International Travel Patterns and Travel Risks for Stem Cell Transplant Recipients
ConclusionsInternational travel was common among SCTRs within 2 years after SCT and was mainly to low‐risk destinations. Although the overall incidence of travel‐related illnesses was low, certain subgroups of travelers were at a significantly higher risk. Pre‐travel health counseling and interventions were suboptimal. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - September 1, 2014 Category: Infectious Diseases Authors: Tarek Mikati, Kenneth Griffin, Dakotah Lane, Matthew Matasar, Monika K. Shah Tags: ORIGINAL ARTICLE Source Type: research

Leptospirosis After a Stay in Madagascar
We report a case of polymerase chain reaction (PCR)‐confirmed leptospirosis in a patient who recently traveled to Madagascar, a country where only two cases have been reported since 1955. Although laboratory and clinical presentations were atypical and despite leptospirosis not being a documented disease in Madagascar, blood and urine tests for leptospirosis enabled retrospective confirmation of the diagnosis. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - September 1, 2014 Category: Infectious Diseases Authors: Frédéric Pagès, Barbara Kuli, Marie‐Pierre Moiton, Cyrille Goarant, Marie‐Christine Jaffar‐Bandjee Tags: BRIEF COMMUNICATION Source Type: research

Safety and Immunogenicity of Typhoid Fever and Yellow Fever Vaccines When Administered Concomitantly With Quadrivalent Meningococcal ACWY Glycoconjugate Vaccine in Healthy Adults
ConclusionsThese data provide evidence that MenACWY‐CRM can be administered with typhoid Vi polysaccharide vaccine and live attenuated YF vaccine without compromising antibody responses stimulated by the individual vaccines. MenACWY‐CRM can, therefore, be incorporated into travelers' vaccination programs without necessitating an additional clinic visit (NCT01466387). (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - September 1, 2014 Category: Infectious Diseases Authors: Martin Alberer, Gerd Burchard, Tomas Jelinek, Emil Reisinger, Jiri Beran, Lucie Cerna Hlavata, Eduardo Forleo‐Neto, Alemnew F. Dagnew, Ashwani K. Arora Tags: ORIGINAL ARTICLE Source Type: research

Serious Altitude Illness in Travelers Who Visited a Pre‐Travel Clinic
ConclusionsSerious altitude illness was a very frequent problem in travelers who visited pre‐travel clinics. Young age, dark urine, travel in South America or Africa, and lack of acclimatization nights at moderate altitude were independent predictors. Furthermore, we found that seriously ill travelers seldom followed the advice to descend and to visit a physician. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - September 1, 2014 Category: Infectious Diseases Authors: Mieke Croughs, Alfons Van Gompel, Sarah Rameckers, Jef Van den Ende Tags: ORIGINAL ARTICLE Source Type: research

A Case of Melioidosis Probably Acquired by Inhalation of Dusts During a Helicopter Flight in a Healthy Traveler Returning From Singapore
We present a case of melioidosis in an Italian male returning from Singapore after a short travel. He probably acquired the disease by inhalation, which is not the typical mode of transmission, in the absence of evident risk factors. The diagnosis was confirmed by real‐time polymerase chain reaction of the culture while serology was useful to assess professional exposure among laboratory workers. Treatment consisted of an initial intensive phase with meropenem and trimethoprim–sulfamethaxazole (TMP–SMX), followed by 6 months of eradication therapy with TMP–SMX. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - September 1, 2014 Category: Infectious Diseases Authors: Silvia Amadasi, Sarah Dal Zoppo, Annalisa Bonomini, Anna Bussi, Palmino Pedroni, Gianpaolo Balestrieri, Liana Signorini, Francesco Castelli Tags: BRIEF COMMUNICATION Source Type: research

Optic Neuritis in a Traveler Returning From Dominican Republic to Spain With Dengue Virus Infection
A search of medical literature will show that dengue infection is rarely linked to optic neuritis. Here we report the development of loss of vision in a female traveler who returned to Spain from the Caribbean after acquiring a dengue infection. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - August 29, 2014 Category: Infectious Diseases Authors: José M. Ramos, Antonio Tello, Antonio Alzamora, María Luisa Ramón Tags: BRIEF COMMUNICATION Source Type: research

Chikungunya: Acute Fever, Rash and Debilitating Arthralgias in a Returning Traveler From Haiti
The following case report details a case of chikungunya fever in a returning traveler from Haiti. The report highlights the clinical presentation and natural history of the disease, and emphasizes that chikungunya has become established in the western hemisphere, with a resultant need for heightened provider awareness. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - August 29, 2014 Category: Infectious Diseases Authors: Kathryn B. Anderson, Vincent Pureza, Patricia F. Walker Tags: BRIEF COMMUNICATION Source Type: research

Carybdea marsupialis (Cubozoa) in the Mediterranean Sea: The First Case of a Sting Causing Cutaneous and Systemic Manifestations
A woman stung by the box jellyfish Carybdea marsupialis (Cnidaria, Cubozoa) at a Spanish Mediterranean beach showed systemic manifestations over several months [pain far from the inoculation point, arthralgia, paresthesia, hyperesthesia, increase in eosinophils and immunoglobulin E (IgE)] in addition to the skin condition. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - August 28, 2014 Category: Infectious Diseases Authors: Cesar Bordehore, Santiago Nogué, Josep‐Maria Gili, Melissa J. Acevedo, Verónica L. Fuentes Tags: BRIEF COMMUNICATION Source Type: research

