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Dtsch Med Wochenschr 2015; 140(11): 797-804
DOI: 10.1055/s-0041-102115
Dossier
Reisemedizin
© Georg Thieme Verlag KG Stuttgart · New York

Importierte Erkrankungen

Imported diseases
Gerd Burchard
1   Ifi-Institut für Interdisziplinäre Medizin, Hamburg
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Publication History

Publication Date:
28 May 2015 (online)

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Zusammenfassung

Die internationale Reisetätigkeit nimmt zu. Es haben sich mehrere weltweite Surveillance-Netzwerke etabliert, in denen in den letzten Jahren eine Vielzahl von Daten zu Erkrankungen bei Touristen und Migranten generiert wurden. Diese Daten können bei der Differenzialdiagnose importierter Erkrankungen hilfreich sein. Man darf aber andererseits nicht übersehen, dass einige Erkrankungen zwar nur selten mitgebracht werden, aber lebensbedrohliche Verläufe aufweisen können, wie z. B. die Leptospirose, virale hämorrhagische Fieber oder der Amöbenleberabszess.

Abstract

With continuing worldwide growth in travel, timely information about the epidemiology of post-travel illness is important. Various travel-related surveillance systems have been established that provide these data. Knowledge about prevalences of important diseases in travelers and migrants can help in the differential diagnosis. On the other hand it has be kept in mind that also rare, but life-threatening diseases can be imported like leptospirosis, viral hemorrhagic fever or amebic liver abcess.

