id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-252266-8o4kte9i	Beeching, Nick	Fever in the returning traveller	2005-07-01		.txt	text/plain	1769	102	44	The quality of pre-travel advice and vaccinations, adherence to chemoprophylaxis against malaria, avoidance of insect bites and general behaviour abroad (including sexual history) are also important. Initial investigations should include adequate malaria films (supplemented by quick antigen detection tests in many laboratories) and blood count, repeated as necessary, blood, urine and faecal cultures, serum biochemistry, chest radiography and other imaging (e.g. liver ultrasonography) as indicated. Worldwide, but mainly tropics Persistent fever, right upper Neutrophil leucocytosis, abdominal pain and tenderness, ultrasonography of liver, serology signs at right lung base African trypanosomiasis Visitors to African game parks, Chancre at bite site, tachycardia, Hypoglycaemia, thrombocytopenia, tsetse fly lymphadenopathy, splenomegaly, thick blood films, serology, consider transient oedema, variable rashes CSF examination only after obtaining expert advice Falciparum malaria must be excluded, and is the diagnosis in 65-75% of patients hospitalized after visiting Sub-Saharan Africa, compared with 15-25% of those returning from Asia, who are more likely to have dengue fever.	./cache/cord-252266-8o4kte9i.txt	./txt/cord-252266-8o4kte9i.txt