Filariasis in Travelers Presenting to the GeoSentinel Surveillance Network
Identifieur interne : 002B03 ( Ncbi/Checkpoint ); précédent : 002B02; suivant : 002B04Filariasis in Travelers Presenting to the GeoSentinel Surveillance Network
Auteurs : Ettie M. Lipner [États-Unis] ; Melissa A. Law [États-Unis] ; Elizabeth Barnett [États-Unis] ; Jay S. Keystone [Canada] ; Frank Von Sonnenburg [Allemagne] ; Louis Loutan [Suisse] ; D. Rebecca Prevots [États-Unis] ; Amy D. Klion [États-Unis] ; Thomas B. Nutman [États-Unis]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2007.
Abstract
As international travel increases, there is rising exposure to many pathogens not traditionally encountered in the resource-rich countries of the world. Filarial infections, a great problem throughout the tropics and subtropics, are relatively rare among travelers even to filaria-endemic regions of the world. The GeoSentinel Surveillance Network, a global network of medicine/travel clinics, was established in 1995 to detect morbidity trends among travelers.
We examined data from the GeoSentinel database to determine demographic and travel characteristics associated with filaria acquisition and to understand the differences in clinical presentation between nonendemic visitors and those born in filaria-endemic regions of the world. Filarial infections comprised 0.62% (
Codifying the filarial infections presenting to the GeoSentinel Surveillance Network has provided insights into the clinical differences seen among filaria-infected expatriates and those from endemic regions and demonstrated that
Url:
DOI: 10.1371/journal.pntd.0000088
PubMed: 18160987
PubMed Central: 2154385
Affiliations:
- Allemagne, Canada, Suisse, États-Unis
- Bavière, District de Haute-Bavière, Maryland, Massachusetts, Ontario
- Munich, Toronto
- Université Louis-et-Maximilien de Munich, Université de Toronto
Links toward previous steps (curation, corpus...)
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- to stream Ncbi, to step Curation: 002B03
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PMC:2154385Le document en format XML
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<author><name sortKey="Nutman, Thomas B" sort="Nutman, Thomas B" uniqKey="Nutman T" first="Thomas B." last="Nutman">Thomas B. Nutman</name>
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<series><title level="j">PLoS Neglected Tropical Diseases</title>
<idno type="ISSN">1935-2727</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>As international travel increases, there is rising exposure to many pathogens not traditionally encountered in the resource-rich countries of the world. Filarial infections, a great problem throughout the tropics and subtropics, are relatively rare among travelers even to filaria-endemic regions of the world. The GeoSentinel Surveillance Network, a global network of medicine/travel clinics, was established in 1995 to detect morbidity trends among travelers.</p>
</sec>
<sec><title>Principal Findings</title>
<p>We examined data from the GeoSentinel database to determine demographic and travel characteristics associated with filaria acquisition and to understand the differences in clinical presentation between nonendemic visitors and those born in filaria-endemic regions of the world. Filarial infections comprised 0.62% (<italic>n</italic>
= 271) of all medical conditions reported to the GeoSentinel Network from travelers; 37% of patients were diagnosed with <italic>Onchocerca volvulus</italic>
, 25% were infected with <italic>Loa loa</italic>
, and another 25% were diagnosed with <italic>Wuchereria bancrofti</italic>
. Most infections were reported from immigrants and from those immigrants returning to their county of origin (those visiting friends and relatives); the majority of filarial infections were acquired in sub-Saharan Africa. Among the patients who were natives of filaria-nonendemic regions, 70.6% acquired their filarial infection with exposure greater than 1 month. Moreover, nonendemic visitors to filaria-endemic regions were more likely to present to GeoSentinel sites with clinically symptomatic conditions compared with those who had lifelong exposure.</p>
</sec>
<sec><title>Significance</title>
<p>Codifying the filarial infections presenting to the GeoSentinel Surveillance Network has provided insights into the clinical differences seen among filaria-infected expatriates and those from endemic regions and demonstrated that <italic>O. volvul</italic>
us infection can be acquired with short-term travel.</p>
</sec>
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<tree><country name="États-Unis"><region name="Maryland"><name sortKey="Lipner, Ettie M" sort="Lipner, Ettie M" uniqKey="Lipner E" first="Ettie M." last="Lipner">Ettie M. Lipner</name>
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<name sortKey="Barnett, Elizabeth" sort="Barnett, Elizabeth" uniqKey="Barnett E" first="Elizabeth" last="Barnett">Elizabeth Barnett</name>
<name sortKey="Klion, Amy D" sort="Klion, Amy D" uniqKey="Klion A" first="Amy D." last="Klion">Amy D. Klion</name>
<name sortKey="Law, Melissa A" sort="Law, Melissa A" uniqKey="Law M" first="Melissa A." last="Law">Melissa A. Law</name>
<name sortKey="Nutman, Thomas B" sort="Nutman, Thomas B" uniqKey="Nutman T" first="Thomas B." last="Nutman">Thomas B. Nutman</name>
<name sortKey="Prevots, D Rebecca" sort="Prevots, D Rebecca" uniqKey="Prevots D" first="D. Rebecca" last="Prevots">D. Rebecca Prevots</name>
</country>
<country name="Canada"><region name="Ontario"><name sortKey="Keystone, Jay S" sort="Keystone, Jay S" uniqKey="Keystone J" first="Jay S." last="Keystone">Jay S. Keystone</name>
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<country name="Allemagne"><region name="Bavière"><name sortKey="Von Sonnenburg, Frank" sort="Von Sonnenburg, Frank" uniqKey="Von Sonnenburg F" first="Frank" last="Von Sonnenburg">Frank Von Sonnenburg</name>
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<country name="Suisse"><noRegion><name sortKey="Loutan, Louis" sort="Loutan, Louis" uniqKey="Loutan L" first="Louis" last="Loutan">Louis Loutan</name>
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