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Refugees and internationally adopted children 

Refugees and internationally adopted children
Chapter:
Refugees and internationally adopted children
DOI:
10.1093/med/9780198729228.003.0029
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date: 17 June 2019

Children have an increased risk of illness when they travel abroad, because they often visit friends and relatives in rural areas and take less preventive measures. The commonest reasons for seeking medical advice in returned travellers are fever, diarrhoea, respiratory tract illness, and skin lesions. It is essential to take a travel history in all children presenting with fever. Children who present with fever after travel to the tropics need assessment for both common and tropical infections, especially malaria. Traveller’s diarrhoea is more likely to be bacterial or protozoal, rather than viral infections. Respiratory tract infections are common in children returning from abroad, but pulmonary tuberculosis needs to be considered. Skin lesions include infected insect bites and cutaneous larva migrans. The majority of diagnoses requiring treatment can be made using simple investigations: stool microscopy and culture, blood film for malaria, chest X-ray, and blood culture. Management depends on the cause of the illness; the treatment of specific infections is described elsewhere in the manual.

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