Malaria and other febrile diseases among travellers: the experience of a reference centre located outside the Brazilian Amazon Region

Background Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made malaria a relevant health problem even in non-endemic regions. Malaria has been described as the main diagnosis among travellers presenting f...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Malaria journal Jg. 15; H. 1; S. 294 - 11
Hauptverfasser:	Dotrário, Andréa Beltrami, Menon, Lucas José Bazzo, Bollela, Valdes Roberto, Martinez, Roberto, de Almeida e Araújo, Daniel Cardoso, da Fonseca, Benedito Antônio Lopes, Santana, Rodrigo de C.
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	London BioMed Central 26.05.2016 BioMed Central Ltd Springer Nature B.V BMC
Schlagworte:	Acute febrile illness Adolescent Adult Aged Aged, 80 and over Analysis Bilirubin Biomedical and Life Sciences Biomedicine Brazil - epidemiology Brazilian Amazon Care and treatment Cross-Sectional Studies Diagnosis Diagnostic Tests, Routine - methods Disease transmission Dosage and administration Entomology Female Fever - diagnosis Fever - epidemiology Health aspects Humans Infectious Diseases Malaria Malaria - diagnosis Malaria - epidemiology Male Microbiology Middle Aged Parasitology Plasmodium falciparum Plasmodium vivax Prevalence Prevention Public Health Retrospective Studies Symptomatology Travel Travelers Tropical environments Tropical Medicine Vector-borne diseases Young Adult Brazil Brazilian Amazon Acute febrile illness Diagnosis Malaria Plasmodium falciparum Plasmodium vivax
ISSN:	1475-2875, 1475-2875
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Abstract	Background Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made malaria a relevant health problem even in non-endemic regions. Malaria has been described as the main diagnosis among travellers presenting febrile diseases after returning from tropical countries. In Brazil, malaria transmission occurs mainly in the Amazon region. Outside this area, malaria transmission is of low magnitude. Methods This cross-sectional study aimed to describe the experience in the diagnosis of malaria in a reference centre located outside the Brazilian Amazon Region, emphasizing the differences in clinical and laboratory markers between cases of malaria and those of other febrile diseases (OFD). Medical charts from adult patients (≥18 years) who underwent a thick smear test (TST) for malaria, between January 2001 and December 2014, were retrospectively reviewed. Results A total of 458 cases referred to perform the TST were included. Malaria was diagnosed in 193 (42 %) episodes. The remaining 265 episodes (58 %) were grouped as OFD. The majority of malaria episodes were acquired in the Brazilian Amazon Region. The median time between the onset of symptoms and the TST was 7 days. Only 53 (11.5 %) episodes were tested within the first 48 h after symptom onset. Comparing malaria with OFD, jaundice, nausea, vomiting, and reports of fever were more prevalent in the malaria group. Low platelet count and elevated bilirubin levels were also related to the diagnosis of malaria. Conclusions The results indicate that outside the endemic area travellers presenting febrile disease suspected of being malaria underwent diagnostic test after considerable delay. The reporting of fever combined with a recent visit to an endemic area should promptly evoke the hypothesis of malaria. In these cases, specific diagnostic tests for malaria should be a priority. For cases that jump this step, the presence of elevated bilirubin or thrombocytopaenia should also indicate a diagnosis of malaria.
AbstractList	Abstract Background Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made malaria a relevant health problem even in non-endemic regions. Malaria has been described as the main diagnosis among travellers presenting febrile diseases after returning from tropical countries. In Brazil, malaria transmission occurs mainly in the Amazon region. Outside this area, malaria transmission is of low magnitude. Methods This cross-sectional study aimed to describe the experience in the diagnosis of malaria in a reference centre located outside the Brazilian Amazon Region, emphasizing the differences in clinical and laboratory markers between cases of malaria and those of other febrile diseases (OFD). Medical charts from adult patients (≥18 years) who underwent a thick smear test (TST) for malaria, between January 2001 and December 2014, were retrospectively reviewed. Results A total of 458 cases referred to perform the TST were included. Malaria was diagnosed in 193 (42 %) episodes. The remaining 265 episodes (58 %) were grouped as OFD. The majority of malaria episodes were acquired in the Brazilian Amazon