Melioidosis in Travelers: Review of the Literature

Dan, Michael

doi:10.1111/jtm.12236

Cited by 35 publications

(23 citation statements)

References 52 publications

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“…We found very few cases in children and noted that the predominant number of cases occurred in males, in line with other reviews focusing on travelers . Indeed in these reviews, men outnumbered women by a factor of three.…”

Section: Discussionsupporting

confidence: 91%

Cutaneous melioidosis: a review of the literature

et al. 2018

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Section: Discussionsupporting

confidence: 91%

Cutaneous melioidosis: a review of the literature

et al. 2018

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“…Older immunosuppressed adults, particularly those with diabetes mellitus or alcoholism, are particularly at risk of infection [18]. In temperate regions, infections are typically imported by migrants and travelers [19]. Incubation periods may be as short as 1–3 weeks [20], but latent infections with recrudescence many years later are recognized [21].…”

Section: Bacterial Diseasesmentioning

confidence: 99%

“…Localized disease may be treated with doxycycline; however, severe disease requires intravenous treatment with ceftazidime or meropenem for several weeks followed by oral consolidation with co-trimoxazole and doxycycline for up to 20 weeks [23]. Currently, there is no vaccine in clinical use; prevention is best achieved by avoiding contact with contaminated water or soil, particularly by wearing shoes [19]. …”

Section: Bacterial Diseasesmentioning

confidence: 99%

Pulmonary Diseases in Refugees and Migrants in Europe

et al. 2018

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More than 2 million people fleeing conflict, persecution, and poverty applied for asylum between 2015 and 2016 in the European Union. Due to this, medical practitioners in recipient countries may be facing a broader spectrum of conditions and unusual presentations not previously encountered, including a wide range of infections with pulmonary involvement. Tuberculosis is known to be more common in migrants and has been covered broadly in other publications. The scope of this review was to provide an overview of exotic infections with pulmonary involvement that could be encountered in refugees and migrants and to briefly describe their epidemiology, diagnosis, and management. As refugees and migrants travel from numerous countries and continents, it is important to be aware of the various organisms that might cause disease according to the country of origin. Some of these diseases are very rare and geographically restricted to certain regions, while others have a more cosmopolitan distribution. Also, the spectrum of severity of these infections can vary from very benign to severe and even life-threatening. We will also describe infectious and noninfectious complications that can be associated with HIV infection as some migrants might originate from high HIV prevalence countries in sub-Saharan Africa. As the diagnosis and treatment of these diseases can be challenging in certain situations, patients with suspected infection might require referral to specialized centers with experience in their management. Additionally, a brief description of noncommunicable pulmonary diseases will be provided.

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“…Although sporadic cases of travel-associated melioidosis are regularly reported, such case clusters occurring in returning travelers is rare but underscores the role of the contact investigation in this context ( 6 – 8 ). Phylogenetic analyses, performed by a 7-locus multilocus sequence typing analysis, revealed that the 2 isolates shared the same sequence type (381) (identification nos.…”

mentioning

confidence: 99%

“…However, the percentage of patients with an underlying risk factor dropped to 37.5% when the data excluded patients who were born in melioidosis-endemic countries or others who had a long-term stay in a melioidosis-endemic country ( 6 ). This finding makes us cautious not to repeat making the common assumption about the link between underlying conditions and the risk for melioidosis, especially in regard to conventional tourists traveling in melioidosis-endemic areas.…”

mentioning

confidence: 99%