Abstract:
BACKGROUND:Thirteen clustered cases of American histoplasmosis, a deep mycosis caused by Histoplasma capsulatum and acquired through inhalation of airborne spores was reported. Twenty-five persons traveled in Martinique, French West Indies. Thirteen underwent trekking and passed through a mountain tunnel full of bats (tunnel group). The 12 others performed canyoning and did not go through the tunnel (control group). Fifteen days after exposure, 1 patient of the tunnel group developed fever, chills, and cough. METHODS:The index case was diagnosed in the hospital, but 12 cases where initially diagnosed as prolonged influenza. All individuals were contacted and submitted to a phone questionnaire. They were asked about eventual occurrence of influenzalike symptoms, about activities practiced, and the notion of contact with bats. All were invited to have clinical examinations, chest x-ray films, and blood samplings. Serologic testing for histoplasmosis was performed by immunodiffusion. Clinical evidence of infection with H. capsulatum was obtained in all the remaining patients of the tunnel group and in none in the control group. Symptoms occurred with an acute onset in 11 to 23 days: fever and chills, severe asthenia, headaches, digestive tract involvement, and then cough, dyspnea, hepatic involvement. Pulmonary micro- or macronodules and mediastinal adenopathies were seen on radiograph and/or computed tomography scan. RESULTS:H. capsulatum serologic tests were positive in all 13 cases with presence of specific M and or H precipitins, 5 to 13 weeks after exposure, and were negative in control group. All patients were treated with itraconazole 200 mg per day during at least 2 months. Treatment was well tolerated; patients progressively recovered. Clinical and serologic follow-up was obtained for some patients at 1 and 4 years. The present study reports the first large outbreak of histoplasmosis acquired in Martinique. CONCLUSION:Histoplasmosis still occurs and is potentially serious. In patients returning from endemic areas, presenting prolonged influenzalike symptoms, clinicians should look for previous possible exposure to Histoplasma.
journal_name
J Travel Medjournal_title
Journal of travel medicineauthors
Salomon J,Flament Saillour M,De Truchis P,Bougnoux ME,Dromer F,Dupont B,de Saint-Hardouin G,Perronne Cdoi
10.2310/7060.2003.31755subject
Has Abstractpub_date
2003-03-01 00:00:00pages
87-93issue
2eissn
1195-1982issn
1708-8305journal_volume
10pub_type
杂志文章abstract:BACKGROUND:Schistosoma haematobium and Schistosoma mansoni are endemic to East Africa. US Peace Corps volunteers (PCVs) serving in Tanzania were not experiencing symptoms of infection, but in 1998 when comprehensive testing was instituted, more than one-quarter were found to be infected with schistosomiasis at the clos...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2005.12505
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Internet travel purchases accounted for 10% of the travel industry revenue generated in 2001. To ensure that travelers remain healthy during excursions to developing countries, travel health information needs to be available at commercial travel websites. We evaluated the current availability of travel healt...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2003.2699
更新日期:2003-09-01 00:00:00
abstract::Two Japanese travelers from Bali were diagnosed with murine typhus in Japan during the same period. Although one had only mild illness, the other experienced liver and kidney dysfunction. Murine typhus may be missed not only in endemic areas around the world, but also in travelers, especially those returning from mari...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00438.x
更新日期:2010-09-01 00:00:00
abstract::The diagnostic attitude of western physicians toward migrants' complaints is often an unstable balance between the obstinate search for exotic tropical diseases and the overappreciation of the cultural dimensions of symptoms. Such attitude may divert attention from organic diseases. The careful assessment of all level...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2009.00312.x
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Due to their job nature, cross-border truck drivers working between Hong Kong and China are exposed to many health risks. The aim of this study was to find out the impact of their occupation on their psychological health and sexual dysfunction and to assess their sexual risk behaviors. METHODS:A cross-secti...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2006.00085.x
更新日期:2007-01-01 00:00:00
abstract::Hemophagocytic syndrome (HPS) can develop as a complication of dengue in rare cases, but its relationship with dengue is not well known. We report a case of dengue-associated HPS with liver involvement and coagulopathy. The patient, a Japanese female traveler who had recently returned from Thailand, had severe complic...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12158
更新日期:2015-01-01 00:00:00
abstract::The object of the study was to determine the incidence rate of meningococcal disease in travelers originating in industrialized countries and visiting developing countries. Subjects were intercontinental travelers with meningococcal diseases acquired from 1986 to 1989. Health authorities in 108 countries were contacte...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1994.tb00548.x
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:The number of international trips undertaken by residents of the United Kingdom has risen dramatically over the past 50 years. Likewise, the numbers studying in higher education have also shown a huge increase. This study aimed to assess the appropriateness of advice given to traveling students by higher edu...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2004.19202
更新日期:2004-11-01 00:00:00
abstract::Background: Climate change is not only increasing ambient temperature but also accelerating the frequency, duration and intensity of extreme weather and climate events, such as heavy precipitation and droughts, and causing sea level rise, which can lead to population displacement. Climate change-related reductions in ...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taz026
更新日期:2019-06-11 00:00:00
abstract::In recent years, several studies have shown that Cyclospora cayetanensis is a worldwide intestinal pathogen, and it has been implicated in a number of sporadic cases and epidemic outbreaks of diarrheal illness in several endemic areas. The parasite is associated with prolonged and relapsing watery diarrhea in immunoco...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2004.13640
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Conventional treatment of imported malaria in Italy consists of quinine or mefloquine. Since beta-arthemeter is now available, an open-label pharmacodynamic analysis was performed in 73 adults with uncomplicated Plasmodium falciparum malaria. In vitro susceptibility to mefloquine and quinine was evaluated at...