Region. The median time between the onset of symptoms and the TST was 7 days. Only 53 (11.5 %) episodes were tested within the first 48 h after symptom onset. Comparing malaria with OFD, jaundice, nausea, vomiting, and reports of fever were more prevalent in the malaria group. Low platelet count and elevated bilirubin levels were also related to the diagnosis of malaria. Conclusions The results indicate that outside the endemic area travellers presenting febrile disease suspected of being malaria underwent diagnostic test after considerable delay. The reporting of fever combined with a recent visit to an endemic area should promptly evoke the hypothesis of malaria. In these cases, specific diagnostic tests for malaria should be a priority. For cases that jump this step, the presence of elevated bilirubin or thrombocytopaenia should also indicate a diagnosis of malaria. Background Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made malaria a relevant health problem even in non-endemic regions. Malaria has been described as the main diagnosis among travellers presenting febrile diseases after returning from tropical countries. In Brazil, malaria transmission occurs mainly in the Amazon region. Outside this area, malaria transmission is of low magnitude. Methods This cross-sectional study aimed to describe the experience in the diagnosis of malaria in a reference centre located outside the Brazilian Amazon Region, emphasizing the differences in clinical and laboratory markers between cases of malaria and those of other febrile diseases (OFD). Medical charts from adult patients (≥18 years) who underwent a thick smear test (TST) for malaria, between January 2001 and December 2014, were retrospectively reviewed. Results A total of 458 cases referred to perform the TST were included. Malaria was diagnosed in 193 (42 %) episodes. The remaining 265 episodes (58 %) were grouped as OFD. The majority of malaria episodes were acquired in the Brazilian Amazon Region. The median time between the onset of symptoms and the TST was 7 days. Only 53 (11.5 %) episodes were tested within the first 48 h after symptom onset. Comparing malaria with OFD, jaundice, nausea, vomiting, and reports of fever were more prevalent in the malaria group. Low platelet count and elevated bilirubin levels were also related to the diagnosis of malaria. Conclusions The results indicate that outside the endemic area travellers presenting febrile disease suspected of being malaria underwent diagnostic test after considerable delay. The reporting of fever combined with a recent visit to an endemic area should promptly evoke the hypothesis of malaria. In these cases, specific diagnostic tests for malaria should be a priority. For cases that jump this step, the presence of elevated bilirubin or thrombocytopaenia should also indicate a diagnosis of malaria. Background Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made malaria a relevant health problem even in non-endemic regions. Malaria has been described as the main diagnosis among travellers presenting febrile diseases after returning from tropical countries. In Brazil, malaria transmission occurs mainly in the Amazon region. Outside this area, malaria transmission is of low magnitude. Methods This cross-sectional study aimed to describe the experience in the diagnosis of malaria in a reference centre located outside the Brazilian Amazon Region, emphasizing the differences in clinical and laboratory markers between cases of malaria and those of other febrile diseases (OFD). Medical charts from adult patients (≥18 years) who underwent a thick smear test (TST) for malaria, between January 2001 and December 2014, were retrospectively reviewed. Results A total of 458 cases referred to perform the TST were included. Malaria was diagnosed in 193 (42 %) episodes. The remaining 265 episodes (58 %) were grouped as OFD. The majority of malaria episodes were acquired in the Brazilian Amazon Region. The median time between the onset of symptoms and the TST was 7 days. Only 53 (11.5 %) episodes were tested within the first 48 h after symptom onset. Comparing malaria with OFD, jaundice, nausea, vomiting, and reports of fever were more prevalent in the malaria group. Low platelet count and elevated bilirubin levels were also related to the diagnosis of malaria. Conclusions The results indicate that outside the endemic area travellers presenting febrile disease suspected of being malaria underwent diagnostic test after considerable delay. The reporting of fever combined with a recent visit to an endemic area should promptly evoke the hypothesis of malaria. In these cases, specific diagnostic tests for malaria should be a priority. For cases that jump this step, the presence of elevated bilirubin or thrombocytopaenia should also indicate a diagnosis of malaria. Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made malaria a relevant health problem even in non-endemic regions. Malaria has been described as the main diagnosis among travellers presenting febrile diseases after returning from tropical countries. In Brazil, malaria transmission occurs mainly in the Amazon region. Outside this area, malaria transmission is of low magnitude. This cross-sectional study aimed to describe the experience in the diagnosis of malaria in a reference centre located outside the Brazilian Amazon Region, emphasizing the differences in clinical and laboratory markers between cases of malaria and those of other febrile diseases (OFD). Medical charts from adult patients (≥18 years) who underwent a thick smear test (TST) for malaria, between January 2001 and December 2014, were retrospectively reviewed. A total of 458 cases referred to perform the TST were included. Malaria was diagnosed in 193 (42 %) episodes. The remaining 265 episodes (58 %) were grouped as OFD. The majority of malaria episodes were acquired in the Brazilian Amazon Region. The median time between the onset of symptoms and the TST was 7 days. Only 53 (11.5 %) episodes were tested within the first 48 h after symptom onset. Comparing malaria with OFD, jaundice, nausea, vomiting, and reports of fever were more prevalent in the malaria group. Low platelet count and elevated bilirubin levels were also related to the diagnosis of malaria. The results indicate that outside the endemic area travellers presenting febrile disease suspected of being malaria underwent diagnostic test after considerable delay. The reporting of fever combined with a recent visit to an endemic area should promptly evoke the hypothesis of malaria. In these cases, specific diagnostic tests for malaria should be a priority. For cases that jump this step, the presence of elevated bilirubin or thrombocytopaenia should also indicate a diagnosis of malaria. Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made malaria a relevant health problem even in non-endemic regions. Malaria has been described as the main diagnosis among travellers presenting febrile diseases after returning from tropical countries. In Brazil, malaria transmission occurs mainly in the Amazon region. Outside this area, malaria transmission is of low magnitude.BACKGROUNDMalaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made malaria a relevant health problem even in non-endemic regions. Malaria has been described as the main diagnosis among travellers presenting febrile diseases after returning from tropical countries. In Brazil, malaria transmission occurs mainly in the Amazon region. Outside this area, malaria transmission is of low magnitude.This cross-sectional study aimed to describe the experience in the diagnosis of malaria in a reference centre located outside the Brazilian Amazon Region, emphasizing the differences in clinical and laboratory markers between cases of malaria and those of other febrile diseases (OFD). Medical charts from adult patients (≥18 years) who underwent a thick smear test (TST) for malaria, between January 2001 and December 2014, were retrospectively reviewed.METHODSThis cross-sectional study aimed to describe the experience in the diagnosis of malaria in a reference centre located outside the Brazilian Amazon Region, emphasizing the differences in clinical and laboratory markers between cases of malaria and those of other febrile diseases (OFD). Medical charts from adult patients (≥18 years) who underwent a thick smear test (TST) for malaria, between January 2001 and December 2014, were retrospectively reviewed.A total of 458 cases referred to perform the TST were included. Malaria was diagnosed in 193 (42 %) episodes. The remaining 265 episodes (58 %) were grouped as OFD. The majority of malaria episodes were acquired in the Brazilian Amazon Region. The median time between the onset of symptoms and the TST was 7 days. Only 53 (11.5 %) episodes were tested within the first 48 h after symptom onset. Comparing malaria with OFD, jaundice, nausea, vomiting, and reports of fever were more prevalent in the malaria group. Low platelet count and elevated bilirubin levels were also related to the diagnosis of malaria.RESULTSA total of 458 cases referred to perform the TST were included. Malaria was diagnosed in 193 (42 %) episodes. The remaining 265 episodes (58 %) were grouped as OFD. The majority of malaria episodes were acquired in the Brazilian Amazon Region. The median time between the onset of symptoms and the TST was 7 days. Only 53 (11.5 %) episodes were tested within the first 48 h after symptom onset. Comparing malaria with OFD, jaundice, nausea, vomiting, and reports of fever