MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Travel Medicine' source. Sun, 21 Mar 2010 15:16:04 +0100 http://www.medworm.com/index.php?rid=3264449&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00395.x We present a case of severe malaria due to Plasmodium malariae. Genetic testing showed that the patient was homozygous for five important gene polymorphisms previously shown to be associated with increased susceptibility to, and/or severity of, severe sepsis. Our case suggests that P. malariae may cause life-threatening disease, and that disease severity may be linked, at least in part, to multiple susceptibility genes. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3264449 Fri, 12 Feb 2010 00:00:00 +0100 3264449 http://www.medworm.com/index.php?rid=3264450&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00392.x The aim of this study was to evaluate the level of poliomyelitis immunization in refugees residing in the Asylum Seeker Center in Bari. The study was carried out during 2008 and involved 573 refugees. An antibody titer [ge]1:8 was found in 99.6% for poliovirus 1, in 99.8% for poliovirus 2, and in 99.5% for poliovirus 3. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3264450 Thu, 11 Feb 2010 00:00:00 +0100 3264450 http://www.medworm.com/index.php?rid=3256594&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2010.00394.x Typhoid treatment was empirically started in a Japanese patient with undifferentiated fever in Nepal since Japanese tourists, unlike most Americans and Europeans to South Asia, are unable to obtain typhoid vaccination in Japan even for travel to this area of high endemicity. Subsequently, his blood culture grew out Salmonella typhi. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3256594 Wed, 10 Feb 2010 00:00:00 +0100 3256594 http://www.medworm.com/index.php?rid=3225873&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2010.00397.x Conclusions. Nearly 200,000 pilgrims that performed the Hajj in 2008 originated from the world's most resource-limited countries, where access to H1N1 vaccine and capacity to detect and respond to H1N1 in returning pilgrims are extremely limited. International efforts may be needed to assist resource-limited countries that are vulnerable to the impact of H1N1 during the 2009 to 2010 influenza season. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3225873 Mon, 01 Feb 2010 00:00:00 +0100 3225873 http://www.medworm.com/index.php?rid=3202655&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2010.00393.x We report two cases of diarrhea due to Cryptosporidium hominis and Isospora belli, respectively, in a child and an adult returning from Africa, without other associated microorganisms. We emphasize the need to detect underdiagnosed coccidiosis in diarrheic travelers with specific methods (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3202655 Mon, 25 Jan 2010 00:00:00 +0100 3202655 http://www.medworm.com/index.php?rid=3202658&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00385.x Conclusions. Prophylactic treatment with rifaximin 600 mg/d for 14 days safely and effectively reduced the risk of developing TD in US travelers to Mexico. Rifaximin chemoprevention should be considered for TD in appropriate individuals traveling to high-risk regions. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3202658 Sun, 24 Jan 2010 00:00:00 +0100 3202658 http://www.medworm.com/index.php?rid=3202657&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00388.x Conclusions. A traveler's risk of exposure to established bacterial pathogens, Salmonella and Campylobacter, by eating in recommended restaurants is small. Arcobacter butzleri exposure risk is 13% per meal eaten, and rises to 75% when 10 meals are eaten. All restaurants, regardless of price, appear to be equally "risky." Current evidence points to Arcobacter being pathogenic in humans; however, further research is needed to conclusively define pathogenicity. Routine prophylaxis for diarrhea is not recommended; however, travelers should be aware of the risk and come prepared with adequate and appropriate self-treatment medications. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3202657 Sun, 24 Jan 2010 00:00:00 +0100 3202657 http://www.medworm.com/index.php?rid=3202656&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00390.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3202656 Sun, 24 Jan 2010 00:00:00 +0100 3202656 http://www.medworm.com/index.php?rid=3183607&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00391.x Conclusion. Severe organ involvement is not infrequent in patients with Mediterranean spotted fever and fatal outcome is regularly reported. Because presentations of complicated course may be extremely diverse, a high index of suspicion is required in febrile patients with potential exposure, in particular if skin rash and/or eschar are found. Early appropriate antibiotherapy is crucial to improve outcome. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3183607 Tue, 19 Jan 2010 00:00:00 +0100 3183607 http://www.medworm.com/index.php?rid=3183608&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00387.x Conclusions. In traveler with a low parasite burden, assessment of treatment results can be difficult because of the low sensitivity of microscopy and persistence of antibodies for several years after treatment. We found a high rate of treatment failure among traveler, indicating that nonimmune patients may need more than the recommended single day of treatment for eradication of parasites. Until more sensitive and specific methods for detection of persistent, active infection are available, repeated treatment should be considered in patients with continuous symptoms or other indications of treatment failure even when viable ova cannot be detected by microscopy. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3183608 Mon, 18 Jan 2010 00:00:00 +0100 3183608 http://www.medworm.com/index.php?rid=3147395&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00386.x Conclusions. Risks of contracting travelers' diarrhea are dependent on age, sex, season, and destination of travel. Incidence of diarrhea in all four seasons varies with age. Some destinations are associated with increased risks regardless of age. To prevent travelers from contracting diarrhea, adequate measures should focus on specific subpopulations. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3147395 Thu, 07 Jan 2010 00:00:00 +0100 3147395 http://www.medworm.com/index.php?rid=3147401&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00379.x Conclusions. Schistosomiasis antibody titers varied after adequate treatment. Therefore an increase in titer in the first 6 to 12 months or a failure to reduce after 3 years should not automatically justify re-treatment. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3147401 Wed, 06 Jan 2010 00:00:00 +0100 3147401 http://www.medworm.com/index.php?rid=3147400&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00380.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3147400 Wed, 06 Jan 2010 00:00:00 +0100 3147400 http://www.medworm.com/index.php?rid=3147399&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00381.x Paracoccidioidomycosis is the most important systemic mycosis in South America. In Europe the disease is very rare and only found in returning travelers. Here we report on a 56-year-old Spanish missionary with respiratory symptoms but no other affected systems. Diagnosis was made based on serology and PCR for Paracoccidioides brasiliensis. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3147399 Wed, 06 Jan 2010 00:00:00 +0100 3147399 http://www.medworm.com/index.php?rid=3147398&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00382.x 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 return. Destinations were classified according to the visited continent (America including Caribbean, Asia, Africa, Oceania). We prospectively included all returning travelers consulting our department between November 2002 and May 2003 for health problems and investigated those presenting fever within 3 months after return from a tropical country. We then conducted a case control study to identify factors predictive of malaria. Control group was defined as febrile travelers wit... Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3147398 Wed, 06 Jan 2010 00:00:00 +0100 3147398 http://www.medworm.com/index.php?rid=3147397&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00383.x We report the case of an unvaccinated tourist who was exposed to multiple tick bites during a bike tour crossing several European countries with ongoing tick-borne encephalitis (TBE) transmission and who presented a typical TBE clinical course with favorable outcome. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3147397 Wed, 06 Jan 2010 00:00:00 +0100 3147397 http://www.medworm.com/index.php?rid=3147396&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00384.x Conclusions. The prevalence of respiratory symptoms was high among Malaysian hajj pilgrims and the current protective measures seemed inadequate to reduce it. Beside standardization of the term used in hajj studies, more collaborative effort should be taken to reduce respiratory symptoms. The hajj authority should prepare for the challenge of pandemic influenza by providing more healthcare facilities and implementation of more strict measures to reduce the transmission of pandemic influenza strain among hajj pilgrims. