id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-302925-6us88smz	McFee, Robin B.	Travel-related illness	2013-12-31		.txt	text/plain	1053	59	46	Although many of us were taught in medical school and residency training that when you hear hoof beats, think horses, not zebras, such advice must now be called into question, considering global travel, immigration into the United States from countries with endemic illnesses not commonly found in North America, and societal factors (domestic and international) that include poverty, homelessness, institutionalization, overcrowding-in health care facilities as well as domiciles-and lack of access to timely health care, all of which set the stage to create conditions that facilitate the spread of diseases that are from previously unknown, little recognized, or emerging pathogens that are endemic to or novel strains in foreign lands, and which can become very quickly clinical realities and community-wide problems in the U.S. This is one of the reasons obtaining a thorough travel and occupational history from patients who present with an atypical or severe, progressive illness, is critically important, as it may give valuable insights into the origin of the infection, how to access timely information from sources experienced in treating the cascade of symptoms (biodrome) (Fig.) 10 and the etiological pathogen, and allow you to rapidly initiate appropriate, potentially life-saving interventions.	./cache/cord-302925-6us88smz.txt	./txt/cord-302925-6us88smz.txt