were more prevalent in the malaria group. Low platelet count and elevated bilirubin levels were also related to the diagnosis of malaria.The results indicate that outside the endemic area travellers presenting febrile disease suspected of being malaria underwent diagnostic test after considerable delay. The reporting of fever combined with a recent visit to an endemic area should promptly evoke the hypothesis of malaria. In these cases, specific diagnostic tests for malaria should be a priority. For cases that jump this step, the presence of elevated bilirubin or thrombocytopaenia should also indicate a diagnosis of malaria.CONCLUSIONSThe results indicate that outside the endemic area travellers presenting febrile disease suspected of being malaria underwent diagnostic test after considerable delay. The reporting of fever combined with a recent visit to an endemic area should promptly evoke the hypothesis of malaria. In these cases, specific diagnostic tests for malaria should be a priority. For cases that jump this step, the presence of elevated bilirubin or thrombocytopaenia should also indicate a diagnosis of malaria.
ArticleNumber	294
Audience	Academic
Author	de Almeida e Araújo, Daniel Cardoso Bollela, Valdes Roberto Santana, Rodrigo de C. Menon, Lucas José Bazzo Dotrário, Andréa Beltrami Martinez, Roberto da Fonseca, Benedito Antônio Lopes
Author_xml	– sequence: 1 givenname: Andréa Beltrami surname: Dotrário fullname: Dotrário, Andréa Beltrami organization: Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP) – sequence: 2 givenname: Lucas José Bazzo surname: Menon fullname: Menon, Lucas José Bazzo organization: Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP) – sequence: 3 givenname: Valdes Roberto surname: Bollela fullname: Bollela, Valdes Roberto organization: Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP) – sequence: 4 givenname: Roberto surname: Martinez fullname: Martinez, Roberto organization: Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP) – sequence: 5 givenname: Daniel Cardoso surname: de Almeida e Araújo fullname: de Almeida e Araújo, Daniel Cardoso organization: Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP) – sequence: 6 givenname: Benedito Antônio Lopes surname: da Fonseca fullname: da Fonseca, Benedito Antônio Lopes organization: Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP) – sequence: 7 givenname: Rodrigo de C. surname: Santana fullname: Santana, Rodrigo de C. email: santanacrod@fmrp.usp.br organization: Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP)
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/27230739$$D View this record in MEDLINE/PubMed
BookMark	eNp9kktv1DAUhSNURB_wA9ggS2zYpMRO4gcLpKHiUakICcHaunFuUo8Se7Az1dA9_xtnplQzFSAvYiffOdf35pxmR847zLLntDinVPLXkTJV8rygPKdlJfLNo-yEVqLOmRT10d7-ODuNcVkUVEjBnmTHTLCyEKU6yX59hgGCBQKuJX66xkA6bIIdkLQ2IkSMBEbvejIFuMFhwBDfkMQR3KwwWHQGie8IkIAdhu3RoJsCksEbmDC5rqdoW9yK3gW4tYMFRxYj3HpHvmJvvXuaPe5giPjs7nmWff_w_tvFp_zqy8fLi8VVbnhRTjkiY1BzI2qBqlQAlNaKAYdGdAwYb1qhWopY07bu2qLjBVRMKKnKynQ1VuVZdrnzbT0s9SrYEcJP7cHq7Qsfeg1hsmZA3TApFTaguoJWknYKGtmg5JJXoilh9nq781qtmxHbbdMwHJgefnH2Wvf-RldSMiFoMnh1ZxD8jzXGSY82mjRicOjXUVOhWCkKTuuEvnyALv06uDSqmRIV55TtUT2kBqzrfKprZlO9qOqyZqpS873P_0Kl1eJoTQpYl37-oeDFfqP3Hf4JUQLoDjDBx5hycI_QQs9B1bug6hRUPQdVb5JGPNAYO8GUspBuY4f_KtlOGVMV12PYm8U_Rb8BnVb9lQ
CitedBy_id	crossref_primary_10_1186_s12936_018_2421_3 crossref_primary_10_3201_eid2701_200349 crossref_primary_10_1016_j_tmaid_2022_102407 crossref_primary_10_3389_fcimb_2022_1008430 crossref_primary_10_3389_fmed_2020_589379 crossref_primary_10_1590_0037_8682_0564_2023
Cites_doi	10.1001/archinte.160.16.2505 10.2310/7060.2000.00077 10.1590/S0074-02762007005000051 10.1111/j.1469-0691.1996.tb00211.x 10.4269/ajtmh.2002.66.481 10.1371/journal.pone.0055220 10.1186/1475-2875-9-115 10.1016/j.pt.2009.02.003 10.7717/peerj.1325 10.1111/jtm.12122 10.1086/322602 10.1016/S0140-6736(13)60024-0 10.2310/7060.2004.18557 10.1590/S0037-86822010000500020 10.1016/j.jiac.2014.12.004 10.1086/518173 10.7326/0003-4819-141-7-200410050-00012 10.1097/MD.0b013e3180305c48 10.1111/j.1708-8305.2008.00251.x 10.1186/1475-2875-13-280 10.1111/j.1708-8305.2011.00554.x 10.1111/j.1708-8305.2009.00382.x 10.1136/bmj.e2116 10.1111/j.1708-8305.2008.00204.x
ContentType	Journal Article
Copyright	The Author(s) 2016 COPYRIGHT 2016 BioMed Central Ltd. Copyright BioMed Central 2016
Copyright_xml	– notice: The Author(s) 2016 – notice: COPYRIGHT 2016 BioMed Central Ltd. – notice: Copyright BioMed Central 2016
DBID	C6C AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 7SS 7U9 7X7 7XB 88E 8C1 8FI 8FJ 8FK ABUWG AEUYN AFKRA AZQEC BENPR C1K CCPQU DWQXO F1W FYUFA GHDGH H94 H95 H97 K9. L.G M0S M1P M7N PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI 7X8 5PM DOA
DOI	10.1186/s12936-016-1347-x
