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A 54-year-old Japanese man without underlying disease developed pneumococcal bacteremia and meningitis after traveling to the Philippines. The isolate demonstrated high affinity to the lung and invasiveness in vivo. The international travelers can import indigenous high virulent strains even if the bacterium is commonly isolated in the home country.

Invasive Pneumococcal Disease in a Traveler Who Returned from the Philippines: A Case Report and In Vivo Study of the Isolate