Red Herring in Returned Traveler: Drug Reaction With Eosinophilia and Systemic Symptom (DRESS) Syndrome Mimicking Sepsis
We report a case of a 51‐year‐old Han Chinese recently returned traveler, who was admitted with a generalized maculopapular rash, fevers, shock, and multi‐organ failure. Extensive investigations failed to reveal an infective cause. Skin biopsy findings together with the recent commencement of allopurinol raised a diagnosis of drug reaction with eosinophilia and systemic symptom syndrome. High‐dose prednisolone was commenced and the patient made a rapid recovery. This case highlights that not all sepsis‐like presentations in returned travelers are due to infective causes and that severe drug reactions need to be c...
Source: Journal of Travel Medicine - August 28, 2014 Category: Infectious Diseases Authors: Hui Yin Lim, Gene Khai Lin Huang, Joseph Torresi, Douglas Johnson Tags: BRIEF COMMUNICATION Source Type: research

Noneruptive Fever Revealing Murine Typhus in a Traveler Returning From Tunisia
We report here a case of MT in a woman returning from Tunisia and hospitalized in France. Her presentation was nonspecific, with acute noneruptive fever. Diagnosis was confirmed by cross‐adsorption and immunoblotting. Clinicians taking care of returning travelers with fever should be aware of MT, and know how to diagnose and treat it. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - August 27, 2014 Category: Infectious Diseases Authors: Laura Gastellier, Fanny Lanternier, Aurélie Renvoisé, Sébastien Rivière, Didier Raoult, Olivier Lortholary, Marc Lecuit Tags: BRIEF COMMUNICATION Source Type: research

Preparing Children for International Travel: Need for Training and Pediatric‐Focused Research
ConclusionsMembers of the PedIG have diverse professional and practice backgrounds. Lack of awareness of established guidelines may place international pediatric travelers at risk for travel‐associated morbidity. Strategies are needed to facilitate education and support research in pediatric travel medicine to formulate evidence‐based guidelines wherever they are currently missing. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - August 27, 2014 Category: Infectious Diseases Authors: Stefan H.F. Hagmann, Eyal Leshem, Philip R. Fischer, William M. Stauffer, Elizabeth D. Barnett, John C. Christenson Tags: ORIGINAL ARTICLE Source Type: research

Intent‐to‐Adhere and Adherence to Malaria Prevention Recommendations in Two Travel Clinics
Malaria infects 30,000 travelers annually worldwide. At greatest risk are those who travel for long duration. Prevention of malaria includes chemoprophylaxis. This prospective study on 121 travelers who visited two travel clinics shows that adherence to prophylactic treatment was low, especially in long duration trips, and that adherence rate could be predicted by the much more available intent‐to‐adhere rate. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - August 27, 2014 Category: Infectious Diseases Authors: Irit Goldstein, Rami Grefat, Moshe Ephros, Shmuel Rishpon Tags: BRIEF COMMUNICATION Source Type: research

Dengue‐Associated Hemophagocytic Syndrome in a Japanese Traveler: A Case Report
We report a case of dengue‐associated HPS with liver involvement and coagulopathy. The patient, a Japanese female traveler who had recently returned from Thailand, had severe complications of dengue infection, but she recovered fully with symptomatic treatment. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - August 27, 2014 Category: Infectious Diseases Authors: Ken‐ichiro Kobayashi, Mayu Hikone, Naoya Sakamoto, Sentaro Iwabuchi, Masahiro Kashiura, Tomohiko Takasaki, Hiroshi Fujita, Kenji Ohnishi Tags: BRIEF COMMUNICATION Source Type: research

Recurrent Furunculosis in Returning Travelers: Newly Defined Entity
ConclusionsPTRF should be defined as a clinical entity with prolonged travel to the Tropics being its major risk factor. In the author's opinion, a transient immune change in a subpopulation of travelers ignites a series of recurrent furuncles, resolving upon restoration of normal immunity. (Source: Journal of Travel Medicine)
Source: Journal of Travel Medicine - August 25, 2014 Category: Infectious Diseases Authors: Ofir Artzi, Maya Sinai, Michal Solomon, Eli Schwartz Tags: ORIGINAL ARTICLE Source Type: research

Imported Dengue Fever in Tuscany, Italy, in the Period 2006 to 2012
This report focuses on epidemiological and clinical features of dengue fever (DF) in Tuscany (Italy) between 2006 and 2012. Sixty‐one DF cases were diagnosed, 32 of which were in the period of Aedes albopictus activity. Some clinical (arthralgia/myalgia, nausea/vomiting, and skin rash), laboratory (leukopenia and thrombocytopenia), and epidemiological characteristics (travel in a continent other than Africa) significantly distinguished DF cases from other febrile illnesses. Our data stress the importance of increasing awareness on dengue in Italy among clinicians in order to reach an early diagnosis in returning traveler...
Source: Journal of Travel Medicine - August 25, 2014 Category: Infectious Diseases Authors: Filippo Lagi, Lorenzo Zammarchi, Marianne Strohmeyer, Filippo Bartalesi, Antonia Mantella, Massimo Meli, Pierluigi Blanc, Danilo Tacconi, Alberto Farese, Giacomo Zanelli, Francesco Pippi, Donatella Aquilini, Aniello Tonziello, Cesira Nencioni, Maria Benve Tags: BRIEF COMMUNICATION Source Type: research