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3147396 Wed, 06 Jan 2010 00:00:00 +0100 3147396 http://www.medworm.com/index.php?rid=3144023&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00389.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=3144023 Wed, 06 Jan 2010 00:00:00 +0100 3144023 http://www.medworm.com/index.php?rid=2986747&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00375.x We describe seven cases of meningitis in a group of young Italian travelers coming back from India. Virologic studies identified echovirus-4 as the cause of this cluster of cases, the first imported echovirus outbreak in Italy. Enteroviruses may play an important role in undiagnosed fevers in travelers. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2986747 Fri, 13 Nov 2009 00:00:00 +0100 2986747 http://www.medworm.com/index.php?rid=2979103&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00369.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2979103 Wed, 11 Nov 2009 00:00:00 +0100 2979103 http://www.medworm.com/index.php?rid=2928863&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00374.x Background.As the incidence of dengue increases globally, US travelers to endemic areas may be at an increased risk of travel-associated dengue.Methods. Data from the US Centers for Disease Control and Prevention's laboratory-based Passive Dengue Surveillance System (PDSS) were used to describe trends in travel-associated dengue reported from January 1, 1996 to December 31, 2005. The PDSS relies on provider-initiated requests for diagnostic testing of serum samples via state health departments. A case of travel-associated dengue was defined as a laboratory-positive dengue infection in a resident of the 50 US states and the District of Columbia who had been in a dengue-endemic area within 14 days before symptom onset. Dengue infection was confirmed by serologic and virologic techniques.Resu... Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2928863 Mon, 26 Oct 2009 00:00:00 +0100 2928863 http://www.medworm.com/index.php?rid=2928862&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00376.x We report a 58-year-old business traveler who returned from Indonesia and experienced relapse due to CRPV. The epidemiology and diagnostic challenges of CRPV for travel medicine clinicians are reviewed. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2928862 Mon, 26 Oct 2009 00:00:00 +0100 2928862 http://www.medworm.com/index.php?rid=2928861&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00377.x A 54-year-old Japanese man without underlying disease developed pneumococcal bacteremia and meningitis after traveling to the Philippines. The isolate demonstrated high affinity to the lung and invasiveness in vivo. The international travelers can import indigenous high virulent strains even if the bacterium is commonly isolated in the home country. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2928861 Mon, 26 Oct 2009 00:00:00 +0100 2928861 http://www.medworm.com/index.php?rid=2906483&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00371.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2906483 Mon, 19 Oct 2009 23:00:00 +0100 2906483 http://www.medworm.com/index.php?rid=2864052&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00367_2.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2864052 Mon, 05 Oct 2009 23:00:00 +0100 2864052 http://www.medworm.com/index.php?rid=2864053&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00367_1.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2864053 Sun, 04 Oct 2009 23:00:00 +0100 2864053 http://www.medworm.com/index.php?rid=2848595&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00370.x We describe the first case of mucosal inoculation lesion on the vulva in a female traveler returning from South Africa. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2848595 Wed, 30 Sep 2009 23:00:00 +0100 2848595 http://www.medworm.com/index.php?rid=2840366&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.0365_2.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2840366 Mon, 28 Sep 2009 23:00:00 +0100 2840366 http://www.medworm.com/index.php?rid=2840370&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00365_1.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2840370 Sun, 27 Sep 2009 23:00:00 +0100 2840370 http://www.medworm.com/index.php?rid=2840369&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00358.x Conclusions. Health risks associated with the Hajj in our experience are much more related to crowding conditions than to travel. Our work suggests that the studies performed in Saudi specialized units probably overestimate the part of certain diseases within the spectrum of Hajj-associated diseases. Our results also suggest that old female Hajjes should be considered as a high-risk population and that preventive measures should be reinforced before departing for Saudi Arabia. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2840369 Sun, 27 Sep 2009 23:00:00 +0100 2840369 http://www.medworm.com/index.php?rid=2840368&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00359.x Among many methods to facilitate robbery is spiking unsuspected victims' food or beverage with drugs. In this short report, we would like to present a highly unusual and a very creative case of drug-facilitated robbery to highlight the possibility of this type of case in the field of travel safety. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2840368 Sun, 27 Sep 2009 23:00:00 +0100 2840368 http://www.medworm.com/index.php?rid=2840367&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00360.x A case is reported of travel-acquired tick-borne spotted fever rickettsiosis from Sri Lanka. Little is known about rickettsial disease in Sri Lanka and this case may be the first documented instance of travel-acquired spotted fever group rickettsiosis from that origin. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2840367 Sun, 27 Sep 2009 23:00:00 +0100 2840367 http://www.medworm.com/index.php?rid=2837310&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00362.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2837310 Sun, 27 Sep 2009 23:00:00 +0100 2837310 http://www.medworm.com/index.php?rid=2829916&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00364.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2829916 Thu, 24 Sep 2009 23:00:00 +0100 2829916 http://www.medworm.com/index.php?rid=2829918&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00361.x Conclusions. Among the diversified etiological spectrum of CMI, cosmopolitan infections are widely predominant, particularly viral infections, followed by tropical causes, of which malaria is the leading disease in returnees from endemic areas. The diagnostic approach should be driven by history and physical examination. Key investigations include: blood smear, cerebrospinal fluid polymerase chain reaction and culture as well as neuroimaging. Management should focus on curable causes. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2829918 Wed, 23 Sep 2009 23:00:00 +0100 2829918 http://www.medworm.com/index.php?rid=2829917&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00363.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2829917 Wed, 23 Sep 2009 23:00:00 +0100 2829917 http://www.medworm.com/index.php?rid=2794546&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00352.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2794546 Mon, 14 Sep 2009 23:00:00 +0100 2794546 http://www.medworm.com/index.php?rid=2783868&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00351.x Conclusions. The aluminum-free virosomal HAV vaccine Epaxal® is highly immunogenic and well tolerated when administered either via i.d., s.c., or i.m. Vaccination via the i.d. route may confer significant cost savings over the conventional i.m. route. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2783868 Thu, 10 Sep 2009 23:00:00 +0100 2783868 http://www.medworm.com/index.php?rid=2783872&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00340.x Conclusions. Patient age, availability of local resources, and locations are the criteria associated with the need for immediate aeromedical evacuation. Creation of a specific standardized scoring system based on these criteria could be of great value to help physicians of aeromedical evacuation companies in initial management of cases. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2783872 Wed, 09 Sep 2009 23:00:00 +0100 2783872 http://www.medworm.com/index.php?rid=2783871&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00348.x We report three cases of yellow fever (YF) in a family traveling from the city of Sao Paulo, Brazil (without previous vaccination) to an endemic area, acquiring the disease and presenting mild-to-moderate symptoms. Despite posing the intermittent risk of YF in endemic areas, it also alerts to the threat of introduction and spread of YF in the urban cycle, when infected travelers return to non-endemic areas where potential vectors are highly prevalent. