Acute and Potentially Life-Threatening Tropical Diseases in Western Travelers—A GeoSentinel Multicenter Study, 1996–2011
Identifieur interne : 001571 ( Pmc/Curation ); précédent : 001570; suivant : 001572Acute 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
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<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>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Trop Med Hyg</journal-id>
<journal-id journal-id-type="iso-abbrev">Am. J. Trop. Med. Hyg</journal-id>
<journal-id journal-id-type="publisher-id">tpmd</journal-id>
<journal-title-group><journal-title>The American Journal of Tropical Medicine and Hygiene</journal-title>
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<issn pub-type="ppub">0002-9637</issn>
<issn pub-type="epub">1476-1645</issn>
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<article-id pub-id-type="pmc">3583336</article-id>
<article-id pub-id-type="doi">10.4269/ajtmh.12-0551</article-id>
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<title-group><article-title>Acute and Potentially Life-Threatening Tropical Diseases in Western Travelers—A GeoSentinel Multicenter Study, 1996–2011</article-title>
<alt-title alt-title-type="left-running-head">JENSENIUS AND OTHERS</alt-title>
<alt-title alt-title-type="right-running-head">ACUTE AND LIFE-THREATENING TROPICAL DISEASES IN TRAVELERS</alt-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Jensenius</surname>
<given-names>Mogens</given-names>
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<xref ref-type="corresp" rid="COR1">*</xref>
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<contrib contrib-type="author"><name><surname>Han</surname>
<given-names>Pauline V.</given-names>
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<contrib contrib-type="author"><name><surname>Schlagenhauf</surname>
<given-names>Patricia</given-names>
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<contrib contrib-type="author"><name><surname>Schwartz</surname>
<given-names>Eli</given-names>
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<contrib contrib-type="author"><name><surname>Parola</surname>
<given-names>Philippe</given-names>
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<contrib contrib-type="author"><name><surname>Castelli</surname>
<given-names>Francesco</given-names>
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<contrib contrib-type="author"><name><surname>von Sonnenburg</surname>
<given-names>Frank</given-names>
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<contrib contrib-type="author"><name><surname>Loutan</surname>
<given-names>Louis</given-names>
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<contrib contrib-type="author"><name><surname>Leder</surname>
<given-names>Karin</given-names>
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<contrib contrib-type="author"><name><surname>Freedman</surname>
<given-names>David O.</given-names>
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<contrib contrib-type="author"><collab>for the GeoSentinel Surveillance Network</collab>
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<aff id="AFF1">Department of Infectious Diseases, Oslo University Hospital and University of Oslo, Oslo, Norway; Centers for Disease Control and Prevention, Atlanta, Georgia; University of Zurich Centre for Travel Medicine, World Health Organization Collaborating Centre for Travellers' Health, Zurich, Switzerland; Chaim Sheba Medical Centre, Tel Hashomer, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Hôpital Nord, Marseille, France; University Division of Infectious and Tropical Disease, University of Brescia and Brescia Spedali Civili General Hospital, Brescia, Italy; University of Munich, Munich, Germany; Geneva University Hospitals—University of Geneva, Geneva, Switzerland; Royal Melbourne Hospital, Parkville, Victoria, Australia; Monash University, Melbourne, Australia; University of Alabama, Birmingham, Alabama</aff>
<author-notes><corresp id="COR1">*Address correspondence to Mogens Jensenius, Department of Infectious Diseases, Oslo University Hospital, PB 4956 Nydalen, NO-0424 Oslo, Norway. E-mail: <email>mogens.jensenius@ioks.uio.no</email>
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<pub-date pub-type="ppub"><day>06</day>
<month>2</month>
<year>2013</year>
</pub-date>
<volume>88</volume>
<issue>2</issue>
<fpage>397</fpage>
<lpage>404</lpage>
<history><date date-type="received"><day>05</day>
<month>9</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>02</day>
<month>11</month>
<year>2012</year>
</date>
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<permissions><copyright-statement>©The American Society of Tropical Medicine and Hygiene</copyright-statement>
<copyright-year>2013</copyright-year>
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<abstract><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>
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