RT Book, Section A1 McKittrick, Noah D. A1 LaBeaud, Angelle Desiree A2 Shah, Samir S. A2 Kemper, Alex R. A2 Ratner, Adam J. SR Print(0) ID 1157324304 T1 Fever in the Returned Traveler T2 Pediatric Infectious Diseases: Essentials for Practice, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861536 LK accesspediatrics.mhmedical.com/content.aspx?aid=1157324304 RD 2024/03/29 AB More than 60 million people travel to the tropics and the developing world every year and are exposed to diseases that are not commonly seen in the United States or other developed countries. Even though child travelers represent only a small fraction of this number, they constitute about a quarter of all travel-related hospital admissions.1 Management of sick children after international travel is complicated; febrile illness caused by common, universally transmitted infections such as respiratory and gastrointestinal viruses is extremely common in this population, yet children are also vulnerable to tropical infections acquired during travel. Although pediatric data are lacking, the etiology of fever among returned travelers is generally equally distributed among the tropical diseases, commonly acquired infections (those found in both developed and developing countries) and illnesses of unknown etiology.2 Thus, a complete evaluation requires elements that are seldom included in a general pediatric review: assessment of travel vaccinations and prophylaxis, specific destination and exposure history, and probable incubation period. The most common tropical diseases in the returning traveler are malaria, traveler’s diarrhea, dengue, rickettsiosis, and typhoid fever.