Control of Fever with Rash Case at Suvarnabhumi Airport - การควบคุมการแพร่กระจายเชื้อจากผู้ป่วยไข้ร่วมกับผื่น ที่ท่าอากาศยานสุวรรณภูมิ

Abstract

International Health Regulations, 2005 (IHR 2005) has required member states to strength
core capacities for detecting event which serious public health impact and/ or unusual or unexpected
nature with high potential for spread at point of entry. A 60- year-old Malaysian woman with fever,
rash and appearing obviously unwell was reported at Suvarnabhumi airport’s clinic with the aim to
address the management process of symptomatic, exposed travelers, crews and ground staff of airline
to control communicable diseases at airport. The case has undertaken the Umrah at Mecca,
Saudi Arabia and got sick 1 day before coming back to Malaysia. She has been diagnosed as fever
with rash and route out meningococcemia. Physical examination revealed remarkably high fever
(39oC), exhausted dehydration and generalized erythematous at body, face, and arm with multiple
pustules at neck and body. Her white blood cell count suggested acute bacterial infection even if
hemoculture and papule smear for gram’s stain were negative. Doctor from Bamrasnaradura infectious
disease institute, Department of Disease Control initial diagnosed as suspected Staphylococcal
septicemia.
Key words: International Health Regulations, 2005, Suvarnabhumi airport, Staphylococcus aureus