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
PY - 2009/11
Y1 - 2009/11
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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=70350462950&partnerID=8YFLogxK
U2 - 10.3201/eid1511.090677
DO - 10.3201/eid1511.090677
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C2 - 19891867
AN - SCOPUS:70350462950
SN - 1080-6040
VL - 15
SP - 1791
EP - 1798
JO - Emerging Infectious Diseases
JF - Emerging Infectious Diseases
IS - 11
ER -