xzothuf7 38 18 consider consider VB cord-287030-xzothuf7 38 19 vector vector NN cord-287030-xzothuf7 38 20 - - HYPH cord-287030-xzothuf7 38 21 borne bear VBN cord-287030-xzothuf7 38 22 illness illness NN cord-287030-xzothuf7 38 23 . . . cord-287030-xzothuf7 39 1 Malaria Malaria NNP cord-287030-xzothuf7 39 2 , , , cord-287030-xzothuf7 39 3 as as IN cord-287030-xzothuf7 39 4 previously previously RB cord-287030-xzothuf7 39 5 noted note VBN cord-287030-xzothuf7 39 6 , , , cord-287030-xzothuf7 39 7 has have VBZ cord-287030-xzothuf7 39 8 historically historically RB cord-287030-xzothuf7 39 9 been be VBN cord-287030-xzothuf7 39 10 the the DT cord-287030-xzothuf7 39 11 most most RBS cord-287030-xzothuf7 39 12 common common JJ cord-287030-xzothuf7 39 13 cause cause NN cord-287030-xzothuf7 39 14 of of IN cord-287030-xzothuf7 39 15 febrile febrile JJ cord-287030-xzothuf7 39 16 illness illness NN cord-287030-xzothuf7 39 17 in in IN cord-287030-xzothuf7 39 18 returned return VBN cord-287030-xzothuf7 39 19 travelers traveler NNS cord-287030-xzothuf7 39 20 requiring require VBG cord-287030-xzothuf7 39 21 hospitalization hospitalization NN cord-287030-xzothuf7 39 22 . . . cord-287030-xzothuf7 40 1 The the DT cord-287030-xzothuf7 40 2 diagnosis diagnosis NN cord-287030-xzothuf7 40 3 of of IN cord-287030-xzothuf7 40 4 malaria malaria NN cord-287030-xzothuf7 40 5 should should MD cord-287030-xzothuf7 40 6 be be VB cord-287030-xzothuf7 40 7 considered consider VBN cord-287030-xzothuf7 40 8 even even RB cord-287030-xzothuf7 40 9 in in IN cord-287030-xzothuf7 40 10 patients patient NNS cord-287030-xzothuf7 40 11 without without IN cord-287030-xzothuf7 40 12 a a DT cord-287030-xzothuf7 40 13 clear clear JJ cord-287030-xzothuf7 40 14 history history NN cord-287030-xzothuf7 40 15 of of IN cord-287030-xzothuf7 40 16 mosquito mosquito NN cord-287030-xzothuf7 40 17 exposure exposure NN cord-287030-xzothuf7 40 18 and and CC cord-287030-xzothuf7 40 19 in in IN cord-287030-xzothuf7 40 20 those those DT cord-287030-xzothuf7 40 21 who who WP cord-287030-xzothuf7 40 22 have have VBP cord-287030-xzothuf7 40 23 taken take VBN cord-287030-xzothuf7 40 24 appropriate appropriate JJ cord-287030-xzothuf7 40 25 malaria malaria NN cord-287030-xzothuf7 40 26 chemoprophylaxis chemoprophylaxis NN cord-287030-xzothuf7 40 27 . . . cord-287030-xzothuf7 41 1 A a DT cord-287030-xzothuf7 41 2 missed missed JJ cord-287030-xzothuf7 41 3 or or CC cord-287030-xzothuf7 41 4 delayed delay VBN cord-287030-xzothuf7 41 5 diagnosis diagnosis NN cord-287030-xzothuf7 41 6 of of IN cord-287030-xzothuf7 41 7 malaria malaria NN cord-287030-xzothuf7 41 8 can can MD cord-287030-xzothuf7 41 9 lead lead VB cord-287030-xzothuf7 41 10 to to IN cord-287030-xzothuf7 41 11 significant significant JJ cord-287030-xzothuf7 41 12 morbidity morbidity NN cord-287030-xzothuf7 41 13 and and CC cord-287030-xzothuf7 41 14 mortality mortality NN cord-287030-xzothuf7 41 15 . . . cord-287030-xzothuf7 42 1 Because because IN cord-287030-xzothuf7 42 2 of of IN cord-287030-xzothuf7 42 3 its -PRON- PRP$ cord-287030-xzothuf7 42 4 high high JJ cord-287030-xzothuf7 42 5 incidence incidence NN cord-287030-xzothuf7 42 6 among among IN cord-287030-xzothuf7 42 7 returned return VBN cord-287030-xzothuf7 42 8 travelers traveler NNS cord-287030-xzothuf7 42 9 , , , cord-287030-xzothuf7 42 10 thick thick JJ cord-287030-xzothuf7 42 11 and and CC cord-287030-xzothuf7 42 12 thin thin JJ cord-287030-xzothuf7 42 13 blood blood NN cord-287030-xzothuf7 42 14 smears smear NNS cord-287030-xzothuf7 42 15 for for IN cord-287030-xzothuf7 42 16 malaria malaria NN cord-287030-xzothuf7 42 17 should should MD cord-287030-xzothuf7 42 18 be be VB cord-287030-xzothuf7 42 19 obtained obtain VBN cord-287030-xzothuf7 42 20 for for IN cord-287030-xzothuf7 42 21 any any DT cord-287030-xzothuf7 42 22 febrile febrile JJ cord-287030-xzothuf7 42 23 patient patient NN cord-287030-xzothuf7 42 24 who who WP cord-287030-xzothuf7 42 25 has have VBZ cord-287030-xzothuf7 42 26 had have VBN cord-287030-xzothuf7 42 27 recent recent JJ cord-287030-xzothuf7 42 28 travel travel NN cord-287030-xzothuf7 42 29 to to IN cord-287030-xzothuf7 42 30 areas area NNS cord-287030-xzothuf7 42 31 where where WRB cord-287030-xzothuf7 42 32 malaria malaria NN cord-287030-xzothuf7 42 33 is be VBZ cord-287030-xzothuf7 42 34 endemic endemic JJ cord-287030-xzothuf7 42 35 , , , cord-287030-xzothuf7 42 36 especially especially RB cord-287030-xzothuf7 42 37 , , , cord-287030-xzothuf7 42 38 sub sub JJ cord-287030-xzothuf7 42 39 - - JJ cord-287030-xzothuf7 42 40 Saharan Saharan NNP cord-287030-xzothuf7 42 41 Africa Africa NNP cord-287030-xzothuf7 42 42 , , , cord-287030-xzothuf7 42 43 Central Central NNP cord-287030-xzothuf7 42 44 and and CC cord-287030-xzothuf7 42 45 South South NNP cord-287030-xzothuf7 42 46 America America NNP cord-287030-xzothuf7 42 47 and and CC cord-287030-xzothuf7 42 48 Southeast Southeast NNP cord-287030-xzothuf7 42 49 Asia Asia NNP cord-287030-xzothuf7 42 50 . . . cord-287030-xzothuf7 43 1 Other other JJ cord-287030-xzothuf7 43 2 vector vector NN cord-287030-xzothuf7 43 3 - - HYPH cord-287030-xzothuf7 43 4 borne bear VBN cord-287030-xzothuf7 43 5 diseases disease NNS cord-287030-xzothuf7 43 6 which which WDT cord-287030-xzothuf7 43 7 may may MD cord-287030-xzothuf7 43 8 present present VB cord-287030-xzothuf7 43 9 with with IN cord-287030-xzothuf7 43 10 fever fever NN cord-287030-xzothuf7 43 11 include include VBP cord-287030-xzothuf7 43 12 dengue dengue NN cord-287030-xzothuf7 43 13 , , , cord-287030-xzothuf7 43 14 yellow yellow JJ cord-287030-xzothuf7 43 15 fever fever NN cord-287030-xzothuf7 43 16 , , , cord-287030-xzothuf7 43 17 rickettsial rickettsial JJ cord-287030-xzothuf7 43 18 diseases disease NNS cord-287030-xzothuf7 43 19 such such JJ cord-287030-xzothuf7 43 20 as as IN cord-287030-xzothuf7 43 21 African african JJ cord-287030-xzothuf7 43 22 tick tick NN cord-287030-xzothuf7 43 23 fever fever NN cord-287030-xzothuf7 43 24 , , , cord-287030-xzothuf7 43 25 and and CC cord-287030-xzothuf7 43 26 trypanosomiasis trypanosomiasis NN cord-287030-xzothuf7 43 27 . . . cord-287030-xzothuf7 44 1 A a DT cord-287030-xzothuf7 44 2 history history NN cord-287030-xzothuf7 44 3 of of IN cord-287030-xzothuf7 44 4 yellow yellow JJ cord-287030-xzothuf7 44 5 fever fever NN cord-287030-xzothuf7 44 6 vaccination vaccination NN cord-287030-xzothuf7 44 7 , , , cord-287030-xzothuf7 44 8 required require VBN cord-287030-xzothuf7 44 9 by by IN cord-287030-xzothuf7 44 10 many many JJ cord-287030-xzothuf7 44 11 countries country NNS cord-287030-xzothuf7 44 12 prior prior RB cord-287030-xzothuf7 44 13 to to TO cord-287030-xzothuf7 44 14 travel travel VB cord-287030-xzothuf7 44 15 to to IN cord-287030-xzothuf7 44 16 endemic endemic JJ cord-287030-xzothuf7 44 17 areas area NNS cord-287030-xzothuf7 44 18 , , , cord-287030-xzothuf7 44 19 makes make VBZ cord-287030-xzothuf7 44 20 the the DT cord-287030-xzothuf7 44 21 disease disease NN cord-287030-xzothuf7 44 22 much much RB cord-287030-xzothuf7 44 23 less less RBR cord-287030-xzothuf7 44 24 likely likely JJ cord-287030-xzothuf7 44 25 , , , cord-287030-xzothuf7 44 26 although although IN cord-287030-xzothuf7 44 27 it -PRON- PRP cord-287030-xzothuf7 44 28 can can MD cord-287030-xzothuf7 44 29 not not RB