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Incidence of respiratory viruses among travelers with a febrile syndrome returning from tropical and subtropical areas.

Identifieur interne : 000543 ( Main/Exploration ); précédent : 000542; suivant : 000544

Incidence of respiratory viruses among travelers with a febrile syndrome returning from tropical and subtropical areas.

Auteurs : M. Camps [Espagne] ; A. Vilella ; M A Marcos ; E. Letang ; J. Mu Oz ; E. Salvad ; A. González ; J. Gasc N ; M T Jiménez De Anta ; T. Pumarola

Source :

RBID : pubmed:18297697

Descripteurs français

English descriptors

Abstract

Fifty million people are estimated to travel from industrial countries to the tropics annually. In spite of exhaustive studies and widely different diagnosis among returned patients, some cases of febrile illnesses remain without an etiological diagnosis, suggesting that these cases could be due to viral respiratory tract infections. From August 2005 to October 2006, 118 febrile patients without a specific diagnosis in their first visit at the Center for International Health of the Hospital Clínic of Barcelona were included. In all of them, in order to study respiratory viruses, a nasopharyngeal swab was collected. Clinical and radiological features and epidemiological data, as well as other samples for microbiologic studies, were also collected during consultation. Based on the physician's judgment at the time of consultation, patients were classified into four groups: respiratory symptoms (62%), febrile syndrome with nonspecific symptoms (24%), digestive symptoms (10%), and patients presenting both respiratory and digestive symptoms (4%). A pathogen microorganism was detected in 61 patients (52%). Respiratory viruses were detected in 44 out of 118 (37%) travelers included in the study, representing 56% of the patients with respiratory symptoms. The most frequently viruses detected were influenza virus (38%), rhinovirus (23%), adenovirus (9%), and respiratory syncytial virus (9%). Respiratory viruses have been shown to play an important role in imported fever. In light of the fact that international tourism is an increasing phenomenon, new strategies to prevent the spread of respiratory viruses should be considered, specially for influenza when a vaccine is available.

DOI: 10.1002/jmv.21086
PubMed: 18297697
PubMed Central: PMC7166809


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Fifty million people are estimated to travel from industrial countries to the tropics annually. In spite of exhaustive studies and widely different diagnosis among returned patients, some cases of febrile illnesses remain without an etiological diagnosis, suggesting that these cases could be due to viral respiratory tract infections. From August 2005 to October 2006, 118 febrile patients without a specific diagnosis in their first visit at the Center for International Health of the Hospital Clínic of Barcelona were included. In all of them, in order to study respiratory viruses, a nasopharyngeal swab was collected. Clinical and radiological features and epidemiological data, as well as other samples for microbiologic studies, were also collected during consultation. Based on the physician's judgment at the time of consultation, patients were classified into four groups: respiratory symptoms (62%), febrile syndrome with nonspecific symptoms (24%), digestive symptoms (10%), and patients presenting both respiratory and digestive symptoms (4%). A pathogen microorganism was detected in 61 patients (52%). Respiratory viruses were detected in 44 out of 118 (37%) travelers included in the study, representing 56% of the patients with respiratory symptoms. The most frequently viruses detected were influenza virus (38%), rhinovirus (23%), adenovirus (9%), and respiratory syncytial virus (9%). Respiratory viruses have been shown to play an important role in imported fever. In light of the fact that international tourism is an increasing phenomenon, new strategies to prevent the spread of respiratory viruses should be considered, specially for influenza when a vaccine is available.</div>
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<Reference>
<Citation>Infect Dis Clin North Am. 1998 Jun;12(2):445-69</Citation>
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<ArticleId IdType="pubmed">9658253</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>J Med Virol. 2003 Jan;69(1):132-44</Citation>
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<ArticleId IdType="pubmed">12436489</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Lancet. 2003 Apr 26;361(9367):1459-69</Citation>
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<ArticleId IdType="pubmed">12727414</ArticleId>
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<name sortKey="Gasc N, J" sort="Gasc N, J" uniqKey="Gasc N J" first="J" last="Gasc N">J. Gasc N</name>
<name sortKey="Gonzalez, A" sort="Gonzalez, A" uniqKey="Gonzalez A" first="A" last="González">A. González</name>
<name sortKey="Jimenez De Anta, M T" sort="Jimenez De Anta, M T" uniqKey="Jimenez De Anta M" first="M T" last="Jiménez De Anta">M T Jiménez De Anta</name>
<name sortKey="Letang, E" sort="Letang, E" uniqKey="Letang E" first="E" last="Letang">E. Letang</name>
<name sortKey="Marcos, M A" sort="Marcos, M A" uniqKey="Marcos M" first="M A" last="Marcos">M A Marcos</name>
<name sortKey="Mu Oz, J" sort="Mu Oz, J" uniqKey="Mu Oz J" first="J" last="Mu Oz">J. Mu Oz</name>
<name sortKey="Pumarola, T" sort="Pumarola, T" uniqKey="Pumarola T" first="T" last="Pumarola">T. Pumarola</name>
<name sortKey="Salvad, E" sort="Salvad, E" uniqKey="Salvad E" first="E" last="Salvad">E. Salvad</name>
<name sortKey="Vilella, A" sort="Vilella, A" uniqKey="Vilella A" first="A" last="Vilella">A. Vilella</name>
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