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 period from 1 January 2010 through 31 December 2015. Epidemiological, clinical and laboratory features of imported DF were described. Risk factors associated with viraemic DF presentations were assessed. Results:Forty-four patients (4 from primary care clinics and 40 from three acute hospitals) were confirmed to have DF through RNA and/or IgM detection. In total, 86.4% (38/44) had primary infection compared to 13.6% (6/44) with secondary infection. Viraemic DF presentations accounted for 59.1% (26/44) of cases. The median age was 34 years (IQR 25-43). Most patients were males (68.2%, 30/44) and of non-white ethnicity (81.8%, 36/44). South Asia was the most frequent travel destination (52.3%, 23/44) followed by Southeast Asia (20.5%, 9/44). July-September was the peak season of presentation (43.2%, 19/44). The median interval between arrival in the UK and laboratory testing was 7 days (IQR 4-13). Arriving from abroad ≤ 7 days before molecular testing (age-adjusted odds ratios [OR] 16.98, 95% CI 2.43-118.75, P = 0.004) and travel to South or Southeast Asia regions (age-adjusted OR 4.41, 95% CI 1.07-18.21, P = 0.040) were associated with detectable viraemia at presentation. Only one DF patient met the WHO severity criteria. HIV serostatus was determined in 61.4% (27/44) of cases. Conclusion:Clinicians need to improve DF recognition as well as rates of HIV testing in tropical travellers. Region of travel and time since arrival from DF endemic settings may help clinicians optimize requests for molecular testing. Further research on the clinical and public health aspects of imported DF is needed.
journal_name
J Travel Medjournal_title
Journal of travel medicineauthors
Riddell A,Babiker ZOdoi
10.1093/jtm/tax015subject
Has Abstractpub_date
2017-05-01 00:00:00issue
3eissn
1195-1982issn
1708-8305pii
3062597journal_volume
24pub_type
杂志文章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:With the inclusion of elective programs, often overseas, in many medical courses, it was decided that a preliminary retrospective analysis of health problems associated with these programs in medical students from the University of Tasmania would be desirable. METHODS:A questionnaire covering general travel...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2003.35728
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:Descriptions of the epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) have seldom been produced in the Caribbean, which is a major tourism destination. MATERIALS AND METHODS:Using DNA microarrays and spa typing, we characterized 85 MRSA isolates from human skin and soft-tissue infections fr...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12047
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:There is concern about the risk of yellow fever (YF) establishment in Asia, owing to rising numbers of urban outbreaks in endemic countries and globalisation. Following an outbreak in Angola in 2016, YF cases were introduced into China. Prior to this, YF had never been recorded in Asia, despite climatic suit...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taab015
更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:Drug abuse constitutes a worldwide problem. The purpose of this study was to investigate the characteristics of illicit drug use during long-term travel to the tropics, and to estimate the effects of antidrug brochures provided before travel on the use of drugs during travel. METHODS:An interventional study...
journal_title:Journal of travel medicine
pub_type: 临床试验,杂志文章
doi:10.2310/7060.2004.17047
更新日期:2004-03-01 00:00:00
abstract::A 34-year-old patient presented with giant, transient urticarial skin lesions and periorbital edema after a 3-month stay in DR Congo. Retrospective analysis of stored samples revealed that these signs were prodromal manifestations of acute hepatitis B infection. The hepatitis B infection was spontaneously cleared; the...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2011.00507.x
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Infectious diarrhea is a common problem among travelers. Expert guidelines recommend the prompt use of antibiotics for self-treatment of moderate or severe travelers' diarrhea (TD). There is limited data on whether travelers follow these self-treatment guidelines. We evaluated the risk factors associated wit...
