Illness after International Travel

Ryan, Edward T.; Wilson, Mary; Kain, Kevin C.

doi:10.1056/nejmra020118

Cited by 280 publications

(145 citation statements)

References 42 publications

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“…1). Leishmanial ulcers are typically painless and grow slowly with a granulomatous or crusted base and raised inflammatory margins [86]. Painful lesions are rare, but their appearance could be a predictive sign of bacterial super-infection.…”

Section: Clinical Manifestations 31 Cutaneous Leishmaniasismentioning

confidence: 99%

Leishmaniasis in travelers: A literature review

Mansueto

Seidita

Vitale

et al. 2014

Travel Medicine and Infectious Disease

112

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Summary Leishmaniasis is a vector-borne protozoan infection whose clinical spectrum ranges from asymptomatic infection to fatal visceral leishmaniasis. Over the last decades, an increase in imported leishmaniasis cases in developed, non-endemic countries, have been pointed-out from a review of the international literature. Among the possible causes are increasing international tourism, influx of immigrants from endemic regions and military operations. The main area for the acquisition of cutaneous leishmaniasis, especially for adventure travelers on long-term trips in highly-endemic forested areas, is represented from South America, whereas popular Mediterranean destinations are emerging as the main areas to acquire visceral variant. Leishmaniasis should be considered in the diagnostic assessment of patients presenting with a compatible clinical syndrome and a history of travel to an endemic area, even if this occurred several months or years before. Adventure travelers, researchers, military personnel, and other groups of travelers likely to be exposed to sand flies in endemic areas, should receive counseling regarding leishmaniasis and appropriate protective measures. ª

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Section: Clinical Manifestations 31 Cutaneous Leishmaniasismentioning

confidence: 99%

Leishmaniasis in travelers: A literature review

Mansueto

Seidita

Vitale

et al. 2014

Travel Medicine and Infectious Disease

112

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“…[13] Reduction of risk A detailed travel history is mandatory for all patients presenting at any hospital, and if positive should include details of possible incubation periods and specific exposures. [14] Hospitals in areas of greatest risk should have a case definition that alerts frontline doctors to the possibility of a VHF, and this should be modified according to each outbreak. While these diseases are rare, they must be recognised as possible in any HCW or laboratory worker presenting with acute onset of documented fever (oral ≥38ºC or axillary ≥37.5ºC) and thrombocytopenia without any obvious alternative diagnosis, or in any patient with a history of travel to an area where these diseases are prevalent.…”

Section: Discussionmentioning

confidence: 99%

Nososcomial transmission of viral haemorrhagic fever in South Africa

Richards

2015

S Afr Med J

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“…6 The evaluation of the febrile immigrant begins with a thorough pretravel history regarding the living conditions in the country of origin, the patient's vaccination history, and any pretravel health care. Specific questions regarding medical history and risk factors for common enteric, respiratory, neurologic, dermatologic, and hematologic infections should be made.…”

Section: Faculty Discussionmentioning

confidence: 99%