cord-287030-xzothuf7 44 30 be be VB cord-287030-xzothuf7 44 31 entirely entirely RB cord-287030-xzothuf7 44 32 excluded exclude VBN cord-287030-xzothuf7 44 33 . . . cord-287030-xzothuf7 45 1 Also also RB cord-287030-xzothuf7 45 2 , , , cord-287030-xzothuf7 45 3 vaccination vaccination NN cord-287030-xzothuf7 45 4 histories history NNS cord-287030-xzothuf7 45 5 may may MD cord-287030-xzothuf7 45 6 be be VB cord-287030-xzothuf7 45 7 inaccurate inaccurate JJ cord-287030-xzothuf7 45 8 . . . cord-287030-xzothuf7 46 1 8 8 CD cord-287030-xzothuf7 46 2 Information information NN cord-287030-xzothuf7 46 3 regarding regard VBG cord-287030-xzothuf7 46 4 the the DT cord-287030-xzothuf7 46 5 time time NN cord-287030-xzothuf7 46 6 course course NN cord-287030-xzothuf7 46 7 of of IN cord-287030-xzothuf7 46 8 the the DT cord-287030-xzothuf7 46 9 patient patient NN cord-287030-xzothuf7 46 10 's 's POS cord-287030-xzothuf7 46 11 fever fever NN cord-287030-xzothuf7 46 12 is be VBZ cord-287030-xzothuf7 46 13 also also RB cord-287030-xzothuf7 46 14 helpful helpful JJ cord-287030-xzothuf7 46 15 in in IN cord-287030-xzothuf7 46 16 excluding exclude VBG cord-287030-xzothuf7 46 17 certain certain JJ cord-287030-xzothuf7 46 18 diseases disease NNS cord-287030-xzothuf7 46 19 . . . cord-287030-xzothuf7 47 1 Incubation incubation NN cord-287030-xzothuf7 47 2 periods period NNS cord-287030-xzothuf7 47 3 shorter short JJR cord-287030-xzothuf7 47 4 than than IN cord-287030-xzothuf7 47 5 21 21 CD cord-287030-xzothuf7 47 6 days day NNS cord-287030-xzothuf7 47 7 are be VBP cord-287030-xzothuf7 47 8 typical typical JJ cord-287030-xzothuf7 47 9 for for IN cord-287030-xzothuf7 47 10 dengue dengue NN cord-287030-xzothuf7 47 11 , , , cord-287030-xzothuf7 47 12 viral viral JJ cord-287030-xzothuf7 47 13 hemorrhagic hemorrhagic JJ cord-287030-xzothuf7 47 14 fevers fever NNS cord-287030-xzothuf7 47 15 , , , cord-287030-xzothuf7 47 16 typhoid typhoid NN cord-287030-xzothuf7 47 17 fever fever NN cord-287030-xzothuf7 47 18 and and CC cord-287030-xzothuf7 47 19 yellow yellow JJ cord-287030-xzothuf7 47 20 fever fever NN cord-287030-xzothuf7 47 21 . . . cord-287030-xzothuf7 48 1 Incubation incubation NN cord-287030-xzothuf7 48 2 times time NNS cord-287030-xzothuf7 48 3 greater great JJR cord-287030-xzothuf7 48 4 than than IN cord-287030-xzothuf7 48 5 21 21 CD cord-287030-xzothuf7 48 6 days day NNS cord-287030-xzothuf7 48 7 are be VBP cord-287030-xzothuf7 48 8 seen see VBN cord-287030-xzothuf7 48 9 in in IN cord-287030-xzothuf7 48 10 tuberculosis tuberculosis NN cord-287030-xzothuf7 48 11 , , , cord-287030-xzothuf7 48 12 amebic amebic VBD cord-287030-xzothuf7 48 13 liver liver NN cord-287030-xzothuf7 48 14 abscess abscess NN cord-287030-xzothuf7 48 15 , , , cord-287030-xzothuf7 48 16 rabies rabies NN cord-287030-xzothuf7 48 17 and and CC cord-287030-xzothuf7 48 18 leishmaniasis leishmaniasis NN cord-287030-xzothuf7 48 19 . . . cord-287030-xzothuf7 49 1 While while IN cord-287030-xzothuf7 49 2 an an DT cord-287030-xzothuf7 49 3 incubation incubation NN cord-287030-xzothuf7 49 4 period period NN cord-287030-xzothuf7 49 5 of of IN cord-287030-xzothuf7 49 6 21 21 CD cord-287030-xzothuf7 49 7 days day NNS cord-287030-xzothuf7 49 8 is be VBZ cord-287030-xzothuf7 49 9 generally generally RB cord-287030-xzothuf7 49 10 seen see VBN cord-287030-xzothuf7 49 11 in in IN cord-287030-xzothuf7 49 12 acute acute JJ cord-287030-xzothuf7 49 13 HIV HIV NNP cord-287030-xzothuf7 49 14 infection infection NN cord-287030-xzothuf7 49 15 , , , cord-287030-xzothuf7 49 16 the the DT cord-287030-xzothuf7 49 17 onset onset NN cord-287030-xzothuf7 49 18 of of IN cord-287030-xzothuf7 49 19 HIV HIV NNP cord-287030-xzothuf7 49 20 seroconversion seroconversion NN cord-287030-xzothuf7 49 21 illness illness NN cord-287030-xzothuf7 49 22 may may MD cord-287030-xzothuf7 49 23 vary vary VB cord-287030-xzothuf7 49 24 considerably considerably RB cord-287030-xzothuf7 49 25 . . . cord-287030-xzothuf7 50 1 9 9 CD cord-287030-xzothuf7 51 1 Similarly similarly RB cord-287030-xzothuf7 51 2 , , , cord-287030-xzothuf7 51 3 malaria malaria NN cord-287030-xzothuf7 51 4 can can MD cord-287030-xzothuf7 51 5 present present VB cord-287030-xzothuf7 51 6 with with IN cord-287030-xzothuf7 51 7 fever fever NN cord-287030-xzothuf7 51 8 of of IN cord-287030-xzothuf7 51 9 variable variable JJ cord-287030-xzothuf7 51 10 onset onset NN cord-287030-xzothuf7 51 11 , , , cord-287030-xzothuf7 51 12 with with IN cord-287030-xzothuf7 51 13 more more RBR cord-287030-xzothuf7 51 14 delayed delay VBN cord-287030-xzothuf7 51 15 presentations presentation NNS cord-287030-xzothuf7 51 16 seen see VBN cord-287030-xzothuf7 51 17 in in IN cord-287030-xzothuf7 51 18 patients patient NNS cord-287030-xzothuf7 51 19 taking take VBG cord-287030-xzothuf7 51 20 ineffective ineffective JJ cord-287030-xzothuf7 51 21 prophylaxis prophylaxis NN cord-287030-xzothuf7 51 22 . . . cord-287030-xzothuf7 52 1 Fever fever NN cord-287030-xzothuf7 52 2 patterns pattern NNS cord-287030-xzothuf7 52 3 , , , cord-287030-xzothuf7 52 4 although although IN cord-287030-xzothuf7 52 5 often often RB cord-287030-xzothuf7 52 6 non non JJ cord-287030-xzothuf7 52 7 - - JJ cord-287030-xzothuf7 52 8 specific specific JJ cord-287030-xzothuf7 52 9 , , , cord-287030-xzothuf7 52 10 may may MD cord-287030-xzothuf7 52 11 suggest suggest VB cord-287030-xzothuf7 52 12 certain certain JJ cord-287030-xzothuf7 52 13 etiologies etiology NNS cord-287030-xzothuf7 52 14 . . . cord-287030-xzothuf7 53 1 Periodic periodic JJ cord-287030-xzothuf7 53 2 fever fever NN cord-287030-xzothuf7 53 3 spikes spike NNS cord-287030-xzothuf7 53 4 , , , cord-287030-xzothuf7 53 5 long long RB cord-287030-xzothuf7 53 6 considered consider VBN cord-287030-xzothuf7 53 7 characteristic characteristic NN cord-287030-xzothuf7 53 8 of of IN cord-287030-xzothuf7 53 9 malaria malaria NN cord-287030-xzothuf7 53 10 , , , cord-287030-xzothuf7 53 11 may may MD cord-287030-xzothuf7 53 12 take take VB cord-287030-xzothuf7 53 13 some some DT cord-287030-xzothuf7 53 14 time time NN cord-287030-xzothuf7 53 15 to to TO cord-287030-xzothuf7 53 16 become become VB cord-287030-xzothuf7 53 17 established establish VBN cord-287030-xzothuf7 53 18 , , , cord-287030-xzothuf7 53 19 limiting limit VBG cord-287030-xzothuf7 53 20 their -PRON- PRP$ cord-287030-xzothuf7 53 21 utility utility NN cord-287030-xzothuf7 53 22 in in IN cord-287030-xzothuf7 53 23 the the DT cord-287030-xzothuf7 53 24 diagnosis diagnosis NN cord-287030-xzothuf7 53 25 of of IN cord-287030-xzothuf7 53 26 early early JJ cord-287030-xzothuf7 53 27 disease disease NN cord-287030-xzothuf7 53 28 . . . cord-287030-xzothuf7 54 1 Continuous continuous JJ cord-287030-xzothuf7 54 2 presence presence NN cord-287030-xzothuf7 54 3 of of IN cord-287030-xzothuf7 54 4 fever fever NN cord-287030-xzothuf7 54 5 is be VBZ cord-287030-xzothuf7 54 6 more more RBR cord-287030-xzothuf7 54 7 common common JJ cord-287030-xzothuf7 54 8 in in IN cord-287030-xzothuf7 54 9 rickettsial rickettsial JJ cord-287030-xzothuf7 54 10 infections infection NNS cord-287030-xzothuf7 54 11 or or CC cord-287030-xzothuf7 54 12 typhoid typhoid NN cord-287030-xzothuf7 54 13 fever fever NN cord-287030-xzothuf7 54 14 . . . cord-287030-xzothuf7 55 1 6 6 CD cord-287030-xzothuf7 56 1 The the DT