Problems in the returned traveller

• Most will present within 2 weeks except HIV infection.

• Common infections encountered are giardiasis, amoebiasis, hepatitis A, B or E, gonorrhoea or Chlamydia trachomatis, malaria and helminthic infestations.

• An important non-infected problem requiring vigilance is deep venous thrombosis and thromboembolism.

• The asymptomatic traveller may present for advice about an illness acquired or about exposure (without illness) such as rabies, malaria, schistosomiasis and sexually transmitted diseases.

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