Mogens Jensenius,* Pauline V. Han, Patricia Schlagenhauf, Eli Schwartz, Philippe
Parola, Francesco Castelli, Frank von Sonnenburg, Louis Loutan, Karin Leder, and
David O. Freedman for the GeoSentinel Surveillance Network 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, TelAviv University, Tel Aviv, Israel; Hôpital Nord, Marseille, France; University of Brescia, 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* Address correspondence to Mogens Jensenius, Department of Infectious Diseases, Oslo University Hospital, PB4956 Nydalen, NO-0424 Oslo, Norway. E-mail: mogens.jensenius@ioks.uio.no
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. Ten patients had falciparum malaria, 2 patients had melioidosis, and 1 patient had 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
Southeat 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.
XXX
Se realizó un análisis descriptivo de aguda y potencialmente letales enfermedades tropicales entre 82.825 enfermos viajeros occidentales informaron a GeoSentinel desde junio de 1996 hasta agosto de 2011. Se identificaron a 3.655 pacientes (4.4%) con un total de 3.666 diagnósticos que representan 13 enfermedades, entre ellas la malaria falciparum (76,9%), fiebre entérica (18,1%) y leptospirosis (2.4%). Noventa y uno por ciento de los pacientes tenía fiebre; la mediana de tiempo de viaje para la presentación fue de 16 días. Trece pacientes (0,4%) murieron. Diez pacientes tenían malaria falciparum, 2 pacientes tenían melioidosis y 1 paciente tenía dengue severo. Malaria por Plasmodium falciparum fue adquirida principalmente en África del oeste y fiebre entérica fue contratada en gran medida en el subcontinente indio; leptospirosis, tifus y tifus murino se adquirieron principalmente en Southeat Asia. Los médicos occidentales ver viajeros febriles y recientemente regresó de las zonas tropicales deben considerar un amplio perfil de potencialmente mortales enfermedades tropicales, con una especificación en las enfermedades más probables descrita en nuestra larga serie de casos.
jueves, 1 de febrero de 2018
ENFERMEDADES TROPICALES AGUDAS Y FATALES DEL VIAJERO. ACUTE AND LIFE-THREATENING TROPICAL DISEASES IN TRAVELERS
ACUTE AND LIFE-THREATENING TROPICAL DISEASES IN TRAVELERS
Acute and Potentially Life-Threatening Tropical Diseases in Western
Travelers—A GeoSentinel Multicenter Study, 1996–2011
AGUDAS Y MORTALES ENFERMEDADES TROPICALES EN VIAJEROS
EXCELENTE REVISIÓN, LES PRESENTO EL RESUMEN. PUEDEN VISITAR NUESTRA PÁGINA SLAMVI, DE LA SOCIEDAD DE MEDICINA DEL VIAJERO PARA CONOCER MÁS DETALLES DEL ARTÍCULO.
LES ENTREGO EL RESUMEN POR CENTRO GEOSENTINELA MULTINACIONAL
Acute and Potentially Life-Threatening Tropical Diseases in Western
Travelers—A GeoSentinel Multicenter Study, 1996–2011
Mogens Jensenius,* Pauline V. Han, Patricia Schlagenhauf, Eli Schwartz, Philippe
Parola, Francesco Castelli, Frank von Sonnenburg, Louis Loutan, Karin Leder, and
David O. Freedman for the GeoSentinel Surveillance Network 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, TelAviv University, Tel Aviv, Israel; Hôpital Nord, Marseille, France; University of Brescia, 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* Address correspondence to Mogens Jensenius, Department of Infectious Diseases, Oslo University Hospital, PB4956 Nydalen, NO-0424 Oslo, Norway. E-mail: mogens.jensenius@ioks.uio.no
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. Ten patients had falciparum malaria, 2 patients had melioidosis, and 1 patient had 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
Southeat 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.
XXX
Se realizó un análisis descriptivo de aguda y potencialmente letales enfermedades tropicales entre 82.825 enfermos viajeros occidentales informaron a GeoSentinel desde junio de 1996 hasta agosto de 2011. Se identificaron a 3.655 pacientes (4.4%) con un total de 3.666 diagnósticos que representan 13 enfermedades, entre ellas la malaria falciparum (76,9%), fiebre entérica (18,1%) y leptospirosis (2.4%). Noventa y uno por ciento de los pacientes tenía fiebre; la mediana de tiempo de viaje para la presentación fue de 16 días. Trece pacientes (0,4%) murieron. Diez pacientes tenían malaria falciparum, 2 pacientes tenían melioidosis y 1 paciente tenía dengue severo. Malaria por Plasmodium falciparum fue adquirida principalmente en África del oeste y fiebre entérica fue contratada en gran medida en el subcontinente indio; leptospirosis, tifus y tifus murino se adquirieron principalmente en Southeat Asia. Los médicos occidentales ver viajeros febriles y recientemente regresó de las zonas tropicales deben considerar un amplio perfil de potencialmente mortales enfermedades tropicales, con una especificación en las enfermedades más probables descrita en nuestra larga serie de casos.
Mogens Jensenius,* Pauline V. Han, Patricia Schlagenhauf, Eli Schwartz, Philippe
Parola, Francesco Castelli, Frank von Sonnenburg, Louis Loutan, Karin Leder, and
David O. Freedman for the GeoSentinel Surveillance Network 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, TelAviv University, Tel Aviv, Israel; Hôpital Nord, Marseille, France; University of Brescia, 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* Address correspondence to Mogens Jensenius, Department of Infectious Diseases, Oslo University Hospital, PB4956 Nydalen, NO-0424 Oslo, Norway. E-mail: mogens.jensenius@ioks.uio.no
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. Ten patients had falciparum malaria, 2 patients had melioidosis, and 1 patient had 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
Southeat 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.
XXX
Se realizó un análisis descriptivo de aguda y potencialmente letales enfermedades tropicales entre 82.825 enfermos viajeros occidentales informaron a GeoSentinel desde junio de 1996 hasta agosto de 2011. Se identificaron a 3.655 pacientes (4.4%) con un total de 3.666 diagnósticos que representan 13 enfermedades, entre ellas la malaria falciparum (76,9%), fiebre entérica (18,1%) y leptospirosis (2.4%). Noventa y uno por ciento de los pacientes tenía fiebre; la mediana de tiempo de viaje para la presentación fue de 16 días. Trece pacientes (0,4%) murieron. Diez pacientes tenían malaria falciparum, 2 pacientes tenían melioidosis y 1 paciente tenía dengue severo. Malaria por Plasmodium falciparum fue adquirida principalmente en África del oeste y fiebre entérica fue contratada en gran medida en el subcontinente indio; leptospirosis, tifus y tifus murino se adquirieron principalmente en Southeat Asia. Los médicos occidentales ver viajeros febriles y recientemente regresó de las zonas tropicales deben considerar un amplio perfil de potencialmente mortales enfermedades tropicales, con una especificación en las enfermedades más probables descrita en nuestra larga serie de casos.
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