cord-287030-xzothuf7 56 2 presence presence NN cord-287030-xzothuf7 56 3 of of IN cord-287030-xzothuf7 56 4 specific specific JJ cord-287030-xzothuf7 56 5 physical physical JJ cord-287030-xzothuf7 56 6 examination examination NN cord-287030-xzothuf7 56 7 findings finding NNS cord-287030-xzothuf7 56 8 in in IN cord-287030-xzothuf7 56 9 the the DT cord-287030-xzothuf7 56 10 returned return VBN cord-287030-xzothuf7 56 11 traveler traveler NN cord-287030-xzothuf7 56 12 can can MD cord-287030-xzothuf7 56 13 provide provide VB cord-287030-xzothuf7 56 14 additional additional JJ cord-287030-xzothuf7 56 15 diagnostic diagnostic JJ cord-287030-xzothuf7 56 16 clues clue NNS cord-287030-xzothuf7 56 17 . . . cord-287030-xzothuf7 57 1 The the DT cord-287030-xzothuf7 57 2 presence presence NN cord-287030-xzothuf7 57 3 of of IN cord-287030-xzothuf7 57 4 a a DT cord-287030-xzothuf7 57 5 maculopapular maculopapular JJ cord-287030-xzothuf7 57 6 rash rash NN cord-287030-xzothuf7 57 7 , , , cord-287030-xzothuf7 57 8 while while IN cord-287030-xzothuf7 57 9 seen see VBN cord-287030-xzothuf7 57 10 in in IN cord-287030-xzothuf7 57 11 many many JJ cord-287030-xzothuf7 57 12 relatively relatively RB cord-287030-xzothuf7 57 13 innocuous innocuous JJ cord-287030-xzothuf7 57 14 clinical clinical JJ cord-287030-xzothuf7 57 15 entities entity NNS cord-287030-xzothuf7 57 16 such such JJ cord-287030-xzothuf7 57 17 as as IN cord-287030-xzothuf7 57 18 drug drug NN cord-287030-xzothuf7 57 19 eruption eruption NN cord-287030-xzothuf7 57 20 or or CC cord-287030-xzothuf7 57 21 viral viral JJ cord-287030-xzothuf7 57 22 exanthem exanthem NN cord-287030-xzothuf7 57 23 , , , cord-287030-xzothuf7 57 24 may may MD cord-287030-xzothuf7 57 25 also also RB cord-287030-xzothuf7 57 26 indicate indicate VB cord-287030-xzothuf7 57 27 the the DT cord-287030-xzothuf7 57 28 presence presence NN cord-287030-xzothuf7 57 29 of of IN cord-287030-xzothuf7 57 30 more more RBR cord-287030-xzothuf7 57 31 serious serious JJ cord-287030-xzothuf7 57 32 pathology pathology NN cord-287030-xzothuf7 57 33 , , , cord-287030-xzothuf7 57 34 including include VBG cord-287030-xzothuf7 57 35 dengue dengue NN cord-287030-xzothuf7 57 36 fever fever NN cord-287030-xzothuf7 57 37 , , , cord-287030-xzothuf7 57 38 leptospirosis leptospirosis NN cord-287030-xzothuf7 57 39 or or CC cord-287030-xzothuf7 57 40 typhus typhus NN cord-287030-xzothuf7 57 41 . . . cord-287030-xzothuf7 57 42 _SP cord-287030-xzothuf7 58 1 The the DT cord-287030-xzothuf7 58 2 initial initial JJ cord-287030-xzothuf7 58 3 diagnostic diagnostic JJ cord-287030-xzothuf7 58 4 evaluation evaluation NN cord-287030-xzothuf7 58 5 for for IN cord-287030-xzothuf7 58 6 these these DT cord-287030-xzothuf7 58 7 patients patient NNS cord-287030-xzothuf7 58 8 should should MD cord-287030-xzothuf7 58 9 focus focus VB cord-287030-xzothuf7 58 10 on on IN cord-287030-xzothuf7 58 11 identifying identify VBG cord-287030-xzothuf7 58 12 routine routine JJ cord-287030-xzothuf7 58 13 , , , cord-287030-xzothuf7 58 14 treatable treatable JJ cord-287030-xzothuf7 58 15 illnesses illness NNS cord-287030-xzothuf7 58 16 as as RB cord-287030-xzothuf7 58 17 well well RB cord-287030-xzothuf7 58 18 as as IN cord-287030-xzothuf7 58 19 high high JJ cord-287030-xzothuf7 58 20 risk risk NN cord-287030-xzothuf7 58 21 occult occult JJ cord-287030-xzothuf7 58 22 infections infection NNS cord-287030-xzothuf7 58 23 . . . cord-287030-xzothuf7 59 1 Complete complete JJ cord-287030-xzothuf7 59 2 blood blood NN cord-287030-xzothuf7 59 3 count count NN cord-287030-xzothuf7 59 4 with with IN cord-287030-xzothuf7 59 5 differential differential NN cord-287030-xzothuf7 59 6 , , , cord-287030-xzothuf7 59 7 chemistry chemistry NN cord-287030-xzothuf7 59 8 panel panel NN cord-287030-xzothuf7 59 9 , , , cord-287030-xzothuf7 59 10 hepatic hepatic JJ cord-287030-xzothuf7 59 11 enzyme enzyme NN cord-287030-xzothuf7 59 12 profile profile NN cord-287030-xzothuf7 59 13 , , , cord-287030-xzothuf7 59 14 blood blood NN cord-287030-xzothuf7 59 15 cultures culture NNS cord-287030-xzothuf7 59 16 , , , cord-287030-xzothuf7 59 17 urinalysis urinalysis NN cord-287030-xzothuf7 59 18 and and CC cord-287030-xzothuf7 59 19 urine urine NN cord-287030-xzothuf7 59 20 culture culture NN cord-287030-xzothuf7 59 21 should should MD cord-287030-xzothuf7 59 22 be be VB cord-287030-xzothuf7 59 23 part part NN cord-287030-xzothuf7 59 24 of of IN cord-287030-xzothuf7 59 25 the the DT cord-287030-xzothuf7 59 26 initial initial JJ cord-287030-xzothuf7 59 27 screening screening NN cord-287030-xzothuf7 59 28 tests test NNS cord-287030-xzothuf7 59 29 . . . cord-287030-xzothuf7 60 1 While while IN cord-287030-xzothuf7 60 2 these these DT cord-287030-xzothuf7 60 3 basic basic JJ cord-287030-xzothuf7 60 4 laboratory laboratory NN cord-287030-xzothuf7 60 5 tests test NNS cord-287030-xzothuf7 60 6 are be VBP cord-287030-xzothuf7 60 7 unlikely unlikely JJ cord-287030-xzothuf7 60 8 to to TO cord-287030-xzothuf7 60 9 yield yield VB cord-287030-xzothuf7 60 10 a a DT cord-287030-xzothuf7 60 11 definitive definitive JJ cord-287030-xzothuf7 60 12 diagnosis diagnosis NN cord-287030-xzothuf7 60 13 , , , cord-287030-xzothuf7 60 14 they -PRON- PRP cord-287030-xzothuf7 60 15 may may MD cord-287030-xzothuf7 60 16 be be VB cord-287030-xzothuf7 60 17 useful useful JJ cord-287030-xzothuf7 60 18 in in IN cord-287030-xzothuf7 60 19 detecting detect VBG cord-287030-xzothuf7 60 20 more more RBR cord-287030-xzothuf7 60 21 subtle subtle JJ cord-287030-xzothuf7 60 22 abnormalities abnormality NNS cord-287030-xzothuf7 60 23 such such JJ cord-287030-xzothuf7 60 24 as as IN cord-287030-xzothuf7 60 25 eosinophilia eosinophilia JJ cord-287030-xzothuf7 60 26 in in IN cord-287030-xzothuf7 60 27 parasitic parasitic JJ cord-287030-xzothuf7 60 28 infection infection NN cord-287030-xzothuf7 60 29 or or CC cord-287030-xzothuf7 60 30 underlying underlie VBG cord-287030-xzothuf7 60 31 metabolic metabolic JJ cord-287030-xzothuf7 60 32 disorders disorder NNS cord-287030-xzothuf7 60 33 . . . cord-287030-xzothuf7 61 1 Thick thick JJ cord-287030-xzothuf7 61 2 and and CC cord-287030-xzothuf7 61 3 thin thin JJ cord-287030-xzothuf7 61 4 blood blood NN cord-287030-xzothuf7 61 5 smears smear NNS cord-287030-xzothuf7 61 6 for for IN cord-287030-xzothuf7 61 7 malaria malaria NN cord-287030-xzothuf7 61 8 should should MD cord-287030-xzothuf7 61 9 be be VB cord-287030-xzothuf7 61 10 obtained obtain VBN cord-287030-xzothuf7 61 11 for for IN cord-287030-xzothuf7 61 12 travelers traveler NNS cord-287030-xzothuf7 61 13 to to IN cord-287030-xzothuf7 61 14 tropical tropical JJ cord-287030-xzothuf7 61 15 regions region NNS cord-287030-xzothuf7 61 16 , , , cord-287030-xzothuf7 61 17 and and CC cord-287030-xzothuf7 61 18 stool stool NN cord-287030-xzothuf7 61 19 studies study NNS cord-287030-xzothuf7 61 20 including include VBG cord-287030-xzothuf7 61 21 stool stool NN cord-287030-xzothuf7 61 22 culture culture NN cord-287030-xzothuf7 61 23 , , , cord-287030-xzothuf7 61 24 fecal fecal JJ cord-287030-xzothuf7 61 25 leukocytes leukocyte NNS cord-287030-xzothuf7 61 26 , , , cord-287030-xzothuf7 61 27 ova ova NN cord-287030-xzothuf7 61 28 and and CC cord-287030-xzothuf7 61 29 parasite parasite NN cord-287030-xzothuf7 61 30 assays assay NNS cord-287030-xzothuf7 61 