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

TY - JOUR

T1 - Eosinophilia in returning travellers and migrants from the tropics

T2 - UK recommendations for investigation and initial management

AU - Checkley, Anna M

AU - Chiodini, Peter L

AU - Dockrell, David H

AU - Bates, Imelda

AU - Thwaites, Guy E

AU - Booth, Helen L

AU - Brown, Michael

AU - Wright, Stephen G

AU - Grant, Alison D

AU - Mabey, David C

AU - Whitty, Christopher J M

AU - Sanderson, Frances

AU - British Infection Society and Hospital for Tropical Diseases

N1 - 2009 The British Infection Society. Published by Elsevier Ltd. All rights reserved.

PY - 2010/1

Y1 - 2010/1

N2 - 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.

AB - 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.

U2 - 10.1016/j.jinf.2009.11.003

DO - 10.1016/j.jinf.2009.11.003

M3 - Literature review

C2 - 19931558

VL - 60

SP - 1

EP - 20

JO - Journal of Infection

JF - Journal of Infection

IS - 1

ER -