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Multicenter GeoSentinel analysis of rickettsial diseases in international travelers, 1996-2008.
Emerg Infect Dis. 2009 Nov; 15(11):1791-8.EI

Abstract

We investigated epidemiologic and clinical aspects of rickettsial diseases in 280 international travelers reported to the GeoSentinel surveillance Network during 1996-2008. Of these 280 travelers, 231 (82.5%) had spotted fever (SFG) rickettsiosis, 16 (5.7%) scrub typhus, 11 (3.9%) Q fever, 10 (3.6%) typhus group (TG) rickettsiosis, 7 (2.5%) bartonellosis, 4 (1.4%) indeterminable SFG/TG rickettsiosis, and 1 (0.4%) human granulocytic anaplasmosis. One hundred ninety-seven (87.6%) SFG rickettsiosis cases were acquired in sub-Saharan Africa and were associated with higher age, male gender, travel to southern Africa, late summer season travel, and travel for tourism. More than 90% of patients with rickettsial disease were treated with doxycycline, 43 (15.4%) were hospitalized, and 4 had a complicated course, including 1 fatal case of scrub typhus encephalitis acquired in Thailand.

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    • Publisher Full Text
    ncbi.nlm.nih.gov
    dx.doi.org

    Authors+Show Affiliations

    Jensenius M
    Department of Infectious Diseases, Oslo University Hospital, Ullevål, NO-0407 Oslo, Norway. mogens.jensenius@ioks.uio.no
    Davis X
    No affiliation info available
    von Sonnenburg F
    No affiliation info available
    Schwartz E
    No affiliation info available
    Keystone JS
    No affiliation info available
    Leder K
    No affiliation info available
    Lopéz-Véléz R
    No affiliation info available
    Caumes E
    No affiliation info available
    Cramer JP
    No affiliation info available
    Chen L
    No affiliation info available
    Parola P
    No affiliation info available
    GeoSentinel Surveillance Network
    No affiliation info available

    MeSH

    AdolescentAdultAgedCommunicable Diseases, EmergingFemaleHumansInternationalityMaleMiddle AgedPopulation SurveillanceRickettsia InfectionsRisk FactorsTravelYoung Adult

    Pub Type(s)

    Journal Article
    Multicenter Study
    Research Support, U.S. Gov't, P.H.S.

    Language

    eng

    PubMed ID

    19891867

    Citation

    Jensenius, Mogens, et al. "Multicenter GeoSentinel Analysis of Rickettsial Diseases in International Travelers, 1996-2008." Emerging Infectious Diseases, vol. 15, no. 11, 2009, pp. 1791-8.
    Jensenius M, Davis X, von Sonnenburg F, et al. Multicenter GeoSentinel analysis of rickettsial diseases in international travelers, 1996-2008. Emerging Infect Dis. 2009;15(11):1791-8.
    Jensenius, M., Davis, X., von Sonnenburg, F., Schwartz, E., Keystone, J. S., Leder, K., Lopéz-Véléz, R., Caumes, E., Cramer, J. P., Chen, L., & Parola, P. (2009). Multicenter GeoSentinel analysis of rickettsial diseases in international travelers, 1996-2008. Emerging Infectious Diseases, 15(11), 1791-8. https://doi.org/10.3201/eid1511.090677
    Jensenius M, et al. Multicenter GeoSentinel Analysis of Rickettsial Diseases in International Travelers, 1996-2008. Emerging Infect Dis. 2009;15(11):1791-8. PubMed PMID: 19891867.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Multicenter GeoSentinel analysis of rickettsial diseases in international travelers, 1996-2008. AU - Jensenius,Mogens, AU - Davis,Xiaohong, AU - von Sonnenburg,Frank, AU - Schwartz,Eli, AU - Keystone,Jay S, AU - Leder,Karin, AU - Lopéz-Véléz,Rogelio, AU - Caumes,Eric, AU - Cramer,Jakob P, AU - Chen,Lin, AU - Parola,Philippe, AU - ,, PY - 2009/11/7/entrez PY - 2009/11/7/pubmed PY - 2010/2/6/medline SP - 1791 EP - 8 JF - Emerging infectious diseases JO - Emerging Infect. Dis. VL - 15 IS - 11 N2 - We investigated epidemiologic and clinical aspects of rickettsial diseases in 280 international travelers reported to the GeoSentinel surveillance Network during 1996-2008. Of these 280 travelers, 231 (82.5%) had spotted fever (SFG) rickettsiosis, 16 (5.7%) scrub typhus, 11 (3.9%) Q fever, 10 (3.6%) typhus group (TG) rickettsiosis, 7 (2.5%) bartonellosis, 4 (1.4%) indeterminable SFG/TG rickettsiosis, and 1 (0.4%) human granulocytic anaplasmosis. One hundred ninety-seven (87.6%) SFG rickettsiosis cases were acquired in sub-Saharan Africa and were associated with higher age, male gender, travel to southern Africa, late summer season travel, and travel for tourism. More than 90% of patients with rickettsial disease were treated with doxycycline, 43 (15.4%) were hospitalized, and 4 had a complicated course, including 1 fatal case of scrub typhus encephalitis acquired in Thailand. SN - 1080-6059 UR - https://www.unboundmedicine.com/medline/citation/19891867/full_citation L2 - https://dx.doi.org/10.3201/eid1511.090677 DB - PRIME DP - Unbound Medicine ER -