31 should should MD cord-287030-xzothuf7 61 32 be be VB cord-287030-xzothuf7 61 33 ordered order VBN cord-287030-xzothuf7 61 34 for for IN cord-287030-xzothuf7 61 35 patients patient NNS cord-287030-xzothuf7 61 36 complaining complain VBG cord-287030-xzothuf7 61 37 of of IN cord-287030-xzothuf7 61 38 diarrheal diarrheal JJ cord-287030-xzothuf7 61 39 illness illness NN cord-287030-xzothuf7 61 40 . . . cord-287030-xzothuf7 62 1 Serum serum NN cord-287030-xzothuf7 62 2 samples sample NNS cord-287030-xzothuf7 62 3 should should MD cord-287030-xzothuf7 62 4 be be VB cord-287030-xzothuf7 62 5 drawn draw VBN cord-287030-xzothuf7 62 6 and and CC cord-287030-xzothuf7 62 7 set set VBN cord-287030-xzothuf7 62 8 aside aside RB cord-287030-xzothuf7 62 9 for for IN cord-287030-xzothuf7 62 10 subsequent subsequent JJ cord-287030-xzothuf7 62 11 testing testing NN cord-287030-xzothuf7 62 12 if if IN cord-287030-xzothuf7 62 13 rickettsial rickettsial JJ cord-287030-xzothuf7 62 14 or or CC cord-287030-xzothuf7 62 15 arboviral arboviral JJ cord-287030-xzothuf7 62 16 diseases disease NNS cord-287030-xzothuf7 62 17 are be VBP cord-287030-xzothuf7 62 18 a a DT cord-287030-xzothuf7 62 19 consideration consideration NN cord-287030-xzothuf7 62 20 . . . cord-287030-xzothuf7 63 1 6 6 CD cord-287030-xzothuf7 64 1 Comparison comparison NN cord-287030-xzothuf7 64 2 of of IN cord-287030-xzothuf7 64 3 acute acute JJ cord-287030-xzothuf7 64 4 phase phase NN cord-287030-xzothuf7 64 5 antibody antibody NN cord-287030-xzothuf7 64 6 titers titer NNS cord-287030-xzothuf7 64 7 to to IN cord-287030-xzothuf7 64 8 subsequent subsequent JJ cord-287030-xzothuf7 64 9 , , , cord-287030-xzothuf7 64 10 convalescent convalescent JJ cord-287030-xzothuf7 64 11 phase phase NN cord-287030-xzothuf7 64 12 assays assay NNS cord-287030-xzothuf7 64 13 can can MD cord-287030-xzothuf7 64 14 be be VB cord-287030-xzothuf7 64 15 useful useful JJ cord-287030-xzothuf7 64 16 in in IN cord-287030-xzothuf7 64 17 tracking track VBG cord-287030-xzothuf7 64 18 the the DT cord-287030-xzothuf7 64 19 course course NN cord-287030-xzothuf7 64 20 of of IN cord-287030-xzothuf7 64 21 a a DT cord-287030-xzothuf7 64 22 disease disease NN cord-287030-xzothuf7 64 23 . . . cord-287030-xzothuf7 65 1 In in IN cord-287030-xzothuf7 65 2 the the DT cord-287030-xzothuf7 65 3 rare rare JJ cord-287030-xzothuf7 65 4 situation situation NN cord-287030-xzothuf7 65 5 where where WRB cord-287030-xzothuf7 65 6 patients patient NNS cord-287030-xzothuf7 65 7 are be VBP cord-287030-xzothuf7 65 8 suspected suspect VBN cord-287030-xzothuf7 65 9 of of IN cord-287030-xzothuf7 65 10 harboring harbor VBG cord-287030-xzothuf7 65 11 highly highly RB cord-287030-xzothuf7 65 12 pathogenic pathogenic JJ cord-287030-xzothuf7 65 13 illnesses illness NNS cord-287030-xzothuf7 65 14 such such JJ cord-287030-xzothuf7 65 15 as as IN cord-287030-xzothuf7 65 16 hemorrhagic hemorrhagic JJ cord-287030-xzothuf7 65 17 fever fever NN cord-287030-xzothuf7 65 18 viruses virus NNS cord-287030-xzothuf7 65 19 , , , cord-287030-xzothuf7 65 20 plague plague NN cord-287030-xzothuf7 65 21 or or CC cord-287030-xzothuf7 65 22 anthrax anthrax NN cord-287030-xzothuf7 65 23 , , , cord-287030-xzothuf7 65 24 all all DT cord-287030-xzothuf7 65 25 specimens specimen NNS cord-287030-xzothuf7 65 26 from from IN cord-287030-xzothuf7 65 27 such such JJ cord-287030-xzothuf7 65 28 patients patient NNS cord-287030-xzothuf7 65 29 should should MD cord-287030-xzothuf7 65 30 be be VB cord-287030-xzothuf7 65 31 regarded regard VBN cord-287030-xzothuf7 65 32 as as IN cord-287030-xzothuf7 65 33 high high JJ cord-287030-xzothuf7 65 34 risk risk NN cord-287030-xzothuf7 65 35 . . . cord-287030-xzothuf7 66 1 Laboratory laboratory NN cord-287030-xzothuf7 66 2 personnel personnel NNS cord-287030-xzothuf7 66 3 who who WP cord-287030-xzothuf7 66 4 may may MD cord-287030-xzothuf7 66 5 be be VB cord-287030-xzothuf7 66 6 handling handle VBG cord-287030-xzothuf7 66 7 these these DT cord-287030-xzothuf7 66 8 specimens specimen NNS cord-287030-xzothuf7 66 9 should should MD cord-287030-xzothuf7 66 10 be be VB cord-287030-xzothuf7 66 11 notified notify VBN cord-287030-xzothuf7 66 12 before before IN cord-287030-xzothuf7 66 13 processing process VBG cord-287030-xzothuf7 66 14 any any DT cord-287030-xzothuf7 66 15 sample sample NN cord-287030-xzothuf7 66 16 so so IN cord-287030-xzothuf7 66 17 that that IN cord-287030-xzothuf7 66 18 tests test NNS cord-287030-xzothuf7 66 19 may may MD cord-287030-xzothuf7 66 20 be be VB cord-287030-xzothuf7 66 21 carried carry VBN cord-287030-xzothuf7 66 22 out out RP cord-287030-xzothuf7 66 23 without without IN cord-287030-xzothuf7 66 24 risk risk NN cord-287030-xzothuf7 66 25 of of IN cord-287030-xzothuf7 66 26 transmission transmission NN cord-287030-xzothuf7 66 27 of of IN cord-287030-xzothuf7 66 28 infection infection NN cord-287030-xzothuf7 66 29 to to IN cord-287030-xzothuf7 66 30 laboratory laboratory NN cord-287030-xzothuf7 66 31 personnel personnel NNS cord-287030-xzothuf7 66 32 . . . cord-287030-xzothuf7 67 1 Refer refer VB cord-287030-xzothuf7 67 2 definitive definitive JJ cord-287030-xzothuf7 67 3 testing testing NN cord-287030-xzothuf7 67 4 for for IN cord-287030-xzothuf7 67 5 suspected suspect VBN cord-287030-xzothuf7 67 6 high high JJ cord-287030-xzothuf7 67 7 risk risk NN cord-287030-xzothuf7 67 8 pathogens pathogen NNS cord-287030-xzothuf7 67 9 such such JJ cord-287030-xzothuf7 67 10 as as IN cord-287030-xzothuf7 67 11 hemorrhagic hemorrhagic JJ cord-287030-xzothuf7 67 12 fever fever NN cord-287030-xzothuf7 67 13 viruses virus NNS cord-287030-xzothuf7 67 14 , , , cord-287030-xzothuf7 67 15 anthrax anthrax NN cord-287030-xzothuf7 67 16 or or CC cord-287030-xzothuf7 67 17 tularemia tularemia NN cord-287030-xzothuf7 67 18 to to IN cord-287030-xzothuf7 67 19 specialized specialized JJ cord-287030-xzothuf7 67 20 reference reference NN cord-287030-xzothuf7 67 21 laboratories laboratory NNS cord-287030-xzothuf7 67 22 equipped equip VBN cord-287030-xzothuf7 67 23 to to TO cord-287030-xzothuf7 67 24 handle handle VB cord-287030-xzothuf7 67 25 these these DT cord-287030-xzothuf7 67 26 agents agent NNS cord-287030-xzothuf7 67 27 . . . cord-287030-xzothuf7 68 1 Particularly particularly RB cord-287030-xzothuf7 68 2 for for IN cord-287030-xzothuf7 68 3 high high JJ cord-287030-xzothuf7 68 4 risk risk NN cord-287030-xzothuf7 68 5 infectious infectious JJ cord-287030-xzothuf7 68 6 agents agent NNS cord-287030-xzothuf7 68 7 , , , cord-287030-xzothuf7 68 8 the the DT cord-287030-xzothuf7 68 9 subject subject NN cord-287030-xzothuf7 68 10 of of IN cord-287030-xzothuf7 68 11 decontamination decontamination NN cord-287030-xzothuf7 68 12 and and CC cord-287030-xzothuf7 68 13 isolation isolation NN cord-287030-xzothuf7 68 14 becomes become VBZ cord-287030-xzothuf7 68 15 increasingly increasingly RB cord-287030-xzothuf7 68 16 important important JJ cord-287030-xzothuf7 68 17 . . . cord-287030-xzothuf7 69 1 While while IN cord-287030-xzothuf7 69 2 most most JJS cord-287030-xzothuf7 69 3 diseases disease NNS cord-287030-xzothuf7 69 4 that that WDT cord-287030-xzothuf7 69 5 may may MD cord-287030-xzothuf7 69 6 be be VB cord-287030-xzothuf7 69 7 present present JJ cord-287030-xzothuf7 69 8 in in IN cord-287030-xzothuf7 69 9 returned return