Table 2.

Incubation Periods for Selected Infections Responsible for Fever in Children Who Have Returned from the Tropics

Incubation Period (days)Infections
≤14Dengue
Malaria*
Yellow fever
Chikungunya
Typhoid fever
Rickettsial infections
Leptospirosis§
15 to 30Malaria*
Typhoid fever
Leptospirosis§
Hepatitis A and E|
Visceral leishmaniasis
Acute schistosomiasis (Katayama fever)
Tuberculosis
>30Malaria*
Hepatitis A and E
Acute schistosomiasis (Katayama fever)
Visceral leishmaniasis
Tuberculosis
  • * Most Plasmodium falciparum infections have an incubation period of 7 to 30 days (average, ∼10 days); Plasmodium vivax and Plasmodium ovale may present late, months or even years (rarely) after infection.

  • Average incubation period of typhoid is 14 days, but can vary from <7 to >21 days. Incubation periods of >30 days are quite rare.3

  • Most rickettsial infections have incubation periods of <14 days.3

  • § Leptospirosis has an average incubation period of 1 to 2 weeks; rarely, leptospirosis may present >14 days after infection.

  • Hepatitis A and E have an incubation period of 2 to 6 weeks; jaundice is usually seen.

  • Acute schistosomiasis typically presents >4 weeks after exposure to fresh water in the tropics.