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Skin and soft tissue infections in returning travelers.
Am J Trop Med Hyg. 2009 Mar; 80(3):431-4.AJ

Abstract

Skin and soft tissue infections (SSTI) are a leading cause of cutaneous problems in travelers. Sixty travelers who presented with an SSTI were prospectively included over a 20-month period. Bacterial analysis and research for Panton-Valentine leukocidine (PVL) were performed according to clinical and bacterial presentation. The SSTI appeared abroad in 73% and were predominantly localized on lower limbs (75%). The main clinical forms were impetigo (35%) and cutaneous absess (23%). Insect bites were significantly associated with impetigo and ecthyma. Methicillin-susceptible Staphylococcus aureus (MSSA) was identified in 15 patients (43%), Group A Streptococcus (GAS) in 12 patients (34%), and an association of both in 8 (23%) among the 35 patients for whom bacteria were identified. The MSSA producing PVL were found in 4 patients. Travelers should be advised on how to prevent arthropod exposure and susceptibility testing should be recommended considering that methicillin-resistant S. aureus (MRSA) is increasingly reported, although not identified in our study.

Authors+Show Affiliations

Department of Infectious and Tropical Disease, Hôpital Pitié Salpêtrière, Paris, France. patrick.hochedez@free.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19270294

Citation

Hochedez, Patrick, et al. "Skin and Soft Tissue Infections in Returning Travelers." The American Journal of Tropical Medicine and Hygiene, vol. 80, no. 3, 2009, pp. 431-4.
Hochedez P, Canestri A, Lecso M, et al. Skin and soft tissue infections in returning travelers. Am J Trop Med Hyg. 2009;80(3):431-4.
Hochedez, P., Canestri, A., Lecso, M., Valin, N., Bricaire, F., & Caumes, E. (2009). Skin and soft tissue infections in returning travelers. The American Journal of Tropical Medicine and Hygiene, 80(3), 431-4.
Hochedez P, et al. Skin and Soft Tissue Infections in Returning Travelers. Am J Trop Med Hyg. 2009;80(3):431-4. PubMed PMID: 19270294.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Skin and soft tissue infections in returning travelers. AU - Hochedez,Patrick, AU - Canestri,Ana, AU - Lecso,Marylin, AU - Valin,Nadia, AU - Bricaire,François, AU - Caumes,Eric, PY - 2009/3/10/entrez PY - 2009/3/10/pubmed PY - 2009/3/31/medline SP - 431 EP - 4 JF - The American journal of tropical medicine and hygiene JO - Am. J. Trop. Med. Hyg. VL - 80 IS - 3 N2 - Skin and soft tissue infections (SSTI) are a leading cause of cutaneous problems in travelers. Sixty travelers who presented with an SSTI were prospectively included over a 20-month period. Bacterial analysis and research for Panton-Valentine leukocidine (PVL) were performed according to clinical and bacterial presentation. The SSTI appeared abroad in 73% and were predominantly localized on lower limbs (75%). The main clinical forms were impetigo (35%) and cutaneous absess (23%). Insect bites were significantly associated with impetigo and ecthyma. Methicillin-susceptible Staphylococcus aureus (MSSA) was identified in 15 patients (43%), Group A Streptococcus (GAS) in 12 patients (34%), and an association of both in 8 (23%) among the 35 patients for whom bacteria were identified. The MSSA producing PVL were found in 4 patients. Travelers should be advised on how to prevent arthropod exposure and susceptibility testing should be recommended considering that methicillin-resistant S. aureus (MRSA) is increasingly reported, although not identified in our study. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/19270294/full_citation L2 - https://f1000.com/pubmed/19270294 DB - PRIME DP - Unbound Medicine ER -