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Acute and potentially life-threatening tropical diseases in western travelers--a GeoSentinel multicenter study, 1996-2011.
Am J Trop Med Hyg. 2013 Feb; 88(2):397-404.AJ

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: 10 with falciparum malaria, 2 with melioidosis, and 1 with 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 Southeast 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.

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Authors+Show Affiliations

Jensenius M
Department of Infectious Diseases, Oslo University Hospital and University of Oslo, Oslo, Norway. mogens.jensenius@ioks.uio.no
Han PV
No affiliation info available
Schlagenhauf P
No affiliation info available
Schwartz E
No affiliation info available
Parola P
No affiliation info available
Castelli F
No affiliation info available
von Sonnenburg F
No affiliation info available
Loutan L
No affiliation info available
Leder K
No affiliation info available
Freedman DO
No affiliation info available
GeoSentinel Surveillance Network
No affiliation info available

MeSH

Acute DiseaseAdolescentAdultAfrica, WesternAgedAged, 80 and overAsia, SoutheasternChildChild, PreschoolCohort StudiesCommunicable Diseases, EmergingDatabases, FactualDengueFemaleHumansInfantLeptospirosisMalaria, FalciparumMaleMiddle AgedScrub TyphusTravelTropical MedicineTyphoid FeverTyphus, Endemic Flea-BorneYoung Adult

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

23324216

Citation

Jensenius, Mogens, et al. "Acute and Potentially Life-threatening Tropical Diseases in Western Travelers--a GeoSentinel Multicenter Study, 1996-2011." The American Journal of Tropical Medicine and Hygiene, vol. 88, no. 2, 2013, pp. 397-404.
Jensenius M, Han PV, Schlagenhauf P, et al. Acute and potentially life-threatening tropical diseases in western travelers--a GeoSentinel multicenter study, 1996-2011. Am J Trop Med Hyg. 2013;88(2):397-404.
Jensenius, M., Han, P. V., Schlagenhauf, P., Schwartz, E., Parola, P., Castelli, F., von Sonnenburg, F., Loutan, L., Leder, K., & Freedman, D. O. (2013). Acute and potentially life-threatening tropical diseases in western travelers--a GeoSentinel multicenter study, 1996-2011. The American Journal of Tropical Medicine and Hygiene, 88(2), 397-404. https://doi.org/10.4269/ajtmh.12-0551
Jensenius M, et al. Acute and Potentially Life-threatening Tropical Diseases in Western Travelers--a GeoSentinel Multicenter Study, 1996-2011. Am J Trop Med Hyg. 2013;88(2):397-404. PubMed PMID: 23324216.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute and potentially life-threatening tropical diseases in western travelers--a GeoSentinel multicenter study, 1996-2011. AU - Jensenius,Mogens, AU - Han,Pauline V, AU - Schlagenhauf,Patricia, AU - Schwartz,Eli, AU - Parola,Philippe, AU - Castelli,Francesco, AU - von Sonnenburg,Frank, AU - Loutan,Louis, AU - Leder,Karin, AU - Freedman,David O, AU - ,, Y1 - 2013/01/16/ PY - 2013/1/18/entrez PY - 2013/1/18/pubmed PY - 2013/4/2/medline SP - 397 EP - 404 JF - The American journal of tropical medicine and hygiene JO - Am J Trop Med Hyg VL - 88 IS - 2 N2 - 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: 10 with falciparum malaria, 2 with melioidosis, and 1 with 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 Southeast 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. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/23324216/full_citation L2 - https://ajtmh.org/doi/10.4269/ajtmh.12-0551 DB - PRIME DP - Unbound Medicine ER -