DatabaseName	SpringerOpen Free (Free internet resource, activated by CARLI) CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Entomology Abstracts (Full archive) Virology and AIDS Abstracts Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Public Health Database ProQuest Hospital Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest One Sustainability ProQuest Central UK/Ireland ProQuest Central Essentials - QC ProQuest Central Environmental Sciences and Pollution Management ProQuest One Community College ProQuest Central ASFA: Aquatic Sciences and Fisheries Abstracts Health Research Premium Collection Health Research Premium Collection (Alumni) AIDS and Cancer Research Abstracts Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality ProQuest Health & Medical Complete (Alumni) Aquatic Science & Fisheries Abstracts (ASFA) Professional Health & Medical Collection (Alumni) Medical Database Algology Mycology and Protozoology Abstracts (Microbiology C) ProQuest Databases ProQuest One Academic ProQuest Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Open Access Journals
DatabaseTitle	CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Publicly Available Content Database Aquatic Science & Fisheries Abstracts (ASFA) Professional ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality Environmental Sciences and Pollution Management ProQuest Central ProQuest One Sustainability ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Algology Mycology and Protozoology Abstracts (Microbiology C) Health & Medical Research Collection AIDS and Cancer Research Abstracts Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources ProQuest Central (New) ProQuest Medical Library (Alumni) ProQuest Public Health Virology and AIDS Abstracts ProQuest One Academic Eastern Edition ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Entomology Abstracts ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ASFA: Aquatic Sciences and Fisheries Abstracts ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic
DatabaseTitleList	Publicly Available Content Database MEDLINE MEDLINE - Academic
Database_xml	– sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: PIMPY name: Publicly Available Content Database url: http://search.proquest.com/publiccontent sourceTypes: Aggregation Database
DeliveryMethod	fulltext_linktorsrc
Discipline	Public Health
EISSN	1475-2875
EndPage	11
ExternalDocumentID	oai_doaj_org_article_b2889eba9f01481f9ab8be868647b3a4 PMC4882771 4091532471 A453529494 27230739 10_1186_s12936_016_1347_x
Genre	Research Support, Non-U.S. Gov't Journal Article
GeographicLocations	Brazil
GeographicLocations_xml	– name: Brazil
GrantInformation_xml	– fundername: Fundação de Amparo à Pesquisa do Estado de São Paulo (BR) grantid: 2014/05337-6 – fundername: ; grantid: 2014/05337-6
GroupedDBID	--- 0R~ 29M 2WC 4.4 53G 5VS 7X7 88E 8C1 8FI 8FJ AAFWJ AAJSJ AASML ABDBF ABUWG ACGFO ACGFS ACIHN ACMJI ACPRK ACUHS ADBBV ADRAZ ADUKV AEAQA AENEX AEUYN AFKRA AFPKN AHBYD AHMBA AHSBF AHYZX ALMA_UNASSIGNED_HOLDINGS AMKLP AMTXH AOIJS BAPOH BAWUL BCNDV BENPR BFQNJ BMC BPHCQ BVXVI C6C CCPQU CS3 DIK DU5 E3Z EAD EAP EAS EBD EBLON EBS ECGQY EJD EMB EMK EMOBN ESX F5P FYUFA GROUPED_DOAJ GX1 H13 HMCUK HYE IAO IHR INH INR IPNFZ ITC KQ8 M1P M48 M~E O5R O5S OK1 OVT P2P PGMZT PHGZM PHGZT PIMPY PJZUB PPXIY PQQKQ PROAC PSQYO PUEGO RBZ RIG RNS ROL RPM RSV SBL SOJ SV3 TR2 TUS U2A UKHRP W2D WOQ WOW XSB AAYXX AFFHD CITATION ALIPV CGR CUY CVF ECM EIF NPM 3V. 7SS 7U9 7XB 8FK AZQEC C1K DWQXO F1W H94 H95 H97 K9. L.G M7N PKEHL PQEST PQUKI 7X8 5PM
ID	FETCH-LOGICAL-c603t-ee22a56c757e939aa11592a6ab7f2a26bd79d1ee51d5fd0f60a42798934cf5e43
IEDL.DBID	BENPR
ISICitedReferencesCount	7
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000377179500004&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	1475-2875
IngestDate	Fri Oct 03 12:53:29 EDT 2025 Tue Nov 04 01:45:48 EST 2025 Thu Oct 02 05:25:18 EDT 2025 Sat Oct 18 23:46:25 EDT 2025 Tue Nov 11 10:57:08 EST 2025 Tue Nov 04 18:21:53 EST 2025 Mon Jul 21 05:58:03 EDT 2025 Tue Nov 18 21:59:30 EST 2025 Sat Nov 29 03:57:58 EST 2025 Sat Sep 06 07:30:04 EDT 2025
IsDoiOpenAccess	true
IsOpenAccess	true
IsPeerReviewed	true
IsScholarly	true
Issue	1
Keywords	Brazilian Amazon Acute febrile illness Diagnosis Malaria Plasmodium falciparum Plasmodium vivax
Language	English
License	Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-c603t-ee22a56c757e939aa11592a6ab7f2a26bd79d1ee51d5fd0f60a42798934cf5e43
Notes	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
OpenAccessLink	https://www.proquest.com/docview/1797466125?pq-origsite=%requestingapplication%
PMID	27230739
PQID	1797466125
PQPubID	42600
PageCount	11