VBN cord-287030-xzothuf7 69 10 travelers traveler NNS cord-287030-xzothuf7 69 11 require require VBP cord-287030-xzothuf7 69 12 only only RB cord-287030-xzothuf7 69 13 the the DT cord-287030-xzothuf7 69 14 implementation implementation NN cord-287030-xzothuf7 69 15 of of IN cord-287030-xzothuf7 69 16 routine routine JJ cord-287030-xzothuf7 69 17 universal universal JJ cord-287030-xzothuf7 69 18 precautions precaution NNS cord-287030-xzothuf7 69 19 , , , cord-287030-xzothuf7 69 20 some some DT cord-287030-xzothuf7 69 21 of of IN cord-287030-xzothuf7 69 22 the the DT cord-287030-xzothuf7 69 23 more more RBR cord-287030-xzothuf7 69 24 virulent virulent JJ cord-287030-xzothuf7 69 25 pathogens pathogen NNS cord-287030-xzothuf7 69 26 may may MD cord-287030-xzothuf7 69 27 require require VB cord-287030-xzothuf7 69 28 the the DT cord-287030-xzothuf7 69 29 clinician clinician NN cord-287030-xzothuf7 69 30 and and CC cord-287030-xzothuf7 69 31 treating treat VBG cord-287030-xzothuf7 69 32 health health NN cord-287030-xzothuf7 69 33 care care NN cord-287030-xzothuf7 69 34 team team NN cord-287030-xzothuf7 69 35 to to TO cord-287030-xzothuf7 69 36 adopt adopt VB cord-287030-xzothuf7 69 37 more more RBR cord-287030-xzothuf7 69 38 strict strict JJ cord-287030-xzothuf7 69 39 infection infection NN cord-287030-xzothuf7 69 40 control control NN cord-287030-xzothuf7 69 41 measures measure NNS cord-287030-xzothuf7 69 42 . . . cord-287030-xzothuf7 70 1 In in IN cord-287030-xzothuf7 70 2 patients patient NNS cord-287030-xzothuf7 70 3 with with IN cord-287030-xzothuf7 70 4 suspected suspect VBN cord-287030-xzothuf7 70 5 VHF vhf NN cord-287030-xzothuf7 70 6 infection infection NN cord-287030-xzothuf7 70 7 , , , cord-287030-xzothuf7 70 8 the the DT cord-287030-xzothuf7 70 9 use use NN cord-287030-xzothuf7 70 10 of of IN cord-287030-xzothuf7 70 11 impermeable impermeable JJ cord-287030-xzothuf7 70 12 gowns gown NNS cord-287030-xzothuf7 70 13 , , , cord-287030-xzothuf7 70 14 N-95 N-95 NNP cord-287030-xzothuf7 70 15 masks mask NNS cord-287030-xzothuf7 70 16 , , , cord-287030-xzothuf7 70 17 face face NN cord-287030-xzothuf7 70 18 shields shield NNS cord-287030-xzothuf7 70 19 or or CC cord-287030-xzothuf7 70 20 goggles goggle NNS cord-287030-xzothuf7 70 21 , , , cord-287030-xzothuf7 70 22 as as RB cord-287030-xzothuf7 70 23 well well RB cord-287030-xzothuf7 70 24 as as IN cord-287030-xzothuf7 70 25 negative negative JJ cord-287030-xzothuf7 70 26 - - HYPH cord-287030-xzothuf7 70 27 pressure pressure NN cord-287030-xzothuf7 70 28 isolation isolation NN cord-287030-xzothuf7 70 29 rooms room NNS cord-287030-xzothuf7 70 30 with with IN cord-287030-xzothuf7 70 31 dedicated dedicated JJ cord-287030-xzothuf7 70 32 medical medical JJ cord-287030-xzothuf7 70 33 equipment equipment NN cord-287030-xzothuf7 70 34 for for IN cord-287030-xzothuf7 70 35 each each DT cord-287030-xzothuf7 70 36 patient patient NN cord-287030-xzothuf7 70 37 ( ( -LRB- cord-287030-xzothuf7 70 38 such such JJ cord-287030-xzothuf7 70 39 as as IN cord-287030-xzothuf7 70 40 stethoscopes stethoscope NNS cord-287030-xzothuf7 70 41 and and CC cord-287030-xzothuf7 70 42 blood blood NN cord-287030-xzothuf7 70 43 pressure pressure NN cord-287030-xzothuf7 70 44 cuffs cuff NNS cord-287030-xzothuf7 70 45 ) ) -RRB- cord-287030-xzothuf7 70 46 is be VBZ cord-287030-xzothuf7 70 47 imperative imperative JJ cord-287030-xzothuf7 70 48 , , , cord-287030-xzothuf7 70 49 as as IN cord-287030-xzothuf7 70 50 is be VBZ cord-287030-xzothuf7 70 51 the the DT cord-287030-xzothuf7 70 52 restriction restriction NN cord-287030-xzothuf7 70 53 of of IN cord-287030-xzothuf7 70 54 access access NN cord-287030-xzothuf7 70 55 by by IN cord-287030-xzothuf7 70 56 nonessential nonessential JJ cord-287030-xzothuf7 70 57 staff staff NN cord-287030-xzothuf7 70 58 and and CC cord-287030-xzothuf7 70 59 visitors visitor NNS cord-287030-xzothuf7 70 60 . . . cord-287030-xzothuf7 71 1 10 10 CD cord-287030-xzothuf7 72 1 These these DT cord-287030-xzothuf7 72 2 precautions precaution NNS cord-287030-xzothuf7 72 3 also also RB cord-287030-xzothuf7 72 4 apply apply VBP cord-287030-xzothuf7 72 5 to to IN cord-287030-xzothuf7 72 6 other other JJ cord-287030-xzothuf7 72 7 airborne airborne JJ cord-287030-xzothuf7 72 8 illnesses illness NNS cord-287030-xzothuf7 72 9 that that WDT cord-287030-xzothuf7 72 10 carry carry VBP cord-287030-xzothuf7 72 11 significant significant JJ cord-287030-xzothuf7 72 12 potential potential JJ cord-287030-xzothuf7 72 13 risk risk NN cord-287030-xzothuf7 72 14 for for IN cord-287030-xzothuf7 72 15 staff staff NN cord-287030-xzothuf7 72 16 or or CC cord-287030-xzothuf7 72 17 patientepatient patientepatient NN cord-287030-xzothuf7 72 18 transmission transmission NN cord-287030-xzothuf7 72 19 such such JJ cord-287030-xzothuf7 72 20 as as IN cord-287030-xzothuf7 72 21 severe severe JJ cord-287030-xzothuf7 72 22 acute acute JJ cord-287030-xzothuf7 72 23 respiratory respiratory JJ cord-287030-xzothuf7 72 24 syndrome syndrome NN cord-287030-xzothuf7 72 25 ( ( -LRB- cord-287030-xzothuf7 72 26 SARS SARS NNP cord-287030-xzothuf7 72 27 ) ) -RRB- cord-287030-xzothuf7 72 28 coronavirus coronavirus NN cord-287030-xzothuf7 72 29 . . . cord-287030-xzothuf7 73 1 Patients patient NNS cord-287030-xzothuf7 73 2 with with IN cord-287030-xzothuf7 73 3 active active JJ cord-287030-xzothuf7 73 4 pulmonary pulmonary JJ cord-287030-xzothuf7 73 5 tuberculosis tuberculosis NN cord-287030-xzothuf7 73 6 infection infection NN cord-287030-xzothuf7 73 7 may may MD cord-287030-xzothuf7 73 8 be be VB cord-287030-xzothuf7 73 9 managed manage VBN cord-287030-xzothuf7 73 10 with with IN cord-287030-xzothuf7 73 11 standard standard JJ cord-287030-xzothuf7 73 12 airborne airborne JJ cord-287030-xzothuf7 73 13 precautions precaution NNS cord-287030-xzothuf7 73 14 . . . cord-287030-xzothuf7 74 1 Treatment treatment NN cord-287030-xzothuf7 74 2 regimens regimen NNS cord-287030-xzothuf7 74 3 for for IN cord-287030-xzothuf7 74 4 ill ill JJ cord-287030-xzothuf7 74 5 returned return VBN cord-287030-xzothuf7 74 6 travelers traveler NNS cord-287030-xzothuf7 74 7 should should MD cord-287030-xzothuf7 74 8 initially initially RB cord-287030-xzothuf7 74 9 center center VB cord-287030-xzothuf7 74 10 on on IN cord-287030-xzothuf7 74 11 high high JJ cord-287030-xzothuf7 74 12 risk risk NN cord-287030-xzothuf7 74 13 tropical tropical JJ cord-287030-xzothuf7 74 14 diseases disease NNS cord-287030-xzothuf7 74 15 such such JJ cord-287030-xzothuf7 74 16 as as IN cord-287030-xzothuf7 74 17 malaria malaria NN cord-287030-xzothuf7 74 18 , , , cord-287030-xzothuf7 74 19 as as RB cord-287030-xzothuf7 74 20 well well RB cord-287030-xzothuf7 74 21 as as IN cord-287030-xzothuf7 74 22 common common JJ cord-287030-xzothuf7 74 23 clinical clinical JJ cord-287030-xzothuf7 74 24 entities entity NNS cord-287030-xzothuf7 74 25 including include VBG cord-287030-xzothuf7 74 26 pneumonia pneumonia NN cord-287030-xzothuf7 74 27 , , , cord-287030-xzothuf7 74 28 upper upper JJ cord-287030-xzothuf7 74 29 respiratory respiratory JJ cord-287030-xzothuf7 74 30 tract tract NN cord-287030-xzothuf7 74 31 infection infection NN cord-287030-xzothuf7 74 32 , , , cord-287030-xzothuf7 74 33 and and CC cord-287030-xzothuf7 74 34 urinary urinary JJ cord-287030-xzothuf7 74 35 