Eosinophilia in returning travellers and migrants from the tropics: UK recommendations for investigation and initial management - 07/08/11
, Peter L. Chiodini a, David H. Dockrell b, Imelda Bates c, Guy E. Thwaites a, Helen L. Booth d, Michael Brown a, Stephen G. Wright a, Alison D. Grant a, David C. Mabey a, Christopher J.M. Whitty a, Frances Sanderson eOn behalf of the British Infection Society and The Hospital for Tropical Diseases
Corresponding author at: Jenner Vaccine Institute, ORCRB, Roosevelt Drive, Oxford OX3 7DQ, UK. Tel.: +44 1865 617636; fax: +44 1865 617608.Summary |
Eosinophilia is a common finding in returning travellers and migrants, and in this group it often indicates an underlying helminth infection. Infections are frequently either asymptomatic or associated with non-specific symptoms, but some can cause severe disease. Here the British Infection Society guidelines group reviews common and serious infectious causes of eosinophilia, and outlines a scheme for investigating returning travellers and migrants. All returning travellers and migrants with eosinophilia should be investigated with concentrated stool microscopy and strongyloides serology, in addition to tests specific to the region they have visited. Terminal urine microscopy and serology for schistosomiasis should also be performed in those returning from Africa. Eosinophilia is also a feature of significant non-infective conditions, which should be considered.
Le texte complet de cet article est disponible en PDF.Keywords : Eosinophilia, Helminth, Traveller, Migrant, Investigation, Management
Plan
Vol 60 - N° 1
P. 1-20 - janvier 2010 Retour au numéro
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