{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T10:20:11Z","timestamp":1790850011923,"version":"4.1.0"},"reference-count":29,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004348","name":"Region Stockholm","doi-asserted-by":"publisher","award":["986923"],"award-info":[{"award-number":["986923"]}],"id":[{"id":"10.13039\/501100004348","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004047","name":"Karolinska Institute","doi-asserted-by":"publisher","award":["2023\\u201302455"],"award-info":[{"award-number":["2023\\u201302455"]}],"id":[{"id":"10.13039\/501100004047","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006350","name":"Foundation Classroom Groschinskys Memorial Fund","doi-asserted-by":"publisher","award":["20180409"],"award-info":[{"award-number":["20180409"]}],"id":[{"id":"10.13039\/501100006350","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Travel Medicine and Infectious Disease"],"published-print":{"date-parts":[[2025,5]]},"DOI":"10.1016\/j.tmaid.2025.102861","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T02:59:09Z","timestamp":1745981949000},"page":"102861","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["Fever in travelers returning from tropical and subtropical areas: a hospital-based study of factors affecting investigations and diagnoses in children and adults"],"prefix":"10.1016","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1585-8475","authenticated-orcid":false,"given":"Klara","family":"Sond\u00e9n","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2981-4900","authenticated-orcid":false,"given":"Donya","family":"Satarvandi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Hildenwall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Falck-Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Yman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niclas","family":"Johansson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Wyss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elin","family":"Folkesson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilmir","family":"Asgeirsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Nordling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna L\u00f6whagen","family":"Welander","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"F\u00e4rnert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.tmaid.2025.102861_bib1","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1093\/trstmh\/trw053","article-title":"Geographical and temporal trends in imported infections from the tropics requiring inpatient care at the Hospital for Tropical Diseases, London - a 15 year study","volume":"110","author":"Marks","year":"2016","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"10.1016\/j.tmaid.2025.102861_bib2","doi-asserted-by":"crossref","first-page":"470","DOI":"10.4269\/ajtmh.18-0736","article-title":"Diagnostic value of platelet and leukocyte counts in the differential diagnosis of fever in the returning traveler","volume":"100","author":"Rubio","year":"2019","journal-title":"Am J Trop Med Hyg"},{"key":"10.1016\/j.tmaid.2025.102861_bib3","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.tmaid.2005.01.002","article-title":"Fever in travelers returning from tropical areas: prospective observational study of 613 cases hospitalised in Marseilles, France, 1999-2003","volume":"4","author":"Parola","year":"2006","journal-title":"Trav Med Infect Dis"},{"key":"10.1016\/j.tmaid.2025.102861_bib4","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1056\/NEJMra1508435","article-title":"Approach to fever in the returning traveler","volume":"376","author":"Thwaites","year":"2017","journal-title":"N Engl J Med"},{"key":"10.1016\/j.tmaid.2025.102861_bib5","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1097\/MD.0b013e3180305c48","article-title":"Fever after a stay in the tropics: diagnostic predictors of the leading tropical conditions","volume":"86","author":"Bottieau","year":"2007","journal-title":"Medicine"},{"key":"10.1016\/j.tmaid.2025.102861_bib6","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1111\/jtm.12099","article-title":"Feasibility and clinical outcomes when using practice guidelines for evaluation of fever in returning travelers and migrants: a validation study","volume":"21","author":"Mueller","year":"2014","journal-title":"J Trav Med"},{"key":"10.1016\/j.tmaid.2025.102861_bib7","doi-asserted-by":"crossref","DOI":"10.1093\/jtm\/taac002","article-title":"Causes of fever in returning travelers: a European multicenter prospective cohort study","volume":"29","author":"Camprub\u00ed-Ferrer","year":"2022","journal-title":"J Trav Med"},{"key":"10.1016\/j.tmaid.2025.102861_bib8","doi-asserted-by":"crossref","first-page":"1805","DOI":"10.3201\/eid1511.091157","article-title":"Serologic analysis of returned travelers with fever, Sweden","volume":"15","author":"Askling","year":"2009","journal-title":"Emerg Infect Dis"},{"key":"10.1016\/j.tmaid.2025.102861_bib9","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1001\/archinte.166.15.1642","article-title":"Etiology and outcome of fever after a stay in the tropics","volume":"166","author":"Bottieau","year":"2006","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.tmaid.2025.102861_bib10","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1056\/NEJMoa051331","article-title":"Spectrum of disease and relation to place of exposure among ill returned travelers","volume":"354","author":"Freedman","year":"2006","journal-title":"N Engl J Med"},{"key":"10.1016\/j.tmaid.2025.102861_bib11","doi-asserted-by":"crossref","DOI":"10.1093\/jtm\/taaa207","article-title":"Aetiology of fever in returning travellers and migrants: a systematic review and meta-analysis","volume":"27","author":"Buss","year":"2020","journal-title":"J Trav Med"},{"key":"10.1016\/j.tmaid.2025.102861_bib12","series-title":"Travellers