tract tract NN cord-287030-xzothuf7 74 36 infection infection NN cord-287030-xzothuf7 74 37 . . . cord-287030-xzothuf7 75 1 Failure failure NN cord-287030-xzothuf7 75 2 to to TO cord-287030-xzothuf7 75 3 consider consider VB cord-287030-xzothuf7 75 4 the the DT cord-287030-xzothuf7 75 5 diagnosis diagnosis NN cord-287030-xzothuf7 75 6 of of IN cord-287030-xzothuf7 75 7 malaria malaria NN cord-287030-xzothuf7 75 8 or or CC cord-287030-xzothuf7 75 9 to to TO cord-287030-xzothuf7 75 10 institute institute VB cord-287030-xzothuf7 75 11 prompt prompt JJ cord-287030-xzothuf7 75 12 therapy therapy NN cord-287030-xzothuf7 75 13 may may MD cord-287030-xzothuf7 75 14 be be VB cord-287030-xzothuf7 75 15 a a DT cord-287030-xzothuf7 75 16 potentially potentially RB cord-287030-xzothuf7 75 17 fatal fatal JJ cord-287030-xzothuf7 75 18 error error NN cord-287030-xzothuf7 75 19 . . . cord-287030-xzothuf7 76 1 Empiric empiric NN cord-287030-xzothuf7 76 2 antibiotic antibiotic JJ cord-287030-xzothuf7 76 3 coverage coverage NN cord-287030-xzothuf7 76 4 with with IN cord-287030-xzothuf7 76 5 fluoroquinolones fluoroquinolone NNS cord-287030-xzothuf7 76 6 should should MD cord-287030-xzothuf7 76 7 be be VB cord-287030-xzothuf7 76 8 instituted institute VBN cord-287030-xzothuf7 76 9 for for IN cord-287030-xzothuf7 76 10 travelers traveler NNS cord-287030-xzothuf7 76 11 presenting present VBG cord-287030-xzothuf7 76 12 with with IN cord-287030-xzothuf7 76 13 fever fever NN cord-287030-xzothuf7 76 14 and and CC cord-287030-xzothuf7 76 15 diarrheal diarrheal JJ cord-287030-xzothuf7 76 16 illness illness NN cord-287030-xzothuf7 76 17 , , , cord-287030-xzothuf7 76 18 particularly particularly RB cord-287030-xzothuf7 76 19 if if IN cord-287030-xzothuf7 76 20 bloody bloody JJ cord-287030-xzothuf7 76 21 diarrhea diarrhea NN cord-287030-xzothuf7 76 22 is be VBZ cord-287030-xzothuf7 76 23 present present JJ cord-287030-xzothuf7 76 24 . . . cord-287030-xzothuf7 77 1 Bloody bloody JJ cord-287030-xzothuf7 77 2 diarrhea diarrhea NN cord-287030-xzothuf7 77 3 and and CC cord-287030-xzothuf7 77 4 the the DT cord-287030-xzothuf7 77 5 presence presence NN cord-287030-xzothuf7 77 6 of of IN cord-287030-xzothuf7 77 7 fecal fecal JJ cord-287030-xzothuf7 77 8 leukocytes leukocyte NNS cord-287030-xzothuf7 77 9 are be VBP cord-287030-xzothuf7 77 10 more more RBR cord-287030-xzothuf7 77 11 associated associate VBN cord-287030-xzothuf7 77 12 with with IN cord-287030-xzothuf7 77 13 invasive invasive JJ cord-287030-xzothuf7 77 14 infections infection NNS cord-287030-xzothuf7 77 15 such such JJ cord-287030-xzothuf7 77 16 as as IN cord-287030-xzothuf7 77 17 salmonellosis salmonellosis NN cord-287030-xzothuf7 77 18 or or CC cord-287030-xzothuf7 77 19 shigellosis shigellosis NN cord-287030-xzothuf7 77 20 . . . cord-287030-xzothuf7 78 1 More more RBR cord-287030-xzothuf7 78 2 specific specific JJ cord-287030-xzothuf7 78 3 anti anti JJ cord-287030-xzothuf7 78 4 - - JJ cord-287030-xzothuf7 78 5 infective infective JJ cord-287030-xzothuf7 78 6 therapies therapy NNS cord-287030-xzothuf7 78 7 for for IN cord-287030-xzothuf7 78 8 such such JJ cord-287030-xzothuf7 78 9 illnesses illness NNS cord-287030-xzothuf7 78 10 as as IN cord-287030-xzothuf7 78 11 malaria malaria NN cord-287030-xzothuf7 78 12 , , , cord-287030-xzothuf7 78 13 rickettsial rickettsial JJ cord-287030-xzothuf7 78 14 infection infection NN cord-287030-xzothuf7 78 15 or or CC cord-287030-xzothuf7 78 16 typhoid typhoid NN cord-287030-xzothuf7 78 17 fever fever NN cord-287030-xzothuf7 78 18 should should MD cord-287030-xzothuf7 78 19 be be VB cord-287030-xzothuf7 78 20 instituted institute VBN cord-287030-xzothuf7 78 21 only only RB cord-287030-xzothuf7 78 22 after after IN cord-287030-xzothuf7 78 23 initial initial JJ cord-287030-xzothuf7 78 24 investigations investigation NNS cord-287030-xzothuf7 78 25 or or CC cord-287030-xzothuf7 78 26 clinical clinical JJ cord-287030-xzothuf7 78 27 findings finding NNS cord-287030-xzothuf7 78 28 suggest suggest VBP cord-287030-xzothuf7 78 29 these these DT cord-287030-xzothuf7 78 30 etiologies etiology NNS cord-287030-xzothuf7 78 31 . . . cord-287030-xzothuf7 79 1 While while IN cord-287030-xzothuf7 79 2 patients patient NNS cord-287030-xzothuf7 79 3 with with IN cord-287030-xzothuf7 79 4 mild mild JJ cord-287030-xzothuf7 79 5 illness illness NN cord-287030-xzothuf7 79 6 may may MD cord-287030-xzothuf7 79 7 be be VB cord-287030-xzothuf7 79 8 managed manage VBN cord-287030-xzothuf7 79 9 as as IN cord-287030-xzothuf7 79 10 outpatients outpatient NNS cord-287030-xzothuf7 79 11 , , , cord-287030-xzothuf7 79 12 suspected suspect VBN cord-287030-xzothuf7 79 13 infection infection NN cord-287030-xzothuf7 79 14 with with IN cord-287030-xzothuf7 79 15 highly highly RB cord-287030-xzothuf7 79 16 virulent virulent JJ cord-287030-xzothuf7 79 17 or or CC cord-287030-xzothuf7 79 18 rare rare JJ cord-287030-xzothuf7 79 19 tropical tropical JJ cord-287030-xzothuf7 79 20 diseases disease NNS cord-287030-xzothuf7 79 21 should should MD cord-287030-xzothuf7 79 22 mandate mandate VB cord-287030-xzothuf7 79 23 inpatient inpatient JJ cord-287030-xzothuf7 79 24 hospitalization hospitalization NN cord-287030-xzothuf7 79 25 to to TO cord-287030-xzothuf7 79 26 allow allow VB cord-287030-xzothuf7 79 27 further further JJ cord-287030-xzothuf7 79 28 investigation investigation NN cord-287030-xzothuf7 79 29 and and CC cord-287030-xzothuf7 79 30 consultation consultation NN cord-287030-xzothuf7 79 31 with with IN cord-287030-xzothuf7 79 32 infectious infectious JJ cord-287030-xzothuf7 79 33 disease disease NN cord-287030-xzothuf7 79 34 specialists specialist NNS cord-287030-xzothuf7 79 35 . . . cord-287030-xzothuf7 80 1 Patients patient NNS cord-287030-xzothuf7 80 2 presenting present VBG cord-287030-xzothuf7 80 3 to to IN cord-287030-xzothuf7 80 4 an an DT cord-287030-xzothuf7 80 5 emergency emergency NN cord-287030-xzothuf7 80 6 department department NN cord-287030-xzothuf7 80 7 or or CC cord-287030-xzothuf7 80 8 other other JJ cord-287030-xzothuf7 80 9 health health NN cord-287030-xzothuf7 80 10 care care NN cord-287030-xzothuf7 80 11 setting set VBG cord-287030-xzothuf7 80 12 with with IN cord-287030-xzothuf7 80 13 febrile febrile JJ cord-287030-xzothuf7 80 14 illness illness NN cord-287030-xzothuf7 80 15 after after IN cord-287030-xzothuf7 80 16 recent recent JJ cord-287030-xzothuf7 80 17 travel travel NN cord-287030-xzothuf7 80 18 may may MD cord-287030-xzothuf7 80 19 harbor harbor VB cord-287030-xzothuf7 80 20 a a DT cord-287030-xzothuf7 80 21 daunting daunting JJ cord-287030-xzothuf7 80 22 array array NN cord-287030-xzothuf7 80 23 of of IN cord-287030-xzothuf7 80 24 illnesses illness NNS cord-287030-xzothuf7 80 25 , , , cord-287030-xzothuf7 80 26 some some DT cord-287030-xzothuf7 80 27 of of IN cord-287030-xzothuf7 80 28 which which WDT cord-287030-xzothuf7 80 29 may may MD cord-287030-xzothuf7 80 30 have have VB cord-287030-xzothuf7 80 31 even even RB cord-287030-xzothuf7 80 32 predated predate VBN cord-287030-xzothuf7 80 33 their -PRON- PRP$ cord-287030-xzothuf7 80 34 travel travel NN cord-287030-xzothuf7 80 35 , , , cord-287030-xzothuf7 80 36 while while IN cord-287030-xzothuf7 80 37 others other NNS cord-287030-xzothuf7 80 38 may may MD cord-287030-xzothuf7 80 39 be be VB