Acute and Potentially Life-Threatening Tropical Diseases in Western Travelers—A GeoSentinel Multicenter Study, 1996–2011
Identifieur interne : 004851 ( Main/Exploration ); précédent : 004850; suivant : 004852Acute and Potentially Life-Threatening Tropical Diseases in Western Travelers—A GeoSentinel Multicenter Study, 1996–2011
Auteurs : Mogens Jensenius ; Pauline V. Han ; Patricia Schlagenhauf ; Eli Schwartz ; Philippe Parola ; Francesco Castelli ; Frank Von Sonnenburg ; Louis Loutan ; Karin Leder ; David O. FreedmanSource :
- The American Journal of Tropical Medicine and Hygiene [ 0002-9637 ] ; 2013.
Abstract
We performed a descriptive analysis of acute and potentially life-threatening tropical diseases among 82,825 ill western travelers reported to GeoSentinel from June of 1996 to August of 2011. We identified 3,655 patients (4.4%) with a total of 3,666 diagnoses representing 13 diseases, including falciparum malaria (76.9%), enteric fever (18.1%), and leptospirosis (2.4%). Ninety-one percent of the patients had fever; the median time from travel to presentation was 16 days. Thirteen (0.4%) patients died: 10 with falciparum malaria, 2 with melioidosis, and 1 with severe dengue. Falciparum malaria was mainly acquired in West Africa, and enteric fever was largely contracted on the Indian subcontinent; leptospirosis, scrub typhus, and murine typhus were principally acquired in Southeast Asia. Western physicians seeing febrile and recently returned travelers from the tropics need to consider a wide profile of potentially life-threatening tropical illnesses, with a specific focus on the most likely diseases described in our large case series.
Url:
DOI: 10.4269/ajtmh.12-0551
PubMed: 23324216
PubMed Central: 3583336
Affiliations:
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Freedman</name></author></analytic><series><title level="j">The American Journal of Tropical Medicine and Hygiene</title><idno type="ISSN">0002-9637</idno><idno type="eISSN">1476-1645</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>We performed a descriptive analysis of acute and potentially life-threatening tropical diseases among 82,825 ill western travelers reported to GeoSentinel from June of 1996 to August of 2011. We identified 3,655 patients (4.4%) with a total of 3,666 diagnoses representing 13 diseases, including falciparum malaria (76.9%), enteric fever (18.1%), and leptospirosis (2.4%). Ninety-one percent of the patients had fever; the median time from travel to presentation was 16 days. Thirteen (0.4%) patients died: 10 with falciparum malaria, 2 with melioidosis, and 1 with severe dengue. Falciparum malaria was mainly acquired in West Africa, and enteric fever was largely contracted on the Indian subcontinent; leptospirosis, scrub typhus, and murine typhus were principally acquired in Southeast Asia. Western physicians seeing febrile and recently returned travelers from the tropics need to consider a wide profile of potentially life-threatening tropical illnesses, with a specific focus on the most likely diseases described in our large case series.</p></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Castelli, Francesco" sort="Castelli, Francesco" uniqKey="Castelli F" first="Francesco" last="Castelli">Francesco Castelli</name><name sortKey="Freedman, David O" sort="Freedman, David O" uniqKey="Freedman D" first="David O." last="Freedman">David O. Freedman</name><name sortKey="Han, Pauline V" sort="Han, Pauline V" uniqKey="Han P" first="Pauline V." last="Han">Pauline V. Han</name><name sortKey="Jensenius, Mogens" sort="Jensenius, Mogens" uniqKey="Jensenius M" first="Mogens" last="Jensenius">Mogens Jensenius</name><name sortKey="Leder, Karin" sort="Leder, Karin" uniqKey="Leder K" first="Karin" last="Leder">Karin Leder</name><name sortKey="Loutan, Louis" sort="Loutan, Louis" uniqKey="Loutan L" first="Louis" last="Loutan">Louis Loutan</name><name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name><name sortKey="Schlagenhauf, Patricia" sort="Schlagenhauf, Patricia" uniqKey="Schlagenhauf P" first="Patricia" last="Schlagenhauf">Patricia Schlagenhauf</name><name sortKey="Schwartz, Eli" sort="Schwartz, Eli" uniqKey="Schwartz E" first="Eli" last="Schwartz">Eli Schwartz</name><name sortKey="Von Sonnenburg, Frank" sort="Von Sonnenburg, Frank" uniqKey="Von Sonnenburg F" first="Frank" last="Von Sonnenburg">Frank Von Sonnenburg</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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