Abstract：
BACKGROUND:Infectious diseases are a frequent cause of morbidity in French troops deployed abroad. They are usually minor in severity and managed by field practitioners. We aimed to describe the etiological spectrum of travel-related infections in French soldiers evacuated to a level 4 military treatment facility. METHODS:We evaluated the diagnoses of all service members who were medically evacuated from abroad to our infectious diseases department from January 1, 2004 to October 30, 2013. RESULTS:One hundred and twenty five cases, median age 32 years were referred, 117 (94%) were male and 78 (62%) were from the Army. Main areas of deployment were Africa in 80 cases (64%), Afghanistan in 15 cases (12%), and French Guiana in 10 cases (8%). Median time between initial consultation and hospitalization in the reference center was 5 days (IQ 2-7 d). Thirty (24%) immediate aeromedical evacuations were carried out. The top five diagnoses were Plasmodium falciparum malaria (30), fever of unknown origin (15), cerebro-meningeal infections (10), invasive amebiasis (9), and HIV primary infections (9). Thirteen individuals were admitted in ICU. No death was recorded. CONCLUSIONS:Infectious diseases were a rare of cause of medevac. Most of them were preventable. Lethal etiologies were represented by malaria and cerebro-meningeal infections.
journal_name
Travel Med Infect Disjournal_title
Travel medicine and infectious diseaseauthors
Rapp C,Aoun O,Ficko C,Andriamanantena D,Flateau Cdoi
10.1016/j.tmaid.2014.03.005subject
Has Abstractpub_date
2014-07-01 00:00:00pages
355-9issue
4eissn
1477-8939issn
1873-0442pii
S1477-8939(14)00052-0journal_volume
12pub_type
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2007.08.007
更新日期：2008-01-01 00:00:00
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
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更新日期：2013-05-01 00:00:00
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
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journal_title：Travel medicine and infectious disease
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更新日期：2020-01-01 00:00:00
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2004.02.011
更新日期：2004-02-01 00:00:00
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journal_title：Travel medicine and infectious disease
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更新日期：2009-07-01 00:00:00
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章,评审
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2008.07.002
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2016.10.003
更新日期：2016-01-01 00:00:00
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2004.09.004
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2020.101883
更新日期：2020-01-01 00:00:00
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章,评审
doi：10.1016/j.tmaid.2013.10.005
更新日期：2013-11-01 00:00:00
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2019.04.013
更新日期：2019-01-01 00:00:00
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2018.03.009
更新日期：2018-01-01 00:00:00
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2006.01.009
更新日期：2006-12-01 00:00:00
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2011.03.005
更新日期：2011-05-01 00:00:00
abstract：:A male patient developed acute pulmonary histoplasmosis 2 weeks after bathing in the water falls of Wli, Ghana. Exposure to Histoplasma capsulatum was probably mediated through inhalation of an aerosol of water and guano from the large colony of fruit bats of the falls. More cases of acute pulmonary histoplasmosis can...
journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
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