cord-287030-xzothuf7 80 40 acquired acquire VBN cord-287030-xzothuf7 80 41 in in IN cord-287030-xzothuf7 80 42 virtually virtually RB cord-287030-xzothuf7 80 43 any any DT cord-287030-xzothuf7 80 44 geographic geographic JJ cord-287030-xzothuf7 80 45 region region NN cord-287030-xzothuf7 80 46 worldwide worldwide RB cord-287030-xzothuf7 80 47 . . . cord-287030-xzothuf7 81 1 Knowing know VBG cord-287030-xzothuf7 81 2 the the DT cord-287030-xzothuf7 81 3 most most RBS cord-287030-xzothuf7 81 4 likely likely JJ cord-287030-xzothuf7 81 5 infectious infectious JJ cord-287030-xzothuf7 81 6 diseases disease NNS cord-287030-xzothuf7 81 7 that that WDT cord-287030-xzothuf7 81 8 a a DT cord-287030-xzothuf7 81 9 traveler traveler NN cord-287030-xzothuf7 81 10 might may MD cord-287030-xzothuf7 81 11 encounter encounter VB cord-287030-xzothuf7 81 12 on on IN cord-287030-xzothuf7 81 13 a a DT cord-287030-xzothuf7 81 14 given give VBN cord-287030-xzothuf7 81 15 trip trip NN cord-287030-xzothuf7 81 16 to to IN cord-287030-xzothuf7 81 17 Africa Africa NNP cord-287030-xzothuf7 81 18 , , , cord-287030-xzothuf7 81 19 Central Central NNP cord-287030-xzothuf7 81 20 or or CC cord-287030-xzothuf7 81 21 South South NNP cord-287030-xzothuf7 81 22 America America NNP cord-287030-xzothuf7 81 23 or or CC cord-287030-xzothuf7 81 24 the the DT cord-287030-xzothuf7 81 25 Middle Middle NNP cord-287030-xzothuf7 81 26 East East NNP cord-287030-xzothuf7 81 27 is be VBZ cord-287030-xzothuf7 81 28 an an DT cord-287030-xzothuf7 81 29 important important JJ cord-287030-xzothuf7 81 30 first first JJ cord-287030-xzothuf7 81 31 step step NN cord-287030-xzothuf7 81 32 in in IN cord-287030-xzothuf7 81 33 determining determine VBG cord-287030-xzothuf7 81 34 the the DT cord-287030-xzothuf7 81 35 proper proper JJ cord-287030-xzothuf7 81 36 evaluation evaluation NN cord-287030-xzothuf7 81 37 and and CC cord-287030-xzothuf7 81 38 management management NN cord-287030-xzothuf7 81 39 strategy strategy NN cord-287030-xzothuf7 81 40 for for IN cord-287030-xzothuf7 81 41 a a DT cord-287030-xzothuf7 81 42 given give VBN cord-287030-xzothuf7 81 43 febrile febrile JJ cord-287030-xzothuf7 81 44 returned return VBN cord-287030-xzothuf7 81 45 traveler traveler NN cord-287030-xzothuf7 81 46 . . . cord-287030-xzothuf7 82 1 Screening screening NN cord-287030-xzothuf7 82 2 questions question NNS cord-287030-xzothuf7 82 3 that that WDT cord-287030-xzothuf7 82 4 identify identify VBP cord-287030-xzothuf7 82 5 time time NN cord-287030-xzothuf7 82 6 of of IN cord-287030-xzothuf7 82 7 onset onset NN cord-287030-xzothuf7 82 8 of of IN cord-287030-xzothuf7 82 9 fever fever NN cord-287030-xzothuf7 82 10 , , , cord-287030-xzothuf7 82 11 specific specific JJ cord-287030-xzothuf7 82 12 locations location NNS cord-287030-xzothuf7 82 13 and and CC cord-287030-xzothuf7 82 14 durations duration NNS cord-287030-xzothuf7 82 15 of of IN cord-287030-xzothuf7 82 16 travel travel NN cord-287030-xzothuf7 82 17 as as RB cord-287030-xzothuf7 82 18 well well RB cord-287030-xzothuf7 82 19 as as IN cord-287030-xzothuf7 82 20 high high JJ cord-287030-xzothuf7 82 21 risk risk NN cord-287030-xzothuf7 82 22 exposures exposure NNS cord-287030-xzothuf7 82 23 , , , cord-287030-xzothuf7 82 24 such such JJ cord-287030-xzothuf7 82 25 as as IN cord-287030-xzothuf7 82 26 encounters encounter NNS cord-287030-xzothuf7 82 27 with with IN cord-287030-xzothuf7 82 28 ill ill JJ cord-287030-xzothuf7 82 29 individuals individual NNS cord-287030-xzothuf7 82 30 or or CC cord-287030-xzothuf7 82 31 rural rural JJ cord-287030-xzothuf7 82 32 settings setting NNS cord-287030-xzothuf7 82 33 , , , cord-287030-xzothuf7 82 34 can can MD cord-287030-xzothuf7 82 35 rapidly rapidly RB cord-287030-xzothuf7 82 36 exclude exclude VB cord-287030-xzothuf7 82 37 certain certain JJ cord-287030-xzothuf7 82 38 diseases disease NNS cord-287030-xzothuf7 82 39 from from IN cord-287030-xzothuf7 82 40 the the DT cord-287030-xzothuf7 82 41 differential differential JJ cord-287030-xzothuf7 82 42 diagnosis diagnosis NN cord-287030-xzothuf7 82 43 . . . cord-287030-xzothuf7 83 1 Subsequent subsequent JJ cord-287030-xzothuf7 83 2 diagnostic diagnostic JJ cord-287030-xzothuf7 83 3 efforts effort NNS cord-287030-xzothuf7 83 4 should should MD cord-287030-xzothuf7 83 5 attempt attempt VB cord-287030-xzothuf7 83 6 to to TO cord-287030-xzothuf7 83 7 exclude exclude VB cord-287030-xzothuf7 83 8 the the DT cord-287030-xzothuf7 83 9 most most RBS cord-287030-xzothuf7 83 10 common common JJ cord-287030-xzothuf7 83 11 tropical tropical JJ cord-287030-xzothuf7 83 12 diseases disease NNS cord-287030-xzothuf7 83 13 such such JJ cord-287030-xzothuf7 83 14 as as IN cord-287030-xzothuf7 83 15 malaria malaria NN cord-287030-xzothuf7 83 16 , , , cord-287030-xzothuf7 83 17 dengue dengue NN cord-287030-xzothuf7 83 18 , , , cord-287030-xzothuf7 83 19 and and CC cord-287030-xzothuf7 83 20 food food NN cord-287030-xzothuf7 83 21 - - HYPH cord-287030-xzothuf7 83 22 borne bear VBN cord-287030-xzothuf7 83 23 illnesses illness NNS cord-287030-xzothuf7 83 24 along along IN cord-287030-xzothuf7 83 25 with with IN cord-287030-xzothuf7 83 26 more more JJR cord-287030-xzothuf7 83 27 routine routine JJ cord-287030-xzothuf7 83 28 viral viral JJ cord-287030-xzothuf7 83 29 and and CC cord-287030-xzothuf7 83 30 bacterial bacterial JJ cord-287030-xzothuf7 83 31 illnesses illness NNS cord-287030-xzothuf7 83 32 . . . cord-287030-xzothuf7 84 1 Patients patient NNS cord-287030-xzothuf7 84 2 who who WP cord-287030-xzothuf7 84 3 are be VBP cord-287030-xzothuf7 84 4 suspected suspect VBN cord-287030-xzothuf7 84 5 of of IN cord-287030-xzothuf7 84 6 carrying carry VBG cord-287030-xzothuf7 84 7 highly highly RB cord-287030-xzothuf7 84 8 pathogenic pathogenic JJ cord-287030-xzothuf7 84 9 organisms organism NNS cord-287030-xzothuf7 84 10 such such JJ cord-287030-xzothuf7 84 11 as as IN cord-287030-xzothuf7 84 12 viral viral JJ cord-287030-xzothuf7 84 13 hemorrhagic hemorrhagic JJ cord-287030-xzothuf7 84 14 fevers fever NNS cord-287030-xzothuf7 84 15 , , , cord-287030-xzothuf7 84 16 anthrax anthrax NN cord-287030-xzothuf7 84 17 , , , cord-287030-xzothuf7 84 18 plague plague NN cord-287030-xzothuf7 84 19 , , , cord-287030-xzothuf7 84 20 and and CC cord-287030-xzothuf7 84 21 tularemia tularemia NN cord-287030-xzothuf7 84 22 should should MD cord-287030-xzothuf7 84 23 be be VB cord-287030-xzothuf7 84 24 managed manage VBN cord-287030-xzothuf7 84 25 with with IN cord-287030-xzothuf7 84 26 special special JJ cord-287030-xzothuf7 84 27 attention attention NN cord-287030-xzothuf7 84 28 paid pay VBN cord-287030-xzothuf7 84 29 to to IN cord-287030-xzothuf7 84 30 issues issue NNS cord-287030-xzothuf7 84 31 of of IN cord-287030-xzothuf7 84 32 decontamination decontamination NN cord-287030-xzothuf7 84 33 , , , cord-287030-xzothuf7 84 34 isolation isolation NN cord-287030-xzothuf7 84 35 and and CC cord-287030-xzothuf7 84 36 biocontainment biocontainment NN cord-287030-xzothuf7 84 37 . . . cord-287030-xzothuf7 85 1 A a DT cord-287030-xzothuf7 85 2 concise concise JJ cord-287030-xzothuf7 85 3 evaluation evaluation NN cord-287030-xzothuf7 85 4 and and CC cord-287030-xzothuf7 85 5 management management NN cord-287030-xzothuf7 85 6 strategy strategy NN cord-287030-xzothuf7 85 7 for for IN cord-287030-xzothuf7 