Multicenter GeoSentinel Analysis of Rickettsial Diseases in International Travelers, 1996-2008

被引：108

作者：

Jensenius, Mogens ^{[1
,2
]}

Davis, Xiaohong ^{[3
]}

von Sonnenburg, Frank ^{[4
]}

Schwartz, Eli ^{[5
]}

Keystone, Jay S. ^{[6
]}

Leder, Karin ^{[7
]}

Lopez-Velez, Rogelio ^{[8
]}

Caurnes, Eric ^{[9
]}

Cramer, Jakob P. ^{[10
]}

Chen, Lin ^{[11
]}

Parola, Philippe ^{[12
,13
]}

机构：

[1] Oslo Univ Hosp, Dept Infect Dis, NO-0407 Oslo, Norway

[2] Univ Oslo, Oslo, Norway

[3] Ctr Dis Control & Prevent, Atlanta, GA USA

[4] Univ Munich, Munich, Germany

[5] Chaim Sheba Med Ctr, IL-52621 Tel Hashomer, Israel

[6] Toronto Gen Hosp, Toronto, ON, Canada

[7] Royal Melbourne Hosp, Parkville, Vic 3050, Australia

[8] Hosp Ramon & Cajal, E-28034 Madrid, Spain

[9] Hop La Pitie Salpetriere, Paris, France

[10] Bernhard Nocht Clin Trop Med, Hamburg, Germany

[11] Harvard Univ, Sch Med, Boston, MA USA

[12] WHO Collaborat Ctr Rickettsioses & Other Arthropo, Marseille, France

[13] Hop Nord Marseille, Marseille, France

来源：

EMERGING INFECTIOUS DISEASES | 2009年 / 15卷 / 11期

关键词：

TICK BITE FEVER; HUMAN GRANULOCYTIC EHRLICHIOSIS; SPOTTED-FEVER; MURINE TYPHUS; SCRUB TYPHUS; SPECTRUM; AFRICAE;

D O I：

10.3201/eid1511.090677

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

We investigated epidemiologic and clinical aspects of 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.

引用

页码：1791 / 1798

页数：8

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