ParticipantIDs	doaj_primary_oai_doaj_org_article_b2889eba9f01481f9ab8be868647b3a4 pubmedcentral_primary_oai_pubmedcentral_nih_gov_4882771 proquest_miscellaneous_1792370615 proquest_journals_1797466125 gale_infotracmisc_A453529494 gale_infotracacademiconefile_A453529494 pubmed_primary_27230739 crossref_primary_10_1186_s12936_016_1347_x crossref_citationtrail_10_1186_s12936_016_1347_x springer_journals_10_1186_s12936_016_1347_x
PublicationCentury	2000
PublicationDate	2016-05-26
PublicationDateYYYYMMDD	2016-05-26
PublicationDate_xml	– month: 05 year: 2016 text: 2016-05-26 day: 26
PublicationDecade	2010
PublicationPlace	London
PublicationPlace_xml	– name: London – name: England
PublicationTitle	Malaria journal
PublicationTitleAbbrev	Malar J
PublicationTitleAlternate	Malar J
PublicationYear	2016
Publisher	BioMed Central BioMed Central Ltd Springer Nature B.V BMC
Publisher_xml	– name: BioMed Central – name: BioMed Central Ltd – name: Springer Nature B.V – name: BMC
References	NJ White (1347_CR6) 2014; 383 ME Wilson (1347_CR2) 2007; 44 G Dorsey (1347_CR18) 2000; 160 AC Martins (1347_CR22) 2015; 3 S Kutsuna (1347_CR32) 2015; 21 RD Newman (1347_CR16) 2004; 141 S Antinori (1347_CR19) 2011; 18 C Thierfelder (1347_CR17) 2008; 15 D O’Brien (1347_CR27) 2001; 33 J Oliveira-Ferreira (1347_CR4) 2010; 9 KA Cullen (1347_CR11) 2012; 63 WHO (1347_CR7) 2012 AM Checkley (1347_CR12) 2012; 344 NM Anstey (1347_CR14) 2009; 25 S Alfandari (1347_CR24) 1996; 2 SM Taylor (1347_CR30) 2010; 304 JC Dos-Santos (1347_CR10) 2014; 13 M Mascarello (1347_CR13) 2008; 15 JL Sanchez (1347_CR23) 2000; 7 EC Cooper (1347_CR31) 2014; 21 AP Costa (1347_CR15) 2010; 43 1347_CR8 1347_CR5 S Ansart (1347_CR25) 2010; 17 1347_CR3 M Silva-Nunes da (1347_CR21) 2007; 102 V D’Acremont (1347_CR28) 2002; 66 S Antinori (1347_CR26) 2004; 11 1347_CR9 WHO (1347_CR1) 2014 E Bottieau (1347_CR29) 2007; 86 D He (1347_CR20) 2013; 8 30060737 - Malar J. 2018 Jul 30;17(1):277
References_xml	– volume: 160 start-page: 2505 year: 2000 ident: 1347_CR18 publication-title: Arch Intern Med doi: 10.1001/archinte.160.16.2505 – ident: 1347_CR9 – volume: 63 start-page: 1 year: 2012 ident: 1347_CR11 publication-title: MMWR Surveill Summ – volume: 304 start-page: 2048 year: 2010 ident: 1347_CR30 publication-title: JAMA – volume: 7 start-page: 275 year: 2000 ident: 1347_CR23 publication-title: J Travel Med doi: 10.2310/7060.2000.00077 – volume: 102 start-page: 341 year: 2007 ident: 1347_CR21 publication-title: Mem Inst Oswaldo Cruz doi: 10.1590/S0074-02762007005000051 – volume: 2 start-page: 86 year: 1996 ident: 1347_CR24 publication-title: Clin Microbiol Infect doi: 10.1111/j.1469-0691.1996.tb00211.x – volume: 66 start-page: 481 year: 2002 ident: 1347_CR28 publication-title: Am J Trop Med Hyg doi: 10.4269/ajtmh.2002.66.481 – volume: 8 start-page: e55220 year: 2013 ident: 1347_CR20 publication-title: PLoS ONE doi: 10.1371/journal.pone.0055220 – volume: 9 start-page: 115 year: 2010 ident: 1347_CR4 publication-title: Malar J doi: 10.1186/1475-2875-9-115 – volume: 25 start-page: 220 year: 2009 ident: 1347_CR14 publication-title: Trends Parasitol doi: 10.1016/j.pt.2009.02.003 – volume: 3 start-page: e1325 year: 2015 ident: 1347_CR22 publication-title: PeerJ doi: 10.7717/peerj.1325 – volume: 21 start-page: 235 year: 2014 ident: 1347_CR31 publication-title: J Travel Med doi: 10.1111/jtm.12122 – ident: 1347_CR8 – volume: 33 start-page: 603 year: 2001 ident: 1347_CR27 publication-title: Clin Infect Dis doi: 10.1086/322602 – volume: 383 start-page: 723 year: 2014 ident: 1347_CR6 publication-title: Lancet doi: 10.1016/S0140-6736(13)60024-0 – volume: 11 start-page: 135 year: 2004 ident: 1347_CR26 publication-title: J Travel Med doi: 10.2310/7060.2004.18557 – volume: 43 start-page: 571 year: 2010 ident: 1347_CR15 publication-title: Rev Soc Bras Med Trop doi: 10.1590/S0037-86822010000500020 – volume: 21 start-page: 272 year: 2015 ident: 1347_CR32 publication-title: J Infect Chemother doi: 10.1016/j.jiac.2014.12.004 – volume: 44 start-page: 1560 year: 2007 ident: 1347_CR2 publication-title: Clin Infect Dis doi: 10.1086/518173 – volume-title: World malaria report 2014 year: 2014 ident: 1347_CR1 – volume: 141 start-page: 547 year: 2004 ident: 1347_CR16 publication-title: Ann Intern Med doi: 10.7326/0003-4819-141-7-200410050-00012 – volume-title: Management of severe malaria: a practical handbook year: 2012 ident: 1347_CR7 – volume: 86 start-page: 18 year: 2007 ident: 1347_CR29 publication-title: Medicine (Baltimore) doi: 10.1097/MD.0b013e3180305c48 – volume: 15 start-page: 432 year: 2008 ident: 1347_CR17 publication-title: J Travel Med doi: 10.1111/j.1708-8305.2008.00251.x – volume: 13 start-page: 280 year: 2014 ident: 1347_CR10 publication-title: Malar J doi: 10.1186/1475-2875-13-280 – volume: 18 start-page: 379 year: 2011 ident: 1347_CR19 publication-title: J Travel Med doi: 10.1111/j.1708-8305.2011.00554.x – volume: 17 start-page: 124 year: 2010 ident: 1347_CR25 publication-title: J Travel Med doi: 10.1111/j.1708-8305.2009.00382.x – ident: 1347_CR3 – ident: 1347_CR5 – volume: 344 start-page: e2116 year: 2012 ident: 1347_CR12 publication-title: BMJ doi: 10.1136/bmj.e2116 – volume: 15 start-page: 229 year: 2008 ident: 1347_CR13 publication-title: J Travel Med doi: 10.1111/j.1708-8305.2008.00204.x – reference: 30060737 - Malar J. 2018 Jul 30;17(1):277