85 8 the the DT cord-287030-xzothuf7 85 9 ill ill JJ cord-287030-xzothuf7 85 10 traveler traveler NN cord-287030-xzothuf7 85 11 based base VBN cord-287030-xzothuf7 85 12 on on IN cord-287030-xzothuf7 85 13 careful careful JJ cord-287030-xzothuf7 85 14 consideration consideration NN cord-287030-xzothuf7 85 15 of of IN cord-287030-xzothuf7 85 16 possible possible JJ cord-287030-xzothuf7 85 17 diagnoses diagnosis NNS cord-287030-xzothuf7 85 18 and and CC cord-287030-xzothuf7 85 19 the the DT cord-287030-xzothuf7 85 20 prompt prompt JJ cord-287030-xzothuf7 85 21 institution institution NN cord-287030-xzothuf7 85 22 of of IN cord-287030-xzothuf7 85 23 appropriate appropriate JJ cord-287030-xzothuf7 85 24 therapies therapy NNS cord-287030-xzothuf7 85 25 for for IN cord-287030-xzothuf7 85 26 tropical tropical JJ cord-287030-xzothuf7 85 27 illnesses illness NNS cord-287030-xzothuf7 85 28 is be VBZ cord-287030-xzothuf7 85 29 essential essential JJ cord-287030-xzothuf7 85 30 , , , cord-287030-xzothuf7 85 31 as as IN cord-287030-xzothuf7 85 32 the the DT cord-287030-xzothuf7 85 33 potential potential NN cord-287030-xzothuf7 85 34 for for IN cord-287030-xzothuf7 85 35 morbidity morbidity NN cord-287030-xzothuf7 85 36 and and CC cord-287030-xzothuf7 85 37 mortality mortality NN cord-287030-xzothuf7 85 38 in in IN cord-287030-xzothuf7 85 39 ill ill JJ cord-287030-xzothuf7 85 40 travelers traveler NNS cord-287030-xzothuf7 85 41 who who WP cord-287030-xzothuf7 85 42 suffer suffer VBP cord-287030-xzothuf7 85 43 missed miss VBN cord-287030-xzothuf7 85 44 or or CC cord-287030-xzothuf7 85 45 delayed delay VBN cord-287030-xzothuf7 85 46 diagnosis diagnosis NN cord-287030-xzothuf7 85 47 may may MD cord-287030-xzothuf7 85 48 be be VB cord-287030-xzothuf7 85 49 significant significant JJ cord-287030-xzothuf7 85 50 . . . cord-287030-xzothuf7 86 1 Fever fever NN cord-287030-xzothuf7 86 2 in in IN cord-287030-xzothuf7 86 3 returned return VBN cord-287030-xzothuf7 86 4 travelers traveler NNS cord-287030-xzothuf7 86 5 : : : cord-287030-xzothuf7 86 6 review review NN cord-287030-xzothuf7 86 7 of of IN cord-287030-xzothuf7 86 8 hospital hospital NN cord-287030-xzothuf7 86 9 admissions admission NNS cord-287030-xzothuf7 86 10 for for IN cord-287030-xzothuf7 86 11 a a DT cord-287030-xzothuf7 86 12 3-year 3-year CD cord-287030-xzothuf7 86 13 period period NN cord-287030-xzothuf7 86 14 Fever fever NN cord-287030-xzothuf7 86 15 as as IN cord-287030-xzothuf7 86 16 the the DT cord-287030-xzothuf7 86 17 presenting present VBG cord-287030-xzothuf7 86 18 complaint complaint NN cord-287030-xzothuf7 86 19 of of IN cord-287030-xzothuf7 86 20 travellers traveller NNS cord-287030-xzothuf7 86 21 returning return VBG cord-287030-xzothuf7 86 22 from from IN cord-287030-xzothuf7 86 23 the the DT cord-287030-xzothuf7 86 24 tropics tropic NNS cord-287030-xzothuf7 86 25 Early early JJ cord-287030-xzothuf7 86 26 risk risk NN cord-287030-xzothuf7 86 27 assessment assessment NN cord-287030-xzothuf7 86 28 for for IN cord-287030-xzothuf7 86 29 viral viral JJ cord-287030-xzothuf7 86 30 haemorrhagic haemorrhagic JJ cord-287030-xzothuf7 86 31 fever fever NN cord-287030-xzothuf7 86 32 : : : cord-287030-xzothuf7 86 33 experience experience NN cord-287030-xzothuf7 86 34 at at IN cord-287030-xzothuf7 86 35 the the DT cord-287030-xzothuf7 86 36 hospital hospital NN cord-287030-xzothuf7 86 37 for for IN cord-287030-xzothuf7 86 38 tropical tropical JJ cord-287030-xzothuf7 86 39 diseases disease NNS cord-287030-xzothuf7 86 40 GeoSentinel GeoSentinel NNP cord-287030-xzothuf7 86 41 Surveillance Surveillance NNP cord-287030-xzothuf7 86 42 Network Network NNP cord-287030-xzothuf7 86 43 . . . cord-287030-xzothuf7 87 1 Spectrum Spectrum NNP cord-287030-xzothuf7 87 2 of of IN cord-287030-xzothuf7 87 3 disease disease NN cord-287030-xzothuf7 87 4 and and CC cord-287030-xzothuf7 87 5 relation relation NN cord-287030-xzothuf7 87 6 to to IN cord-287030-xzothuf7 87 7 place place NN cord-287030-xzothuf7 87 8 of of IN cord-287030-xzothuf7 87 9 exposure exposure NN cord-287030-xzothuf7 87 10 among among IN cord-287030-xzothuf7 87 11 ill ill JJ cord-287030-xzothuf7 87 12 returned return VBN cord-287030-xzothuf7 87 13 travelers traveler NNS cord-287030-xzothuf7 87 14 Atlanta Atlanta NNP cord-287030-xzothuf7 87 15 : : : cord-287030-xzothuf7 87 16 US US NNP cord-287030-xzothuf7 87 17 Department Department NNP cord-287030-xzothuf7 87 18 of of IN cord-287030-xzothuf7 87 19 Health Health NNP cord-287030-xzothuf7 87 20 and and CC cord-287030-xzothuf7 87 21 Human Human NNP cord-287030-xzothuf7 87 22 Services Services NNPS cord-287030-xzothuf7 88 1 Evaluation evaluation NN cord-287030-xzothuf7 88 2 of of IN cord-287030-xzothuf7 88 3 fever fever NN cord-287030-xzothuf7 88 4 in in IN cord-287030-xzothuf7 88 5 the the DT cord-287030-xzothuf7 88 6 returned return VBN cord-287030-xzothuf7 88 7 traveler traveler NN cord-287030-xzothuf7 89 1 The the DT cord-287030-xzothuf7 89 2 burden burden NN cord-287030-xzothuf7 89 3 of of IN cord-287030-xzothuf7 89 4 illness illness NN cord-287030-xzothuf7 89 5 in in IN cord-287030-xzothuf7 89 6 international international JJ cord-287030-xzothuf7 89 7 travelers traveler NNS cord-287030-xzothuf7 90 1 A a DT cord-287030-xzothuf7 90 2 haemorrhagic haemorrhagic JJ cord-287030-xzothuf7 90 3 fever fever NN cord-287030-xzothuf7 90 4 from from IN cord-287030-xzothuf7 90 5 the the DT cord-287030-xzothuf7 90 6 Cote Cote NNP cord-287030-xzothuf7 90 7 d'Ivoire d'Ivoire NNP cord-287030-xzothuf7 90 8 Incubation Incubation NNP cord-287030-xzothuf7 90 9 time time NN cord-287030-xzothuf7 90 10 of of IN cord-287030-xzothuf7 90 11 acute acute JJ cord-287030-xzothuf7 90 12 human human JJ cord-287030-xzothuf7 90 13 immunodeficiency immunodeficiency NN cord-287030-xzothuf7 90 14 virus virus NN cord-287030-xzothuf7 90 15 ( ( -LRB- cord-287030-xzothuf7 90 16 HIV HIV NNP cord-287030-xzothuf7 90 17 ) ) -RRB- cord-287030-xzothuf7 90 18 infection infection NN cord-287030-xzothuf7 90 19 and and CC cord-287030-xzothuf7 90 20 duration duration NN cord-287030-xzothuf7 90 21 of of IN cord-287030-xzothuf7 90 22 acute acute JJ cord-287030-xzothuf7 90 23 HIV HIV NNP cord-287030-xzothuf7 90 24 infection infection NN cord-287030-xzothuf7 90 25 are be VBP cord-287030-xzothuf7 90 26 independent independent JJ cord-287030-xzothuf7 90 27 prognostic prognostic JJ cord-287030-xzothuf7 90 28 factors factor NNS cord-287030-xzothuf7 90 29 of of IN cord-287030-xzothuf7 90 30 progression progression NN cord-287030-xzothuf7 90 31 to to IN cord-287030-xzothuf7 90 32 AIDS AIDS NNP cord-287030-xzothuf7 90 33 Update Update NNP cord-287030-xzothuf7 90 34 : : : cord-287030-xzothuf7 90 35 management management NN cord-287030-xzothuf7 90 36 of of IN cord-287030-xzothuf7 90 37 patients patient NNS cord-287030-xzothuf7 90 38 with with IN cord-287030-xzothuf7 90 39 suspected suspect VBN cord-287030-xzothuf7 90 40 viral viral JJ cord-287030-xzothuf7 90 41 hemorrhagic hemorrhagic JJ cord-287030-xzothuf7 90 42 feverdUnited feverdunite VBN cord-287030-xzothuf7 90 43 States state NNS cord-287030-xzothuf7 90 44 . . . cord-287030-xzothuf7 91 1 MMWR MMWR NNP cord-287030-xzothuf7 91 2 Morb Morb NNP cord-287030-xzothuf7 91 3 Mortal Mortal NNP cord-287030-xzothuf7 92 1 Wkly Wkly NNP cord-287030-xzothuf7 92 2 Rep Rep NNP