{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:16:39Z","timestamp":1787235399273,"version":"build-2736575974"},"reference-count":16,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2000,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background.<\/jats:title>\n                    <jats:p>In today's mobile society, international travel and immigration are becoming increasingly more common. This poses an additional challenge to the clinician to expand the differential diagnosis to include diseases endemic to the area of travel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Observation.<\/jats:title>\n                    <jats:p>We present a case of malaria and tuberculosis in a 16-year-old African male immigrant. He had several encounters with the health care system for complaints of nonspecific symptoms for which he was treated with antibiotics without follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Clinicians should take a complete history and expand their differential diagnosis to include diseases endemic to the country of origin and\/or travel when treating an international patient. This not only will allow prompt treatment of the patient's condition but also will address public health concerns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.106.1.e3","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T19:50:41Z","timestamp":1092426641000},"page":"e3-e3","source":"Crossref","is-referenced-by-count":3,"title":["Infectious Disease Challenges in Immigrants From Tropical Countries"],"prefix":"10.1542","volume":"106","author":[{"given":"Clyde Walter","family":"Worley","sequence":"first","affiliation":[{"name":"1From the Department of Pediatrics, East Tennessee State University, Johnson City, Tennessee."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly Ann","family":"Worley","sequence":"additional","affiliation":[{"name":"1From the Department of Pediatrics, East Tennessee State University, Johnson City, Tennessee."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. Lucy","family":"Kumar","sequence":"additional","affiliation":[{"name":"1From the Department of Pediatrics, East Tennessee State University, Johnson City, Tennessee."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2000,7,1]]},"reference":[{"key":"2021121003130072900_B1"},{"key":"2021121003130072900_B2"},{"key":"2021121003130072900_B3","first-page":"1","article-title":"Malaria surveillance\u2014United States, 1995.","volume":"48","author":"Williams","year":"1999","journal-title":"MMWR CDC Surveill Summ"},{"key":"2021121003130072900_B4","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1111\/j.1708-8305.1996.tb00719.x","article-title":"Chloroquine-resistant Plasmodium vivax malaria in Borneo.","volume":"3","author":"Ahlm","year":"1996","journal-title":"J Travel Med"},{"key":"2021121003130072900_B5","doi-asserted-by":"crossref","first-page":"513","DOI":"10.4269\/ajtmh.1998.59.513","article-title":"Chloroquine-resistant Plasmodium vivax in transmigration settlements of West Kalimantan, Indonesia.","volume":"59","author":"Fryauff","year":"1998","journal-title":"Am J Trop Med Hyg"},{"key":"2021121003130072900_B6","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1056\/NEJM199609123351107","article-title":"The treatment of malaria: current concepts.","volume":"335","author":"White","year":"1996","journal-title":"N Engl J Med"},{"key":"2021121003130072900_B7"},{"key":"2021121003130072900_B8","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/S0891-5520(20)30542-0","article-title":"Malaria: principles of prevention and treatment.","volume":"7","author":"Zucker","year":"1993","journal-title":"Infect Dis Clin North Am"},{"key":"2021121003130072900_B9","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1164\/ajrccm\/142.3.725","article-title":"Diagnostic standards and classification of tuberculosis.","volume":"142","author":"American Thoracic Society, Centers for Disease Control and Prevention","year":"1990","journal-title":"Am Rev Respir Dis"},{"key":"2021121003130072900_B10","first-page":"361","article-title":"Expanded tuberculosis surveillance and tuberculosis morbidity\u2014United States, 1993.","volume":"43","author":"Centers for Disease Control","year":"1994","journal-title":"MMWR CDC Surveill Summ"},{"key":"2021121003130072900_B11","first-page":"846","article-title":"Tuberculin skin test survey in a pediatric population with high BCG vaccination coverage\u2014Botswana, 1996.","volume":"46","author":"Centers for Disease Control and Prevention","year":"1997","journal-title":"MMWR CDC Surveill Summ"},{"key":"2021121003130072900_B12","first-page":"732","article-title":"Progress toward the elimination of tuberculosis\u2014United States, 1998.","volume":"48","author":"Centers for Disease Control and Prevention","year":"1999","journal-title":"MMWR CDC Surveill Summ"},{"key":"2021121003130072900_B13","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1056\/NEJM199504203321606","article-title":"The epidemiology of tuberculosis among foreign-born persons in the United States, 1986 to 1993.","volume":"332","author":"McKenna","year":"1995","journal-title":"N Engl J Med"},{"key":"2021121003130072900_B14","first-page":"2025","article-title":"Primary care of international adoptees.","volume":"58","author":"Quarles","year":"1998","journal-title":"Am Fam Physician"},{"key":"2021121003130072900_B15","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1001\/archpedi.1995.02170210061011","article-title":"Health status of pediatric refugees in Buffalo, NY.","volume":"149","author":"Meropol","year":"1995","journal-title":"Arch Pediatr Adolesc Med"},{"key":"2021121003130072900_B16","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1080\/00325481.1996.11946097","article-title":"Medical examination of the internationally adopted child: screening for infectious disease and developmental delays.","volume":"99","author":"Hostetter","year":"1996","journal-title":"Postgrad Med"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/106\/1\/e3\/840841\/e3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/106\/1\/e3\/840841\/e3.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T04:44:29Z","timestamp":1639111469000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/106\/1\/e3\/62779\/Infectious-Disease-Challenges-in-Immigrants-From"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,7,1]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2000,7,1]]},"published-print":{"date-parts":[[2000,7,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.106.1.e3","relation":{},"ISSN":["1098-4275","0031-4005"],"issn-type":[{"value":"1098-4275","type":"electronic"},{"value":"0031-4005","type":"print"}],"subject":[],"published":{"date-parts":[[2000,7,1]]}}}