SSID	ssj0017872
Score	2.1613166
Snippet	Background Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made... Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made malaria a... Background Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made... Abstract Background Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers...
SourceID	doaj pubmedcentral proquest gale pubmed crossref springer
SourceType	Open Website Open Access Repository Aggregation Database Index Database Enrichment Source Publisher
StartPage	294
SubjectTerms	Acute febrile illness Adolescent Adult Aged Aged, 80 and over Analysis Bilirubin Biomedical and Life Sciences Biomedicine Brazil - epidemiology Brazilian Amazon Care and treatment Cross-Sectional Studies Diagnosis Diagnostic Tests, Routine - methods Disease transmission Dosage and administration Entomology Female Fever - diagnosis Fever - epidemiology Health aspects Humans Infectious Diseases Malaria Malaria - diagnosis Malaria - epidemiology Male Microbiology Middle Aged Parasitology Plasmodium falciparum Plasmodium vivax Prevalence Prevention Public Health Retrospective Studies Symptomatology Travel Travelers Tropical environments Tropical Medicine Vector-borne diseases Young Adult
SummonAdditionalLinks	– databaseName: DOAJ Open Access Journals dbid: DOA link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3Ni9UwEA-yeBBE_La6SgRBUMq26UcSb2_FxYMuIgp7C5M0wQfaymufLHv3_3Ym7SuvK-rFazOBpPORmWTmN4w9q3QRGi9dCgpEWrqmSa3ObGpRnKxqCp-PhcLv5OmpOjvTH_ZafVFO2AgPPP64IyuU0t6CDnT3lQcNVlmvalWX0hYQkUDR69kFU9P7AYqhmN4wc1Uf9XSqUeRMmHulTM8Xp1AE6__dJO-dSZfzJS89msaz6OQmuzE5kXw1Lv4Wu-Lb2-z6eAPHx8KiO-zne8CodQ0c2obHOiseMABGK8CnV5mex1ZDfKAWRFQS2L_iSMf9DH_Mu8CBz61IeFya53QAoqfKu-1A3T7jpOMNXKzpzoSvvsFF1_KPnlKd77LPJ28-vX6bTk0XUldnxZB6LwRUtZOV9LrQAOgyagE1WBkEiNo2Uje591XeVKHJQp1BKaRGt6d0ofJlcY8dtF3rHzCuHIa_mfQgBLIO43BAjQ_ogqCXI0PpEpbtmGDchEhOjTG-mhiZqNqMfDOUhUZ8M-cJezFP-T7CcfyN-Jg4OxMSknb8gPJlJvky_5KvhD0nuTCk77g4B1PZAm6RkLPMqiSAHF1qpDxcUKKeuuXwTrLMZCd6g-ZQljV5mQl7Og_TTMp9a323jTSikOR6Juz-KIjzloSkRP5CJ0wuRHSx5-VIu_4SUcTRcgsp84S93Anz3rL-9Esf_o9f-ohdE6SKGeVXHrKDYbP1j9lV92NY95snUZF_AXtfTO0 priority: 102 providerName: Directory of Open Access Journals – databaseName: SpringerLINK Contemporary 1997-Present dbid: RSV link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnR1Ji9YwNMjoQRD3pTpKBEFQim2aNom3b8TBgw4yLswtJGkyfqCtfO0nMnf_t--lC9NxAb02L5CXvjVvI-RRqYpQe-FSIw1Luavr1KrMphbIycq68PlQKPxaHBzIoyP1dqzj7qZs9ykkGSV1ZGtZPetQM6H3i33zuEjBcDwP2k4iNx6--ziHDoAC2Ri-_O22hQKKffp_lcan1NHZVMkz8dKohvav_BcCV8nl0eqkq4FMrpFzvrlOLg1PdnSoRLpBfrwx4OauDTVNTWNhFg3gMYPYoGMYp6NxNhHtcWYR1hB2zynAUT_3S6ZtoIbOs0toRMhT1Jhg2tJ22-N40Lhpb2NO1vjIQldfzEnb0EOPudE3yYf9l-9fvErHKQ2pq7KiT71nzJSVE6XwqlDGgI2pmKmMFYEZVtlaqDr3vszrMtRZqDLDmVBgJ3EXSs-LW2SnaRt_h1DpwF_OhDeMgZcGjrsBERHAZgGzSATuEpJNv067sYU5TtL4rKMrIys93LHGtDW8Y_09IU_mLV-H_h1_A95DepgBsfV2_NBujvXIydoyKZW3RgV8jM2DMlZaLytZcWELwxPyGKlJo4CAwzkz1jkAithqS684dtRRXAHk7gISGNstlyd61KNg6TTIT8ErNEsT8nBexp2YLNf4dhthWCHQVk3I7YF8Z5SYwMz_QiVELAh7gfNypVl_im3HQdQzIfKEPJ3I-9Sx_nSld_8J-h65yJA_Msy83CU7_Wbr75ML7lu_7jYPIp__BDIiUR8 priority: 102 providerName: Springer Nature
Title	Malaria and other febrile diseases among travellers: the experience of a reference centre located outside the Brazilian Amazon Region
URI	https://link.springer.com/article/10.1186/s12936-016-1347-x https://www.ncbi.nlm.nih.gov/pubmed/27230739 https://www.proquest.com/docview/1797466125 https://www.proquest.com/docview/1792370615 https://pubmed.ncbi.nlm.nih.gov/PMC4882771 https://doaj.org/article/b2889eba9f01481f9ab8be868647b3a4
Volume	15
WOSCitedRecordID	wos000377179500004&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText	1
inHoldings	1
isFullTextHit
isPrint
