CME ACTIVITY: Multicenter GeoSentinel Analysis of Rickettsial Diseases in International Travelers, 1996–2008
Author(s) -
Mogens Jensenius,
Xiaohong M. Davis,
Frank von Sonnenburg,
Eli Schwartz,
Jay S. Keystone,
Karin Leder,
Rogelio LópezVélez,
Éric Caumes,
Jakob P. Cramer,
Lin H. Chen,
Philippe Parola,
for the GeoSentinel Surveillance Network
Publication year - 2009
Publication title -
emerging infectious diseases
Language(s) - English
Resource type - Journals
eISSN - 1080-6059
pISSN - 1080-6040
DOI - 10.3201/eid1511.090676
Subject(s) - multicenter study , medicine , virology , environmental health , randomized controlled trial
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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