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2783871 Wed, 09 Sep 2009 23:00:00 +0100 2783871 http://www.medworm.com/index.php?rid=2783870&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00349.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2783870 Wed, 09 Sep 2009 23:00:00 +0100 2783870 http://www.medworm.com/index.php?rid=2783869&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00350.x Conclusion. This study shows that humanitarian aid workers experience significant worsening of their health during overseas missions. Many are at risk of experiencing violence, accidents, or injuries. Despite awareness of the risks, many expatriates engage in behaviors that could endanger their health. Improved selection of expatriate staff, training programs emphasizing areas of concern, strengthening social support locally, and follow-up in field may help to alleviate these problems. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2783869 Wed, 09 Sep 2009 23:00:00 +0100 2783869 http://www.medworm.com/index.php?rid=2780090&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00345.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2780090 Wed, 09 Sep 2009 23:00:00 +0100 2780090 http://www.medworm.com/index.php?rid=2780093&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00338.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2780093 Tue, 08 Sep 2009 23:00:00 +0100 2780093 http://www.medworm.com/index.php?rid=2780092&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00341.x Conclusion. The management of leishmaniasis in non-endemic countries is still a challenge for physicians. With the variety of cases presented, both in immigrants and travelers from different geographical areas, this series illustrates the great diversity of imported leishmaniasis in terms of presentation, treatment options, and outcome. We consider this entity is becoming increasingly more frequent and clinicians should be aware of strategies for its correct management. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2780092 Tue, 08 Sep 2009 23:00:00 +0100 2780092 http://www.medworm.com/index.php?rid=2780091&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00343.x Discussion. Respiratory illness is the most common cause of presumably communicable diseases aboard cargo ships and may cause outbreaks of considerable morbidity. Although the validity of the data is limited due to the use of nonprofessional diagnoses, missing or illegible entries, and restriction of the study population to German ships, the results provide guidance to ship owners and to Port Health Authorities to allocate resources and build capacities under International Health Regulations 2005. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2780091 Tue, 08 Sep 2009 23:00:00 +0100 2780091 http://www.medworm.com/index.php?rid=2632196&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00319.x Conclusions. The health problems encountered were largely similar to those reported for other expeditions. The most common problems included trauma as well as dermatological, dental, gastrointestinal, and neurological conditions. It is important that expedition teams are prepared to manage common problems, such as trauma and dental lesions. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2632196 Thu, 23 Jul 2009 23:00:00 +0100 2632196 http://www.medworm.com/index.php?rid=2632195&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00320.x Conclusions. The CVP was lower than the prevalence rate found in our international travelers. Therefore, we recommend systematic screening for HAV antibodies before selective vaccination of international travelers aged >40 years traveling to hepatitis A endemic zones. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2632195 Thu, 23 Jul 2009 23:00:00 +0100 2632195 http://www.medworm.com/index.php?rid=2632194&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00321.x Conclusions. We found a changing pattern of malaria presentation in immigrants over a decade. The most likely explanation is the longer average stay outside endemic countries and subsequent loss of premunition observed in the second cohort. Immigrants living in Italy for some time and traveling to VFR should no more be considered a low-risk group for severe malaria. Pretravel advice should be particularly targeted to this group. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2632194 Thu, 23 Jul 2009 23:00:00 +0100 2632194 http://www.medworm.com/index.php?rid=2632193&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00322.x Conclusions. Identified gaps in travel health knowledge and prevention behaviors may produce hazardous consequences when combined with low-perceived risk, reliance on travel guidebooks for health information, and high ratings for prevention self-efficacy. Future research is needed to test the effectiveness of educational interventions designed for student travelers who would benefit from guided practice with destination-specific risk appraisal and prevention planning. Web-based educational resources are a good fit for this population because they are easily updated, available in all phases of travel, and can accommodate interactive multimedia designs that actively engage and motivate students to adopt prevention behaviors. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2632193 Thu, 23 Jul 2009 23:00:00 +0100 2632193 http://www.medworm.com/index.php?rid=2632192&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00323.x Conclusions. The system provides a rapid alert mechanism for potential outbreaks of IID outside Scotland, allowing their investigation and control as appropriate and demonstrates the risks of outbreaks associated with different countries and pathogens. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2632192 Thu, 23 Jul 2009 23:00:00 +0100 2632192 http://www.medworm.com/index.php?rid=2632190&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00324.x Conclusions. The core group of young Peruvians we report on demonstrated a high-risk sexual behavior and a high prevalence of sexually transmitted infections. Our results underscore the need for education on safer sex practices among this group and among travelers. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2632190 Thu, 23 Jul 2009 23:00:00 +0100 2632190 http://www.medworm.com/index.php?rid=2393028&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00318.x Conclusions. US citizens should be aware of regional variation of injury deaths in foreign countries, especially for motor vehicle crashes, drowning, and violence. Improved knowledge of regional variations of injury death and risk for travelers can further inform travelers and the development of evidence-based prevention programs and policies. The State Department Web site is a new data source that furthers our understanding of this challenging travel-related health issue. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393028 Thu, 07 May 2009 04:00:00 +0100 2393028 http://www.medworm.com/index.php?rid=2393045&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00301.x Conclusions. According to the results, each of the above-mentioned viruses played a role in the development of respiratory diseases among Iranian pilgrims, with influenza virus as the commonest one. Because influenza vaccine could not prevent respiratory infections in Hajj pilgrims statistically, the possibility of the appearance of new drift variants not included in vaccine and also inappropriate vaccine handling and storage might be considered. So it is also advisable to check if the circulating influenza strains were different from the vaccine strains. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393045 Tue, 05 May 2009 04:00:00 +0100 2393045 http://www.medworm.com/index.php?rid=2393044&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00302.x Conclusions. Australia remains a relatively safe destination for international travelers, at least in terms of fatalities, which appear to be declining. Most deaths of overseas tourists in Australia are due to natural causes with cardiovascular disease being the predominant cause of death in this group. Accidents remain the most common preventable cause of death of travelers, with road and water safety being the major issues. It is important that tourism and travel medicine groups continue to advocate for improved health and safety of international travelers visiting Australia. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393044 Tue, 05 May 2009 04:00:00 +0100 2393044 http://www.medworm.com/index.php?rid=2393043&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00303.x Conclusions. The primary risk for sickle cell children traveling to Africa is infection: malaria first and digestive septicemia second. These risks are increased by long travel and poor sanitary conditions. Each travel should be prepared a long time before departure, and each pediatrician should insist on malaria prophylaxis and sanitary conditions, especially for young children. Trips should be shorter than 1 month when possible. A longer prospective study will be done to confirm these results. