Eosinophilia in returning travellers and migrants from the tropics: UK recommendations for investigation and initial management.


Checkley, AM; Chiodini, PL; Dockrell, DH; Bates, I; Thwaites, GE; Booth, HL; Brown, M; Wright, SG; Grant, AD; Mabey, DC; Whitty, CJ; Sanderson, F; British Infection Society and Hospital for Tropical Diseases, ; (2010) Eosinophilia in returning travellers and migrants from the tropics: UK recommendations for investigation and initial management. The Journal of infection, 60 (1). pp. 1-20. ISSN 0163-4453 DOI: https://doi.org/10.1016/j.jinf.2009.11.003

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Abstract

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.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 19931558
Web of Science ID: 273715600001
URI: http://researchonline.lshtm.ac.uk/id/eprint/3652

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