journalDatabaseRights	– providerCode: PRVADU databaseName: Open Access: BioMedCentral Open Access Titles customDbUrl: eissn: 1475-2875 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017872 issn: 1475-2875 databaseCode: RBZ dateStart: 20020101 isFulltext: true titleUrlDefault: https://www.biomedcentral.com/search/ providerName: BioMedCentral – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 1475-2875 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017872 issn: 1475-2875 databaseCode: DOA dateStart: 20020101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 1475-2875 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017872 issn: 1475-2875 databaseCode: M~E dateStart: 20020101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 1475-2875 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017872 issn: 1475-2875 databaseCode: 7X7 dateStart: 20090101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1475-2875 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017872 issn: 1475-2875 databaseCode: BENPR dateStart: 20090101 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Public Health Database customDbUrl: eissn: 1475-2875 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017872 issn: 1475-2875 databaseCode: 8C1 dateStart: 20090101 isFulltext: true titleUrlDefault: https://search.proquest.com/publichealth providerName: ProQuest – providerCode: PRVPQU databaseName: Publicly Available Content Database customDbUrl: eissn: 1475-2875 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017872 issn: 1475-2875 databaseCode: PIMPY dateStart: 20090101 isFulltext: true titleUrlDefault: http://search.proquest.com/publiccontent providerName: ProQuest – providerCode: PRVAVX databaseName: SpringerLINK Contemporary 1997-Present customDbUrl: eissn: 1475-2875 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017872 issn: 1475-2875 databaseCode: RSV dateStart: 20021201 isFulltext: true titleUrlDefault: https://link.springer.com/search?facet-content-type=%22Journal%22 providerName: Springer Nature
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpR3bitQwNLizPgji_VJdhwiCoJRt07RJfJGZZRcFdxjGC-NTSdNUB7Rd5yLLvvvfnpNm6nbFffGl0MkJ9ExOzv1CyLNUJVVphQm11CzkpizDQkVFWAA5FbJMbNwWCr8Tk4mcz9XUO9xWPq1yyxMdoy4bgz7yfSAcwTOUx69PfoQ4NQqjq36Exg7ZxU5lfEB2x4eT6ayLIwA5Mh_LjGW2v0LphhY09t7jIjztSSPXtP9v1nxONl3Mm7wQPHUy6ejm_2Jzi9zw2igdteRzm1yx9R1yvXXl0bZC6S75dazB_F1oquuSuoItWoElDeyE-vDOirqZRXSNs4ywtnD1igIctV0fZdpUVNNupgl1uFmKkhRUXtps1jg21G0aL_XZAp0vdPRdnzU1nVnMmb5HPh4dfjh4E_rpDaHJomQdWsuYTjMjUmFVorQG3VMxnelCVEyzrCiFKmNr07hMqzKqskhzJhToT9xUqeXJfTKom9o-JFQasKMjYTVjYL2BQa-BdVSgy4C6JCpuAhJtTzE3vrU5Ttj4ljsTR2Z5e_A5prPhweenAXnRbTlp-3pcBjxG0ugAsSW3-6FZfsn9Dc8LJqWyhVYVOmnjSulCFlZmMuOiSDQPyHMkrBwZB3yc0b7-AVDEFlz5iGOnHcUVQO71IOHCm_7ylqZyz3BW-R-CCsjTbhl3YhJdbZuNg2GJQB02IA9aSu5QYgIrAhIVENGj8R7O_ZV68dW1IwcRwISIA_JyexvOfda__tJHlyPxmFxjeEsjTMHcI4P1cmOfkKvm53qxWg7JjpgL95TwlAfx0N_7oXOpwNv07fH0M7zN3n_6DaDLYoo
linkProvider	ProQuest
linkToHtml	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9QwELbKFgkkxPsRKGAkEBIoauI4sY2E0BaouuruqkKtVE7GdhxYCZKy2YXSO3-H34gnL5oieuuBazyOYufzN2N7Hgg9jkWUpZYZX3FFfGrS1Nci0L52cNI8jWxYBwqP2XTK9_fFzgr61cbCgFtly4kVUaeFgTPydQccRhPQx68OvvpQNQpuV9sSGjUstu2P727LVr4cvXH_9wkhm293X2_5TVUB3yRBtPCtJUTFiWExsyISSjmbSBCVKM0yokiiUybS0No4TOMsDbIkUJQw4fQ6NVlsaeTeew6tUgd2PkCrO6PJzvvu3sLBnzR3pyFP1kvQprBjh1x_lPmHPe1XFQn4WxUc04Un_TRPXNZWOnDzyv82e1fR5cbaxsN6eVxDKza_ji7VR5W4jsC6gX5OlNvezxRWeYqrgDScWT13dImb66sSVzWZ8AJqNUHsZPkCOzlsuzzRuMiwwl3NFlzNpcVgKTiTHhfLBZRFrTptzNXRDA6X8PCLOipy_M6CT_hNtHcmM3ELDfIit3cQ5ibijmutIsTtTmkilKPGzNlqzhxkGTUeClrUSNOkbocKIp9ltYXjiayBJsFdD4AmDz30rOtyUOctOU14A6DYCULK8epBMf8oGwaTmnAurFYig0PoMBNKc215whPKdKSoh54CkCUQo_s4o5r4DjdESDEmhxQyCQkqnORaT9IRmuk3txiWDaGW8g-APfSoa4ae4CSY22JZyZCIgY3uodv1yumGRBhEPETCQ6y3pnpj7rfks09VunWn4ghjoYeet6vv2Gf9a0rvnj6Ih-jC1u5kLMej6fY9dJEAQwTgbrqGBov50t5H5823xaycP2gYBqMPZ70sfwNW2rmi
linkToPdf	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3ri9QwEA9yigji-7R6agRBUMq1adokfttTF8VzOXxx30KSJrqg7bHtitx3_29n2m65ng8Qv24m0GTnmZn5DSEPc5WF0gsXG2lYzF1ZxlYlNrbATlaWmU_7RuF9sVjIw0N1MMw5bTbV7puUZN_TgChNVbt7VIZexGWx26CVwkgYMfS4iMGJPMtxZhCG6-8-jmkE4EY2pDJ_u21ijDrM_l818wnTdLps8lTutDNJ88v_fZgr5NLgjdJZzz5XyRlfXSMX-6c82ncoXSc_3hgIf5eGmqqkXcMWDRBJgzqhQ3qnod3MItriLCPsLWyeUqCjfsRRpnWgho4zTWh3OE_RkoLLS-t1i2NDu017K3O8xMcXOvtqjuuKvvVYM32DfJi_eP_sZTxMb4hdkWRt7D1jJi-cyIVXmTIGfE_FTGGsCMywwpZClan3eVrmoUxCkRjOhAL_ibuQe55tk62qrvwtQqWDODoR3jAG0RsE9AZURwBfBtwlEbiLSLL5G7UboM1xwsYX3YU4stD9HWssZ8M71t8j8njcctTjevyNeA95YyRESO7uh3r1SQ8Sri2TUnlrVMBH2jQoY6X1spAFFzYzPCKPkLM0Kg74OGeG_gc4IkJw6RlHpB3FFVDuTChB4N10ecObelA4jQa9KniB7mpEHozLuBOL6Cpfrzsalgn0YSNys2fl8UhMYEdApiIiJkw-OfN0pVp-7uDIwQQwIdKIPNmw-onP-tOV3v4n6vvk_MHzud5_tXh9h1xgKCoJFmfukK12tfZ3yTn3rV02q3ud-P8ECQ9c5w
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Malaria+and+other+febrile+diseases+among+travellers%3A+the+experience+of+a+reference+centre+located+outside+the+Brazilian+Amazon+Region&rft.jtitle=Malaria+journal&rft.au=Andrea+Beltrami+Dotrario&rft.au=Lucas+Jose+Bazzo+Menon&rft.au=Valdes%2C+Roberto+Bollela&rft.au=Martinez%2C+Roberto&rft.date=2016-05-26&rft.pub=Springer+Nature+B.V&rft.eissn=1475-2875&rft.volume=15&rft_id=info:doi/10.1186%2Fs12936-016-1347-x&rft.externalDocID=4091532471
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1475-2875&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1475-2875&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1475-2875&client=summon