journal_title:Journal of travel medicine
pub_type: 临床试验,杂志文章
doi:10.2310/7060.2005.12305
更新日期:2005-05-01 00:00:00
abstract:INTRODUCTION:Spain could be a potential area in Europe for the development and spread of emerging diseases from the tropics due to its geoclimatic characteristics, but there is little information on infectious diseases imported by travelers. The aim of this article was to analyze clinical-epidemiological characteristic...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00433.x
更新日期:2010-09-01 00:00:00
abstract::Liver toxicity from the use of kava dietary supplements has been reported, but little is known about the side effects of traditional kava preparations. We present a case study of a tourist who developed serious toxic liver disease after consumption of kava beverages in traditional Samoan kava ceremonies. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00259.x
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Dengue viruses have spread widely in recent decades and cause tens of millions of infections mostly in tropical and subtropical areas. Vaccine candidates are being studied aggressively and may be ready for licensure soon. METHODS:We surveyed patients with past or upcoming travel to dengue-endemic countries ...
journal_title:Journal of travel medicine
pub_type: 杂志文章,多中心研究
doi:10.1111/jtm.12056
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Influenza is the most common vaccine-preventable disease in travelers. It circulates year-round in the tropics, November to March in the northern hemisphere (NH), and April to October in the southern hemisphere (SH). In 2005, approximately 8.5 million US adults aged 18 years and older traveled to the Caribbe...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00254.x
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:The prevalence of motion sickness approaches 100% on rough seas. Some previous studies have reported a strong association between location on a ship and the risk of motion sickness, whereas other studies found no association. This study was undertaken to determine if there is a statistical association betwee...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2000.00042
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:Schistosomiasis is common in many African regions and poses a risk for travelers and the local population. So far, schistosomiasis in travelers or expatriates returning from the Tanzanian bank of Lake Tanganyika has not been reported. METHODS:We report a group of students who sought treatment with signs of ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12069
更新日期:2013-11-01 00:00:00
abstract::As tropical countries become common travelers' destinations, more and more returning travelers are expected to present with cutaneous lesions secondary to myiasis. The skin lesion starts as a small red papule and gradually enlarges to become a furuncle. Familiarity with the characteristic clinical presentation and pro...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2005.12411
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:Imported measles cases and outbreaks involving Japanese travelers have been reported from the United States and other countries. For the United States, Japan is the top country of origin. The aims of this study were to analyze measles exportation trends from Japan to the United States and to suggest recommen...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00183.x
更新日期:2008-03-01 00:00:00
abstract::Mass gathering is well known to concentrate and amplify the transmission of infectious respiratory diseases. Here we report a possible case of coinfection with influenza A/H1N1 and varicella in a young French traveler returning from a rock festival in Hungary. We report a cluster of influenza A/H1N1 cases at this fest...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00410.x
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Neurocysticercosis (NCC) is an important cause of adult-onset seizures in endemic areas, whereas it is emerging in some nonendemic areas as well because of extensive immigration. METHOD:We describe three cases of imported NCC recently admitted to San Bortolo Hospital in Vicenza, located in Northern Italy. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12066
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:In February 2012, crew and passengers of a cruise ship sailing off the coast of São Paulo, Brazil, were hospitalized for acute respiratory illness (ARI). A field investigation was performed to identify the disease involved and factors associated. METHODS:Information on passengers and crew with ARI was obtai...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12132
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:Young people's alcohol and drug use increases during holidays. Despite strong associations between substance use and both violence and unintentional injury, little is known about this relationship in young people holidaying abroad. We examine how risks of violence and unintentional injury abroad relate to su...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00489.x
更新日期:2011-03-01 00:00:00
abstract::We report two cases of symptomatic neurocysticercosis in two migrants whose negative serology delayed appropriate treatment for 9 and 6 months, respectively. Seroconversion occurred after treatment, which was associated with paradoxical reaction in one patient. Long-term outcome was good in both patients. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2012.00658.x
更新日期:2012-12-01 00:00:00
abstract::We report the case of an Anthia sexmaculata sexmaculata-associated necrotic burn in a French expatriate in Mauritania. Anthia spp.-related injury is a common though underreported health issue in the Sahelo-Saharan area. Deployed soldiers and travellers should be aware of these beetles when adventuring in this region. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/tay033
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Serologic testing in malaria has traditionally been done by immunofluorescence antibody testing (IFA), but the use of commercially available enzyme immunoassays (EIAs) has become more widespread. METHODS:We compared IFA with two commercial EIA kits, the Cellabs Pan Malaria CELISA and the Newmarket Malaria E...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2006.00087.x
更新日期:2007-03-01 00:00:00
abstract:Background:Dengue fever (DF) is a frequently imported arthropod-borne infection in the United Kingdom but its broad range of clinical presentations makes it potentially unrecognized by clinicians. Methods:We conducted a 6-year retrospective case note review of laboratory confirmed DF patients in East London in the per...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/tax015
更新日期:2017-05-01 00:00:00
abstract:Background:Since the initial appearance in the 1980s, Enterobacteriaceae producing extended-spectrum β-lactamase (ESBL) have increased in prevalence and emerged as a major antimicrobial-resistant pathogen. The source of these antimicrobial-resistant bacteria in the developed world is an area of active investigation. M...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taw102
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:To evaluate travel health knowledge, attitudes, and practices on vaccination and malaria prevention among Spanish travelers to the tropics. METHODS:A cross-sectional survey was carried out in the departure lounge of the two main Spanish international airports in the summer of 2004. A questionnaire was admini...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2007.00142.x
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:The effectiveness of preventive measures in combating travel-related illnesses is well recognized. However, there is a lack of information on the economic value of any travel-associated preventive measures in the literature. OBJECTIVES:The purpose of this article is to report the values of willingness to pa...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2005.12202
更新日期:2005-03-01 00:00:00