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393043 Tue, 05 May 2009 04:00:00 +0100 2393043 http://www.medworm.com/index.php?rid=2393042&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00304.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393042 Tue, 05 May 2009 04:00:00 +0100 2393042 http://www.medworm.com/index.php?rid=2393041&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00305.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393041 Tue, 05 May 2009 04:00:00 +0100 2393041 http://www.medworm.com/index.php?rid=2393040&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00306.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393040 Tue, 05 May 2009 04:00:00 +0100 2393040 http://www.medworm.com/index.php?rid=2393039&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00307.x Conclusions. We conclude that travelers, and especially children, who are VFR in endemic areas constitute a high-risk group for acquiring hepatitis A infection, while the risk for unprotected tourists to East Asia is low. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393039 Tue, 05 May 2009 04:00:00 +0100 2393039 http://www.medworm.com/index.php?rid=2393038&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00308.x Background. Migration is a growing phenomenon with a well-known impact in infectious diseases epidemiology. Currently, immigrants represent almost 10% of the Spanish population. The majority come from countries where the prevalence of chronic viral illnesses is higher than in Spain.Methods. To describe clinicoepidemiological features of human immunodeficiency virus (HIV)[ndash]infected immigrants attending our Unit and to compare differential characteristics depending on geographical origin, information from all new immigrants from January 1997 to December 2006 was collected. Study design: noninterventional retrospective chart review.Results. We screened 1,609 patients of whom 77 (4.8%) were HIV antibody (Ab) positive. Of these, 80% were sub-Saharan Africans (SSAFR) and 20% were South[ndas... Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393038 Tue, 05 May 2009 04:00:00 +0100 2393038 http://www.medworm.com/index.php?rid=2393037&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00309.x Conclusions. Opening a register for travel health professionals has led to a large increase of professionals who follow courses and register as travel health professionals. A positive association was found between the quality of the questions and the registration of the responsible physician. The quality of travel health advice given in general practices needs increased attention. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393037 Tue, 05 May 2009 04:00:00 +0100 2393037 http://www.medworm.com/index.php?rid=2393036&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00310.x Discussion. Risk estimates based on mathematical modeling will help the travel medicine provider give better evidence-based advice for travelers to dengue endemic countries. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393036 Tue, 05 May 2009 04:00:00 +0100 2393036 http://www.medworm.com/index.php?rid=2393035&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00311.x Conclusions. Clinicians in nonendemic areas may be faced with patients with a diagnosis of histoplasmosis and although Histoplasma infection can have a varied and nonspecific clinical presentation, imported histoplasmosis may have two distinct profiles. Previously, healthy travelers may be exposed in endemic areas and mainly develop acute forms of the disease with a favorable outcome. Immigrants or expatriates from endemic areas who may be immunosuppressed due to HIV infection may experience reactivation of latent disease developing disseminated forms with high mortality rates. This infection should be considered in the differential diagnosis of diseases affecting travelers and immigrants. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393035 Tue, 05 May 2009 04:00:00 +0100 2393035 http://www.medworm.com/index.php?rid=2393034&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00312.x 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 levels of possible misunderstandings (prelinguistic, linguistic, metalinguistic, cultural, and metacultural) may help the physician to discriminate between illness and disease. The long and difficult itinerary leading to the correct diagnosis of congenital myopathy in a migrant from Senegal is described, together with the barriers encountered by the caring staff. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393034 Tue, 05 May 2009 04:00:00 +0100 2393034 http://www.medworm.com/index.php?rid=2393033&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00313.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393033 Tue, 05 May 2009 04:00:00 +0100 2393033 http://www.medworm.com/index.php?rid=2393032&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00314.x Conclusions. Simply making professional interpreter services available to healthcare professionals does not appear to guarantee their use for limited French proficiency (LFP) patients. Future efforts should focus on developing procedures for systematically identifying patients needing linguistic assistance, linguistic assistance strategies that are responsive to provider and institutional contexts and constraints, and institutional directives to ensure use of qualified interpreters for all medically important communication with LFP patients. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393032 Tue, 05 May 2009 04:00:00 +0100 2393032 http://www.medworm.com/index.php?rid=2393031&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00315.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393031 Tue, 05 May 2009 04:00:00 +0100 2393031 http://www.medworm.com/index.php?rid=2393030&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00316.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393030 Tue, 05 May 2009 04:00:00 +0100 2393030 http://www.medworm.com/index.php?rid=2393029&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00317.x Conclusions. Among the relatively small groups of travelers studied, the UK and German travelers were more cognizant of TD risk than US and Canadian travelers. The Europeans were less inclined to take chemoprophylaxis or treatment. Both groups preferred treatment or prophylaxis with the nonabsorbed antibiotic over the systemically absorbed antibiotic or the antidiarrheal agent. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393029 Tue, 05 May 2009 04:00:00 +0100 2393029 http://www.medworm.com/index.php?rid=2393046&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00336.x We report the successful and uneventful immunization of a 62-year-old man with a history of allogeneic bone marrow transplant and discuss evidence for this recommendation. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2393046 Mon, 04 May 2009 04:00:00 +0100 2393046 http://www.medworm.com/index.php?rid=2309908&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00287.x We present a case of Salmonella enterica infection in a patient without a history of international travel acquired from his traveling ex-wife. History of overseas travel in family members should be investigated when evaluating suspected cases. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2309908 Thu, 26 Mar 2009 04:00:00 +0100 2309908 http://www.medworm.com/index.php?rid=2309907&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00291.x We report on a German tourist returning from vacations in Southern Greece with cutaneous leishmaniasis (CL) presenting as multiple erythematosquamous lesions caused by Leishmania tropica (zymodeme MON-57). In spite of its endemicity, only few data are available on the incidence and current distribution of CL in Greece, which may allow for an assessment of the risk for travelers. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2309907 Thu, 26 Mar 2009 04:00:00 +0100 2309907 http://www.medworm.com/index.php?rid=2309906&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00294.x We report a cluster of CHIKV infection among travelers returning from Senegal in 2006. Eight imported cases of dengue-like syndrome with fever, joint pain, and skin manifestations were investigated. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2309906 Thu, 26 Mar 2009 04:00:00 +0100 2309906 http://www.medworm.com/index.php?rid=2309905&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00297.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2309905 Thu, 26 Mar 2009 04:00:00 +0100 2309905 http://www.medworm.com/index.php?rid=2277846&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2009.00300.