returning ill from the tropics-a descriptive retrospective study","author":"Zimmermann","year":"2016"},{"key":"10.1016\/j.tmaid.2025.102861_bib13","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1093\/trstmh\/trw053","article-title":"Geographical and temporal trends in imported infections from the tropics requiring inpatient care at the Hospital for Tropical Diseases, London-a 15 year study","volume":"110","author":"Marks","year":"2016","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"10.1016\/j.tmaid.2025.102861_bib14","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1001\/archinte.162.14.1625","article-title":"Predictive factors of malaria in travelers to areas where malaria is endemic","volume":"162","author":"Casalino","year":"2002","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.tmaid.2025.102861_bib15","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1136\/archdischild-2012-303196","article-title":"Fever in the returning child traveller: approach to diagnosis and management","volume":"99","author":"Halbert","year":"2014","journal-title":"Arch Dis Child"},{"key":"10.1016\/j.tmaid.2025.102861_bib16","doi-asserted-by":"crossref","first-page":"135","DOI":"10.2310\/7060.2004.18557","article-title":"Prospective observational study of fever in hospitalized returning travelers and migrants from tropical areas, 1997-2001","volume":"11","author":"Antinori","year":"2004","journal-title":"J Trav Med"},{"key":"10.1016\/j.tmaid.2025.102861_bib17","article-title":"Health and illness in migrants and refugees arriving in Europe: analysis of the electronic Personal Health Record system","volume":"29","author":"Zenner","year":"2022","journal-title":"J Trav Med"},{"key":"10.1016\/j.tmaid.2025.102861_bib18","first-page":"625","article-title":"Visiting relatives and friends (VFR), pregnant, and other vulnerable travelers","volume":"26","author":"Matteelli","year":"2012","journal-title":"Infect Dis Clin"},{"key":"10.1016\/j.tmaid.2025.102861_bib19","article-title":"[Management of malaria in Sweden]","volume":"116","author":"Ljungberg","year":"2019","journal-title":"Lakartidningen"},{"key":"10.1016\/j.tmaid.2025.102861_bib20","series-title":"Evaluation of fever in the returning traveler","author":"Elizabeth Wilson","year":"2024"},{"key":"10.1016\/j.tmaid.2025.102861_bib21","article-title":"Fever in the returned pediatric traveler","volume":"8","author":"Abdel-Haq","year":"2021","journal-title":"Glob Pediatr Health"},{"key":"10.1016\/j.tmaid.2025.102861_bib22","first-page":"1","article-title":"Pre-hospital time delays in imported malaria diagnosis in hospitalized sub-Saharan travelers and migrants: not only on the patient's shoulders","volume":"2024","author":"Castillo-Fern\u00e1ndez","year":"2024","journal-title":"Infection"},{"key":"10.1016\/j.tmaid.2025.102861_bib23","doi-asserted-by":"crossref","DOI":"10.1093\/jtm\/taad023","article-title":"Factors associated with delay in seeking healthcare for imported malaria: a retrospective study in a French hospital","volume":"30","author":"Flateau","year":"2023","journal-title":"J Trav Med"},{"key":"10.1016\/j.tmaid.2025.102861_bib24","first-page":"400","article-title":"Fever in the returning traveler","volume":"119","author":"Paquet","year":"2022","journal-title":"Dtsch Arztebl Int"},{"key":"10.1016\/j.tmaid.2025.102861_bib25","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/S1473-3099(14)71000-X","article-title":"Travel-associated infection presenting in Europe (2008-12): an analysis of EuroTravNet longitudinal, surveillance data, and evaluation of the effect of the pre-travel consultation","volume":"15","author":"Schlagenhauf","year":"2015","journal-title":"Lancet Infect Dis"},{"key":"10.1016\/j.tmaid.2025.102861_bib26","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1093\/cid\/cir839","article-title":"Global TravEpiNet: a national consortium of clinics providing care to international travelers--analysis of demographic characteristics, travel destinations, and pretravel healthcare of high-risk US international travelers, 2009-2011","volume":"54","author":"Larocque","year":"2012","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.tmaid.2025.102861_bib27","doi-asserted-by":"crossref","DOI":"10.1016\/j.lanepe.2021.100230","article-title":"Climate change and infectious disease in Europe: impact, projection and adaptation","volume":"9","author":"Semenza","year":"2021","journal-title":"The Lancet regional health Europe"},{"key":"10.1016\/j.tmaid.2025.102861_bib28","series-title":"Home","year":"2024"},{"key":"10.1016\/j.tmaid.2025.102861_bib29","first-page":"1","article-title":"Scoring systems for prediction of malaria and dengue fever in non-endemic areas among travellers arriving from tropical and subtropical areas","volume":"0","author":"Satarvandi","year":"2024","journal-title":"Emerg Med J"}],"container-title":["Travel Medicine and Infectious Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1477893925000675?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1477893925000675?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T20:35:42Z","timestamp":1762547742000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1477893925000675"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":29,"alternative-id":["S1477893925000675"],"URL":"https:\/\/doi.org\/10.1016\/j.tmaid.2025.102861","relation":{},"ISSN":["1477-8939"],"issn-type":[{"value":"1477-8939","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Fever in travelers returning from tropical and subtropical areas: a hospital-based study of factors affecting investigations and diagnoses in children and adults","name":"articletitle","label":"Article Title"},{"value":"Travel Medicine and Infectious Disease","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.tmaid.2025.102861","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"102861"}}