Journal article

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

Mogens Jensenius, Xiaohong Davis, Frank von Sonnenburg, Eli Schwartz, Jay S Keystone, Karin Leder, Rogelio Lopez-Velez, Eric Caurnes, Jakob P Cramer, Lin Chen, Philippe Parola

EMERGING INFECTIOUS DISEASES | CENTERS DISEASE CONTROL & PREVENTION | Published : 2009

Abstract

We investigated epidemiologic and clinical aspects of rickettsial diseases in 280 international travelers reported to the GeoSentinel surveillance Network during 1996-2008. Of these 280 travelers, 231 (82.5%) had spotted fever (SFG) rickettsiosis, 16 (5.7%) scrub typhus, 11 (3.9%) Q fever, 10 (3.6%) typhus group (TG) rickettsiosis, 7 (2.5%) bartonellosis, 4 (1.4%) indeterminable SFG/TG rickettsiosis, and 1 (0.4%) human granulocytic anaplasmosis. One hundred ninety-seven (87.6%) SFG rickettsiosis cases were acquired in sub-Saharan Africa and were associated with higher age, male gender, travel to southern Africa, late summer season travel, and travel for tourism. More than 90% of patients wit..

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Grants

Awarded by Centers for Disease Control and Prevention


Awarded by MRC


Funding Acknowledgements

We thank Elena Axelrod and Adam Plier for technical and organizational support, and David O. Freedman for valuable comments. We arc also indebted to all GeoSentinel sites for providing data.GeoSentinel, the Global Surveillance Network of the International Society of Travel Medicine, is supported by Cooperative Agreement U50/CCU412347 from the Centers for Disease Control and Prevention.