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2277846 Fri, 20 Mar 2009 04:00:00 +0100 2277846 http://www.medworm.com/index.php?rid=2277847&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00299.x The most frequent illness among persons traveling from developed to developing countries is travelers' diarrhea. Travelers to high-risk regions traditionally have been educated to exercise care in food and beverage selection. Innovative research is needed to identify ways to motivate people to exercise this care and to determine its value. Chemoprophylaxis can be recommended for certain groups while monitoring for safety, drug resistance, and efficacy against all forms of bacterial diarrhea. Research to evaluate the value of immunoprophylaxis is recommended. In the following document, the authors used an evidence base when available to determine strength and quality of evidence and when data were lacking, the panel experts provided consensus opinion. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2277847 Thu, 19 Mar 2009 04:00:00 +0100 2277847 http://www.medworm.com/index.php?rid=2100062&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00278_2.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100062 Tue, 13 Jan 2009 05:00:00 +0100 2100062 http://www.medworm.com/index.php?rid=2100061&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00278_1.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100061 Tue, 13 Jan 2009 05:00:00 +0100 2100061 http://www.medworm.com/index.php?rid=2100060&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00277.x We report a case of melioidosis originally diagnosed as CAP complicated by empyema successfully cured with combination of antibiotics and intrapleural fibrinolytic therapy, averting operative intervention. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100060 Tue, 13 Jan 2009 05:00:00 +0100 2100060 http://www.medworm.com/index.php?rid=2100059&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00276.x We present here the case of a patient who was immunized against hepatitis A before leaving for Kenya and who contracted an acute symptomatic hepatitis A during travel. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100059 Tue, 13 Jan 2009 05:00:00 +0100 2100059 http://www.medworm.com/index.php?rid=2100058&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00275.x Neurocysticercosis is one of the most common causes of seizures in the developing world. Due to the high volumes of immigration from South America and Asia, American physicians are increasingly encountering this condition. This case report attempts to present a brief overview of some of the difficulties associated with the treatment of patients with a high disease burden. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100058 Tue, 13 Jan 2009 05:00:00 +0100 2100058 http://www.medworm.com/index.php?rid=2100057&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00265.x Nine of 26 French tourists developed malaria after a 2-week stay under field conditions in a highly endemic place in Burkina Faso. A study of their preventive antimalarial measures identified a strong association of malaria attack with absence or inadequacy of chemoprophylaxis but not with mechanic measures. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100057 Tue, 13 Jan 2009 05:00:00 +0100 2100057 http://www.medworm.com/index.php?rid=2100056&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00264.x Increasing migration flow to Western countries poses formidable challenges from the epidemiological, clinical, and cultural standpoints. A case of Dhat syndrome is presented in a young Pakistani male migrant living in Italy, which required integrated medical and cultural approach to be solved after a through diagnostic workout that did not yield any result. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100056 Tue, 13 Jan 2009 05:00:00 +0100 2100056 http://www.medworm.com/index.php?rid=2100055&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00263.x Because information about travel medicine in Chile is lacking, a knowledge, attitudes, and practices evaluation in international travelers and medical students was done. The travelers and medical students did not know the travel medicine and sanitary conditions of their destinations, although they perceived travel-associated health risks, but (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100055 Tue, 13 Jan 2009 05:00:00 +0100 2100055 http://www.medworm.com/index.php?rid=2100054&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00262.x We present an extraordinary case of typhoid fever, manifesting as hand cyanosis as well as abducens nerve paresis, all of which promptly resolved with antibiotics. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100054 Tue, 13 Jan 2009 05:00:00 +0100 2100054 http://www.medworm.com/index.php?rid=2100053&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00259.x We present a case study of a tourist who developed serious toxic liver disease after consumption of kava beverages in traditional Samoan kava ceremonies. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100053 Tue, 13 Jan 2009 05:00:00 +0100 2100053 http://www.medworm.com/index.php?rid=2100052&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00274.x We studied a group of 174 Portuguese children (aged 2 mo[ndash]16 y) who mostly traveled to tropical Portuguese-speaking countries and found an attack rate of 21.8% for travelers' diarrhea, much lower than previously described. We also showed that African rate analysis by region may hide significant differences between countries. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100052 Tue, 13 Jan 2009 05:00:00 +0100 2100052 http://www.medworm.com/index.php?rid=2100051&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00273.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100051 Tue, 13 Jan 2009 05:00:00 +0100 2100051 http://www.medworm.com/index.php?rid=2100050&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00272.x Background. To objectively compare the mood profiles of users of malaria chemoprophylaxis regimens (atovaquone[ndash]proguanil, chloroquine[ndash]proguanil, doxycycline, or mefloquine) in a group of nonimmune tourists to sub-Saharan Africa.Methods. In a randomized, double-blind, four-arm study with placebo run-in phase conducted at travel clinics in Switzerland, Germany, and Israel, we compared moods and feelings in chemoprophylaxis users (n= 547) by administering the standardized "Profile of Mood States" (POMS) questionnaire. This is designed to provide data on six categories of feelings: tension, depression, anger, vigor, fatigue, and confusion. The questionnaire was administered at four time points: recruitment (T1), 13 to 11 days before departure (T2), 6 to 4 days before departure (T3)... Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100050 Tue, 13 Jan 2009 05:00:00 +0100 2100050 http://www.medworm.com/index.php?rid=2100049&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00271.x Conclusions. While some components of the HACCP system were observed in larger hotels, there were serious shortcomings in its comparison. Mandatory implementation of HACCP would require that sector-specific policies be developed for smaller hotels and implemented on a phased basis. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100049 Tue, 13 Jan 2009 05:00:00 +0100 2100049 http://www.medworm.com/index.php?rid=2100048&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00270.x Conclusions. The analysis indicated that vaccination would be considered cost-effective at incidence rates of ETEC-caused TD above about 13 and 9% for leisure and business travelers, respectively. It is, however, important to keep in mind that it is the value of the travel for the individual traveler that will decide if the vaccination provides good value for money. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100048 Tue, 13 Jan 2009 05:00:00 +0100 2100048 http://www.medworm.com/index.php?rid=2100047&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00269.x Conclusions. SAR incidents can be expensive and end with severe health consequences. NPS management should develop education and preventive efforts focused on hikers, boaters, and swimmers who are males and aged 20 to 29 years, addressing issues of adequate judgment, preparation, and experience. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100047 Tue, 13 Jan 2009 05:00:00 +0100 2100047 http://www.medworm.com/index.php?rid=2100046&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00268.x Conclusions. Dutch tourists who travel to HBV-endemic countries run a very low risk of contracting HBV. Vaccination of short-term Dutch tourists is not necessary. Immigrants run a higher risk irrespective of travel or duration of travel. This group should be advised vaccination. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100046 Tue, 13 Jan 2009 05:00:00 +0100 2100046 http://www.medworm.com/index.php?rid=2100045&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00256.x Conclusions. Post-travel consultations at two New Zealand travel clinics were analyzed for prophylactic rabies postexposure management. The majority were travelers aged 16 to 30 years, who sustained WHO category III exposures to the lower limb in Asia, predominantly from dogs. Few of these travelers had been immunized prior to travel, and only 25% of them received postexposure prophylaxis consistent with WHO guidelines. Thus, 75% of the study sample remains at theoretical risk of contracting rabies due to inappropriate management overseas. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100045 Tue, 13 Jan 2009 05:00:00 +0100 2100045 http://www.medworm.com/index.php?rid=2100044&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00255.x This study examined the use of the ISTM TravelMed listserv over an 8-month period from January 1, 2006, to July 31, 2006. Descriptive data analysis included TravelMed user demographics, the type of posting, the topic and frequency of postings, and the source of information provided.Results. During the study period, 911 (47%) of the eligible ISTM members subscribed to the TravelMed listserv. About 369 of these subscribers posted 1,710 individual messages. About 1,506 (88%) postings were educational; 207 (12%) postings were administrative. A total of 389 (26%) of the educational postings were primary queries and 1,120 (74%) were responses, with a mean string length of 2.9 responses per query (range: 1[ndash]51). Twenty participants contributed 40% of the educational postings. The topics with... Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=2100044 Tue, 13 Jan 2009 05:00:00 +0100 2100044 http://www.medworm.com/index.php?rid=1983893&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00266.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983893 Mon, 24 Nov 2008 05:00:00 +0100 1983893 http://www.medworm.com/index.php?rid=1983892&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00261.x We present a case of a long-term history of imported mucocutaneous leishmaniasis, illustrating the importance of this differential diagnosis even decades after exposure. Diagnostic pitfalls and the role of primary subspecies differentiation are demonstrated. Chemotherapy avoiding antimonials was successful and remarkably well tolerated by an elderly patient. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983892 Mon, 24 Nov 2008 05:00:00 +0100 1983892 http://www.medworm.com/index.php?rid=1983891&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00260.x A 40-year-old seaman presented to our emergency department with a severe pruritic skin reaction on his limbs and neck after visiting French Guyana on an oil tanker. Twenty crewmembers had had the same complaints. The harbor in French Guyana had been devastated by an invasion of Hylesia metabus, a moth that can cause a serious dermatitis due to contact with the hairs (setae) of the female moth. Complaints due to contact with caterpillars, butterflies, or moths is called lepidopterism. The complaints are self-limiting, and treatment is symptomatic. Due to the increasing amount of travelers and the normally harmless character of butterflies and moths, we would like to heighten the awareness of this relatively unknown condition. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983891 Mon, 24 Nov 2008 05:00:00 +0100 1983891 http://www.medworm.com/index.php?rid=1983890&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00258.x We present an immunocompetent traveler to Nicaragua who developed enteric fever from Salmonella panama complicated by ARDS. Unlike her fellow travelers who also became ill, she was taking a proton pump inhibitor, which may have contributed to the disease severity. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983890 Mon, 24 Nov 2008 05:00:00 +0100 1983890 http://www.medworm.com/index.php?rid=1983889&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00246.x Over a 2-month period, 43 of 143 participating general practitioners included 97 patients with 113 health impairments, mainly gastrointestinal problems (35%), respiratory tract infections (30%), and skin diseases (11%). Systemic febrile illness or imported tropical disease accounted for less than 4% of cases. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983889 Mon, 24 Nov 2008 05:00:00 +0100 1983889 http://www.medworm.com/index.php?rid=1983888&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00245.x We assessed the potential for international transmission of primary drug resistance among men who have sex with men newly diagnosed with human immunodeficiency virus (HIV) (n= 64) during the period in which they were unaware of their infection. During their exposure period, 55% of participants lived or traveled outside of the United States, and 59% had foreign-born sexual partners. Eighteen participants (28%) were classified as recently infected with HIV. Primary HIV-1 drug resistance was detected in eight participants (13%), four of whom were recently infected. Given the high frequency of international travel and prevalence of primary HIV-1 drug resistance among study participants, prevention strategies should incorporate specific counseling on risk of cross-border transmission. (Source: ... Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983888 Mon, 24 Nov 2008 05:00:00 +0100 1983888 http://www.medworm.com/index.php?rid=1983887&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00257.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983887 Mon, 24 Nov 2008 05:00:00 +0100 1983887 http://www.medworm.com/index.php?rid=1983886&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00254.x Conclusions. Many travelers to the SH are at risk for influenza infection. Although only a limited number of ISTM members responded, respondents indicated considerable interest in availability of SH influenza vaccine for their patients. More data from travel medicine and other practitioners are needed on this topic. Inquiries are being made of influenza vaccine manufacturers about licensing SH influenza vaccines in the United States. Adding SH influenza vaccine to the vaccines available to NH clinicians could help mitigate the morbidity of influenza in travelers. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983886 Mon, 24 Nov 2008 05:00:00 +0100 1983886 http://www.medworm.com/index.php?rid=1983885&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00252.x Conclusions. The TQS test is a reliable, fast, and cost-effective means of identifying subjects with a preexisiting level of tetanus IgG antibodies above approximately 0.5 IU/mL. This can help to avoid unnecessary tetanus vaccinations in travel clinics, emergency departments, and practices of family doctors. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983885 Mon, 24 Nov 2008 05:00:00 +0100 1983885 http://www.medworm.com/index.php?rid=1983884&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00251.x Conclusions. Prompt and specific diagnosis of malaria could be improved. Malaria-associated mortality was reduced over time. As ICU referral showed to be inappropriately high in relation to a moderate clinical course of several admitted patients, criteria for ICU admission should be reevaluated. The trend toward malaria in patients originating from endemic areas suggests that preventive travel advice should specifically address these patients. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983884 Mon, 24 Nov 2008 05:00:00 +0100 1983884 http://www.medworm.com/index.php?rid=1983883&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00250.x Conclusions. Although the sensitivity of malaria serology for retrospective confirmation of malaria is limited, the results of this analysis strongly suggest that the majority of travelers with a recent history of malaria diagnosed and treated in endemic countries did not have malaria and that diagnosis of malaria during travel in endemic areas is frequently incorrect. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983883 Mon, 24 Nov 2008 05:00:00 +0100 1983883 http://www.medworm.com/index.php?rid=1983882&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00236.x Conclusions. The high resistance rates to fluoroquinolones warrant reconsideration of their use as drugs of choice in patients with severe gastroenteritis when Campylobacter is the presumed cause. Continued monitoring of the incidence and the spread of resistant Campylobacter isolates is warranted. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983882 Mon, 24 Nov 2008 05:00:00 +0100 1983882 http://www.medworm.com/index.php?rid=1983881&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00249.x Conclusions. ETEC and DAEC were implicated in nearly one-third of the subjects initially diagnosed as pathogen negative. Direct PCR results from stools are consistent with the previous assumption that most undiagnosed TD is bacterial in nature and also highlights the potential value that PCR can add to studies designed to evaluate treatment and preventive interventions for TD, including vaccines. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983881 Mon, 24 Nov 2008 05:00:00 +0100 1983881 http://www.medworm.com/index.php?rid=1983880&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00235.x Conclusions. Fatalities in NPS units are not widespread and are related to more common events such as motor vehicle crashes, suicide, swimming, and hiking rather than exotic causes such as bears or other wildlife. It is recommended that preventive techniques first be developed in the 10 NPS units responsible for 36% of the total NPS-wide fatalities. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983880 Mon, 24 Nov 2008 05:00:00 +0100 1983880 http://www.medworm.com/index.php?rid=1983879&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00234.x Conclusions. The industry should address reporting culture issues and safety management practices generally. Specifically, the industry should consider risk management that focuses on minor (eg, falls) as well as catastrophic events. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983879 Mon, 24 Nov 2008 05:00:00 +0100 1983879 http://www.medworm.com/index.php?rid=1983878&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00233.x Conclusions. Although developments in telemedical assistance and the content of a medical kit make the management of potential in-flight medical emergency much easier, they will never turn a commercial aircraft into a flying clinic. Preflight check-in screening by airlines and encouraging future air travelers with health concerns to seek medical help before flying should be recommended. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983878 Mon, 24 Nov 2008 05:00:00 +0100 1983878 http://www.medworm.com/index.php?rid=1983877&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00267.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1983877 Sat, 01 Nov 2008 04:00:00 +0100 1983877 http://www.medworm.com/index.php?rid=1847214&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00248.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847214 Thu, 02 Oct 2008 04:00:00 +0100 1847214 http://www.medworm.com/index.php?rid=1847213&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00247_2.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847213 Thu, 02 Oct 2008 04:00:00 +0100 1847213 http://www.medworm.com/index.php?rid=1847212&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00247_1.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847212 Thu, 02 Oct 2008 04:00:00 +0100 1847212 http://www.medworm.com/index.php?rid=1847211&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00244.x We describe the case of three Israeli travelers who developed fever, maculopapular rash, and long-standing arthralgias while visiting northern Indian states not known to be involved in the chikungunya fever epidemic. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847211 Thu, 02 Oct 2008 04:00:00 +0100 1847211 http://www.medworm.com/index.php?rid=1847210&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00243.x We describe two patients who had skin infection due to identical strains of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) after returning from the Philippines. Both patients did not share risk factors for CA-MRSA acquisition besides scuba diving. Scuba diving equipment may represent a possible new mode of acquisition of CA-MRSA. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847210 Thu, 02 Oct 2008 04:00:00 +0100 1847210 http://www.medworm.com/index.php?rid=1847209&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00242.x We report two microbiologically confirmed cases of trypanosomiasis in short-term Australian travelers to Malawi. The initial diagnosis was followed by medi-evacuation to South Africa where suramin therapy was commenced. The treatment course was completed on return to Australia, with subsequent follow-up. This diagnosis should be considered in travelers returning from an endemic region. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847209 Thu, 02 Oct 2008 04:00:00 +0100 1847209 http://www.medworm.com/index.php?rid=1847208&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00241.x A domestic case of rabies has not been reported in Japan since 1957. The last case of rabies reported in Japan was an imported case from Nepal in 1970. We recently experienced a new case imported from the Philippines, the first case in Japan in 36 years. Although Japanese people are about to forget the dangers of rabies, this case should serve as a warning to those Japanese who are planning a trip abroad. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847208 Thu, 02 Oct 2008 04:00:00 +0100 1847208 http://www.medworm.com/index.php?rid=1847207&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00240.x We present a case of culture-negative disseminated gonococcal infection presenting with fever, malaise, polyarthralgia, arthritis, and a rash that developed following orogenital contact and was diagnosed using real-time polymerase chain reaction. This technology has major potential to improve the speed and sensitivity of diagnosis and consequent management of patients with this syndrome. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847207 Thu, 02 Oct 2008 04:00:00 +0100 1847207 http://www.medworm.com/index.php?rid=1847206&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00239.x We present an imported case (from Bangladesh) of typhoid fever with typhoid hepatitis due to an MDR S typhi strain with clinically delayed response or reduced susceptibility to ceftriaxone. The relevant clinical and public health implications are discussed. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847206 Thu, 02 Oct 2008 04:00:00 +0100 1847206 http://www.medworm.com/index.php?rid=1847205&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00238.x A 15-year-old Nepalese boy with fever was thought to have enteric fever and started on cefixime. His blood culture grew Salmonella paratyphoid A. On the sixth day, he developed gastrointestinal bleeding, disseminated intravascular coagulation, and later, acute respiratory distress syndrome. He succumbed to his illness despite treatment in the intensive care unit with ceftriaxone, intravenous fluids, and mechanical ventilation. Salmonella paratyphoid A, for which there is no commercial vaccine, may not be a benign disease as perceived, and cefixime that is recommended for enteric fever may be an ineffective choice. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847205 Thu, 02 Oct 2008 04:00:00 +0100 1847205 http://www.medworm.com/index.php?rid=1847204&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00221.x We report the first imported case of meningoencephalitis due to TOSV in a traveler returning from Central Italy to France. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847204 Thu, 02 Oct 2008 04:00:00 +0100 1847204 http://www.medworm.com/index.php?rid=1847203&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00220.x We report a visceral leishmaniasis case in an immunocompetent immigrant with acute renal failure. Parasites were demonstrated in bone marrow, peripheral blood, and kidney samples. A collapsing focal segmental glomerulosclerosis was documented, which was successfully treated with a single infusion of 10 mg/kg liposomal amphotericin B. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847203 Thu, 02 Oct 2008 04:00:00 +0100 1847203 http://www.medworm.com/index.php?rid=1847202&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00219.x Incidence of malaria is increasing in travelers and soldiers. In 2006, a survey was performed in a French battalion returning from a malaria-endemic area. According to the chemoprophylaxis plasma concentration and the individuals' reports, the noncompliance rates were high, respectively, 63.4 and 54.7%. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847202 Thu, 02 Oct 2008 04:00:00 +0100 1847202 http://www.medworm.com/index.php?rid=1847201&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00223.x We report 20 cases (17 cutaneous, 2 visceral, and 1 post-kala-azar dermal leishmaniasis). These data highlight the range of species causing leishmaniasis imported in Australia and demonstrate the importance of species identification in determining proper treatment. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847201 Thu, 02 Oct 2008 04:00:00 +0100 1847201 http://www.medworm.com/index.php?rid=1847200&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00237.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847200 Thu, 02 Oct 2008 04:00:00 +0100 1847200 http://www.medworm.com/index.php?rid=1847199&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00232.x Conclusions. The fingerprinting procedure as currently used is associated with a risk of infection transmission. Simple hygienic measures can considerably reduce this transmission risk. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847199 Thu, 02 Oct 2008 04:00:00 +0100 1847199 http://www.medworm.com/index.php?rid=1847198&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00231.x Conclusions. Members of the traveling public do visit community pharmacies, and most people are traveling for holiday purposes. The results suggest that travelers would be prepared to use the community pharmacy to provide travel advice and immunizations. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847198 Thu, 02 Oct 2008 04:00:00 +0100 1847198 http://www.medworm.com/index.php?rid=1847197&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00230.x Conclusions. HAV and HBV positivity is higher than in the autochthonous population. While HAV positivity merely represents past infection, the high prevalence of HBsAg in immigrants and the presence of HBsAg/HBeAg in the same group may represent a risk for HBV transmission. The HCV positivity rate resulted similar to the prevalence of the Italian population. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847197 Thu, 02 Oct 2008 04:00:00 +0100 1847197 http://www.medworm.com/index.php?rid=1847196&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00229.x Conclusions. Altitude illness that results in evacuation occurs more commonly among trekkers in the Everest region and among older trekkers. The outcome of all persons evacuated for altitude illness was uniformly good, and the rate of recovery was rapid. However, the incidence of altitude illness[ndash]related death continued to rise over past decade. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847196 Thu, 02 Oct 2008 04:00:00 +0100 1847196 http://www.medworm.com/index.php?rid=1847195&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00228.x Conclusions. Low-dose, slow-release theophylline reduces symptoms of AMS in association with alleviation of events of periodic breathing and oxygen desaturations. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847195 Thu, 02 Oct 2008 04:00:00 +0100 1847195 http://www.medworm.com/index.php?rid=1847194&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00227.x Conclusions. The prescription of the antimalarial drugs, proguanil, chloroquine, and the pyrimethamine-containing compounds, has generally reduced in number. Prescription of mefloquine trended upward during 2002 to 2005, following a period of reducing prescriptions. The atovaquone plus proguanil combination has steadily increased in use and is presumably displacing older antimalarials. The use of quinine has halved, which might be related in part to the uptake of newer antimalarial drugs for treatment. Trends in antimalarial use may be influenced by a number of factors, including the availability of antimalarials, increasing resistance, the issuing of updated guidelines for malaria chemoprophylaxis, and continuing education. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847194 Thu, 02 Oct 2008 04:00:00 +0100 1847194 http://www.medworm.com/index.php?rid=1847193&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00226.x Conclusions. The study shows that improving the evidence base on efficacy and tolerability and risk of malaria for prescribing chemoprophylaxis is needed as is further discussion across Europe to achieve harmonization of prescribing practice. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847193 Thu, 02 Oct 2008 04:00:00 +0100 1847193 http://www.medworm.com/index.php?rid=1847192&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00217.x Conclusions. The NaTHNaC program of registration, training, standards, and audit should help to meet important needs in practice settings and contribute to an improvement in travel health. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847192 Thu, 02 Oct 2008 04:00:00 +0100 1847192 http://www.medworm.com/index.php?rid=1847191&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00225.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1847191 Mon, 01 Sep 2008 04:00:00 +0100 1847191 http://www.medworm.com/index.php?rid=1640024&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00212.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640024 Sun, 20 Jul 2008 04:00:00 +0100 1640024 http://www.medworm.com/index.php?rid=1640023&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00224_2.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640023 Sun, 20 Jul 2008 04:00:00 +0100 1640023 http://www.medworm.com/index.php?rid=1640022&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00224_1.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640022 Sun, 20 Jul 2008 04:00:00 +0100 1640022 http://www.medworm.com/index.php?rid=1640021&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00222.x We describe a case of acute idiopathic blind spot enlargement in a 26-year-old male traveler who presented with narrow vision after a journey to Indonesia. Although the patient used mefloquine at time of presentation, we were unable to retrieve sound data incriminating mefloquine in this rare eye disorder. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640021 Sun, 20 Jul 2008 04:00:00 +0100 1640021 http://www.medworm.com/index.php?rid=1640020&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00210.x A woman aged 60 years was hospitalized for Vibrio cholerae serogroup O1 cholera. Twenty-six fellow travelers and 48 health care workers who cared for the patient were individually traced and contacted. Of the 23/27 travelers with diarrhea during the trip, 4 presented antibodies. There was no person-to-person transmission. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640020 Sun, 20 Jul 2008 04:00:00 +0100 1640020 http://www.medworm.com/index.php?rid=1640019&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00218.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640019 Sun, 20 Jul 2008 04:00:00 +0100 1640019 http://www.medworm.com/index.php?rid=1640018&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00206.x (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640018 Sun, 20 Jul 2008 04:00:00 +0100 1640018 http://www.medworm.com/index.php?rid=1640017&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00216.x Conclusions. We found that over a 12-year period (1993[ndash]2004), the travel-associated risk of typhoid fever is highest for destinations in the Indian subcontinent. All other regions showed a decline, most markedly in southern Europe. Our results suggest that typhoid fever vaccination should be recommended for all travelers to countries in South Asia. Otherwise, vaccination of tourists to frequently visited low- and intermediate-risk areas is not necessary, unless there are behavioral risk factors. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640017 Sun, 20 Jul 2008 04:00:00 +0100 1640017 http://www.medworm.com/index.php?rid=1640016&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00215.x Background. Various studies have ascertained different birth outcomes between resident and migrant populations in western countries. Considering preterm delivery ( (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640016 Sun, 20 Jul 2008 04:00:00 +0100 1640016 http://www.medworm.com/index.php?rid=1640015&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00214.x Discussion. The use of health advice and preventive measures was generally low among the expatriate corporate survey respondents. Adherence to preventive measures declined with the increase in length of stay. Corporations need to develop appropriate health promotion strategies targeting their expatriates in developing countries. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640015 Sun, 20 Jul 2008 04:00:00 +0100 1640015 http://www.medworm.com/index.php?rid=1640014&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00204.x Conclusions. Our data confirm a significant difference both in clinical and in parasitological findings between semi-immune and nonimmune patients. We identified two populations of immigrant children: semi-immune (recent immigrants) and nonimmune (VRF). The latter is a high-risk group for severe malaria. Educational actions should be specially designed for immigrants traveling to VRF, focusing on the risk of severe malaria for both adults and children. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640014 Sun, 20 Jul 2008 04:00:00 +0100 1640014 http://www.medworm.com/index.php?rid=1640013&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00203.x The objective of this study was to analyze infections associated with oral ingestion of pathogens in international travelers in relation to place of exposure.Methods. We performed a multicenter, retrospective observational analysis of 6,086 travelers ill enough with any gastrointestinal infection to seek medical care at a GeoSentinel clinic after completion of travel during 2000 to 2005. We determined regional and country-specific reporting rate ratios (RRRs) in comparison to risk in northern and western Europe.Results. Travel to sub-Saharan Africa (RRR = 282), South America (RRR = 203), and South Asia (RRR = 890) was associated with the greatest rate of gastrointestinal infections. RRRs were moderate (25[ndash]142) for travel to Oceania, the Middle East, North Africa, Central America, the... Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640013 Sun, 20 Jul 2008 04:00:00 +0100 1640013 http://www.medworm.com/index.php?rid=1640012&cid=s_33104_20_f&fid=33104&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1708-8305.2008.00202.x Conclusions. Remotely sensed environmental data can provide important planning information on the likely level of malaria risk among nonimmune travelers who could be briefly exposed to malaria transmission and could be used to standardize for the risk of malaria transmission when evaluating the efficacy of antimalaria prophylactic measures. (Source: Journal of Travel Medicine) Journal of Travel Medicine journals http://www.medworm.com/rss/comments.php?id=1640012 Sun, 20 Jul 2008 04:00:00 +0100 1640012