journal_title:Journal of travel medicine
pub_type: 杂志文章,多中心研究
doi:10.1111/jtm.12179
更新日期:2015-05-01 00:00:00
abstract::Travel medicine practitioners, perhaps more so than medical practitioners working in other areas of medicine, require a constant flow of information to stay up-to-date, and provide best practice information and care to their patients. Many travel medicine providers are unaware of the popularity and potential of the Tw...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taw002
更新日期:2016-03-16 00:00:00
abstract::Infectious mononucleosis (IM), resulting from Epstein-Barr virus (EBV) infection, and IM-like syndromes, mainly due to cytomegalovirus (CMV), Toxoplasma gondii, or human immunodeficiency virus (HIV), have been occasionally reported in travelers returning from the tropics. Our objective was to investigate the prevalenc...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2006.00049.x
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Dermatitis linearis is a skin condition that affects both local populations and travelers alike. Dermatitis linearis is caused by some beetles within the subtribe Paederina and manifests as painful lesions, blisters and intense itching. Though outbreaks are widespread, the condition as a whole still remains ...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taw032
更新日期:2016-05-13 00:00:00
abstract:BACKGROUND:Millions of Americans visit developing countries each year, however, little is known about their health during travel. This study describes health problems in a large cohort of American travelers during and after their trip. METHODS:A 2-year survey of 784 travelers (95% follow-up) was conducted for persons ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2000.00075
更新日期:2000-09-01 00:00:00
abstract::We describe a 55-year-old man returning from the Philippines infected with a hookworm, the novel bacterium Laribacter hongkongensis, and a Blastocystis hominis and presenting with both gastrointestinal and neurological symptoms. The high eosinophilia caused by the hookworm infection resulted in both gastrointestinal a...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12042
更新日期:2013-07-01 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:BACKGROUND:Jellyfish are a common cause of injury throughout the world, with fatalities and severe systemic events not uncommon after tropical stings. The internet is a recent innovation to gain information on real-time health issues of travel destinations, including Southeast Asia. METHODS:We applied the model of int...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2011.00531.x
更新日期:2011-07-01 00:00:00
abstract::In a marine envenomation, identification of the culprit organism can be difficult. In this case report, we present our method to identify snakelocks anemone (Anemonia viridis or formerly Anemonia sulcata) as the culprit of a severe toxic skin reaction. A. viridis is one of the most common anemones of the Mediterranean...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12223
更新日期:2015-07-01 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:We conducted a prospective study to evaluate the aetiologies of fever in returning travelers and to identify the clinical and laboratory factors predictive of malaria in travelers returning from tropical areas with fever. METHODS:We included those consulting for fever appearing less than 3 months after retu...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2009.00382.x
更新日期:2010-03-01 00:00:00
abstract::Background: The risk of acquiring HIV-1 and HIV-2 infections among expatriates in, and travelers to, West Africa is not known. The objective of the study was to examine the risk of human immunodeficiency virus type 1 and type 2 (HIV-1 and HIV-2) infections among Peace Corps volunteers in West Africa. Methods: A cross-...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1995.tb00647.x
更新日期:1995-09-01 00:00:00
abstract::Loiasis, caused by the filarial nematode Loa loa, is often asymptomatic but frequently manifests as episodic angioedema and periocular migration of adult worms. Hence also known as the eye worm.(1) It is rarely encountered in the United States among travelers and immigrants. This report describes a case of loiasis in ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2007.00166.x
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Health-care professionals can help travelers by providing accurate pre-travel counseling for mosquito-transmitted diseases such as malaria, yellow fever, and dengue fever. Governments and international organizations will benefit from knowledge survey among health professionals in this field to promote the de...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00483.x
更新日期:2011-01-01 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::A putative underdiagnosis of clinical chikungunya virus infection in Dutch travelers to the Indian Ocean area was addressed by retrospective screening of all sera for which requested dengue virus serology was negative in the period 2007 to 2010. Evidence for a recent infection was observed in 6.5% of 107 patients, ind...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2012.00670.x
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Pontiac fever (PF), a legionellosis with influenza-like symptoms and high attack rates, is rarely reported. Travel-related outbreaks can elude detection because infected persons are often widely removed geographically from the transmission source before illness onset. Thirty-one persons staying at an Illinoi...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2005.12401
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:Cebiche is a common dish in Latin America, prepared using raw fish mixed with vegetables and marinated with lime juice. The acidity of the lime juice is commonly believed to destroy bacteria and render cebiche as safe to eat. Little data exist concerning rates of cebiche-associated gastroenteritis outbreaks,...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00465.x
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:The risk of malaria to visitors to South Africa's nature reserves is unknown. Current recommendations for travelers are based on malaria incidence rates in local communities. These rates may well overestimate travelers' malaria risk and lead to unnecessary use of antimalarial prophylaxis with associated drug...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1998.tb00502.x
更新日期:1998-12-01 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:AIM:International travel has become popular among young adults. This study evaluated the rate and characteristics of travel-associated health risks among young adults with type 1 diabetes mellitus (T1DM) compared with healthy same-aged individuals. METHODS:A retrospective study was conducted of 47 young adults with T1...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12136
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Before the impact of the coronavirus disease 2019 pandemic, cruise travel had experienced exponential growth in the preceding decade. Travel medicine practitioners were increasingly called upon to provide pre-cruise travel advice and medical clearance. Demand for these services will return at some time in th...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taaa111
更新日期:2020-09-26 00:00:00
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 (...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2003.31755
更新日期:2003-03-01 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