Schlüsselwörter

Fieber - Reisemedizin - Reiserückkehrer - Malaria - Reisediarrhö

Keywords

fever - travel - returning traveler - malaria - travelers diarrhea
 

  • Literatur

  • 1 Bart A, van Thiel PP, de Vries HJ et al. Imported leishmaniasis in the Netherlands from 2005 to 2012: epidemiology, diagnostic techniques and sequence-based species typing from 195 patients. Euro Surveill 2013; 18: 20544
    CrossrefPubMedGoogle Scholar
  • 2 Beeching NJ, Fletcher TE, Hill DR, Thomson GL. Travellers and viral haemorrhagic fevers: what are the risks?. Int J Antimicrob Agents 2010; 36 (Suppl. 01) S26-35
    PubMedGoogle Scholar
  • 3 Berens-Riha N, Nothdurft HD, Löscher T. Malaria – ein internistischer Notfall. Dtsch Med Wochenschr 2012; 137: 2429-2446
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Bhatt S, Gething PW, Brady OJ et al. The global distribution and burden of dengue. Nature 2013; 496: 504-507
    CrossrefPubMedGoogle Scholar
  • 5 Bottieau E, Clerinx J, Van den Enden E et al. Infectious mononucleosis-like syndromes in febrile travelers returning from the tropics. J Travel Med 2006; 13: 191-197
    CrossrefPubMedGoogle Scholar
  • 6 Bruneel F, Tubach F, Corne P et al. Severe imported falciparum malaria: a cohort study in 400 critically ill adults. PLoS One 2010; 5: e13236
    CrossrefPubMedGoogle Scholar
  • 7 Buitrago MJ, Bernal-Martínez L, Castelli MV et al. Histoplasmosis and paracoccidioidomycosis in a non-endemic area: a review of cases and diagnosis. J Travel Med 2011; 18: 26-33
    CrossrefPubMedGoogle Scholar
  • 8 Burchard GD. Malaria. Internist 2014; 55: 165-176
    CrossrefPubMedGoogle Scholar
  • 9 Burchard G. Behandlung von auf Fernreisen erworbenen Erkrankungen. Internist 2014; 55: 1100-1107
    CrossrefPubMedGoogle Scholar
  • 10 Burchard GD, Hentschke M, Weinke T, Nothdurft HD. Reisediarrhoe. Dtsch Med Wochenschr 2013; 138: 1673-1683
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Carrara P, Parola P, Brouqui P, Gautret P. Imported human rabies cases worldwide, 1990–2012. PLoS Negl Trop Dis 2013; 7: e2209
    CrossrefPubMedGoogle Scholar
  • 12 Checkley AM, Chiodini PL, Dockrell DH et al. Eosinophilia in returning travellers and migrants from the tropics: UK recommendations for investigation and initial management. J Infect 2010; 60: 1-20
    CrossrefPubMedGoogle Scholar
  • 13 Clerinx J, Bottieau E, Wichmann D et al. Acute schistosomiasis in a cluster of travelers from Rwanda: diagnostic contribution of schistosome DNA detection in serum compared to parasitology and serology. J Travel Med 2011; 18: 367-372
    CrossrefPubMedGoogle Scholar
  • 14 Cobo F, Salas-Coronas J, Cabezas-Fernández MT et al. Infectious diseases in immigrant population related to the time of residence in Spain. J Immigr Minor Health 2014; Dec 4 [Epub ahead of print]
    PubMedGoogle Scholar
  • 15 Coltart CE, Chew A, Storrar N et al. Schistosomiasis presenting in travellers: a 15 year observational study at the Hospital for Tropical Diseases, London. Trans R Soc Trop Med Hyg 2015; Jan 8 [Epub ahead of print]
    PubMedGoogle Scholar
  • 16 Cooper EC, Ratnam I, Mohebbi M, Leder K. Laboratory features of common causes of fever in returned travelers. J Travel Med 2014; 21: 235-239
    CrossrefPubMedGoogle Scholar
  • 17 Ehehalt U, Schunk M, Jensenius M et al. Leishmaniasis acquired by travellers to endemic regions in Europe: a EuroTravNet multi-centre study. Travel Med Infect Dis 2014; 12: 167-172
    CrossrefPubMedGoogle Scholar
  • 18 Ehrhardt S, Burchard GD. Eosinophilie bei Tropenrückkehrern und Migranten. Dtsch Ärztebl 2008; 105: 801-807
    PubMedGoogle Scholar
  • 19 Eldridge M, Cohen SH. Cutaneous manifestations of infection in returning travelers. Curr Infect Dis Rep 2014; 16: 426
    CrossrefPubMedGoogle Scholar
  • 20 Esposito DH, Stich A, Epelboin L et al. Acute muscular sarcocystosis: an international investigation among ill travelers returning from Tioman Island, Malaysia, 2011–2012. Clin Infect Dis 2014; 59: 1401-1410
    CrossrefPubMedGoogle Scholar
  • 21 Francesconi F, Lupi O. Myiasis. Clin Microbiol Rev 2012; 25: 79-105
    CrossrefPubMedGoogle Scholar
  • 22 Geerdes-Fenge HF. Pneumonien mit Reiseanamnese. Pneumologie 2014; 68: 685-695
    Article in Thieme ConnectPubMedGoogle Scholar
  • 23 Hagmann S, Neugebauer R, Schwartz E et al. Illness in children after international travel: analysis from the GeoSentinel Surveillance Network. Pediatrics 2010; 125: e1072-e1080
    CrossrefPubMedGoogle Scholar
  • 24 Herbinger KH, Siess C, Nothdurft HD et al. Skin disorders among travellers returning from tropical and non-tropical countries consulting a travel medicine clinic. Trop Med Int Health 2011; 16: 1457-1464
    CrossrefPubMedGoogle Scholar
  • 25 Herbinger KH, Drerup L, Alberer M et al. Spectrum of imported infectious diseases among children and adolescents returning from the tropics and subtropics. J Travel Med 2012; 19: 150-157
    CrossrefPubMedGoogle Scholar
  • 26 Hoffmeister B, Peyerl-Hoffmann G, Pischke S et al. Differences in clinical manifestations of imported versus autochthonous leptospirosis in Austria and Germany. Am J Trop Med Hyg 2010; 83: 326-335
    CrossrefPubMedGoogle Scholar
  • 27 Jensenius M, Davis X, von Sonnenburg F et al. Multicenter GeoSentinel analysis of rickettsial diseases in international travelers, 1996–2008. Emerg Infect Dis 2009; 15: 1791-1798
    CrossrefPubMedGoogle Scholar
  • 28 Jensenius M, Han PV, Schlagenhauf P et al. Acute and potentially life-threatening tropical diseases in Western travelers – a GeoSentinel Multicenter Study, 1996–2011. Am J Trop Med Hyg 2013; 88: 397-404
    CrossrefPubMedGoogle Scholar
  • 29 Johnson DF, Leder K, Torresi J. Hepatitis B and C infection in international travelers. J Travel Med 2013; 20: 194-202
    CrossrefPubMedGoogle Scholar
  • 30 Johnston V, Stockley JM, Dockrell D et al. Fever in returned travellers presenting in the United Kingdom: recommendations for investigation and initial management. J Infect 2009; 59: 1-18
    CrossrefPubMedGoogle Scholar
  • 31 Kantele A, Lääveri T, Mero S et al. Antimicrobials increase travelers’ risk of colonization by extended-spectrum betalactamase-producing Enterobacteriaceae. Clin Inf Dis 2015; Jan 21. pii: ciu957 [Epub ahead of print]
    PubMedGoogle Scholar
  • 32 Keiser J, Duthaler U, Utzinger J. Update on the diagnosis and treatment of food-borne trematode infections. Curr Opin Infect Dis 2010; 23: 513-520
    CrossrefPubMedGoogle Scholar
  • 33 Korzeniewski K, Nitsch-Osuch A, Lass A, Guzek A. Respiratory infections in travelers returning from the tropics. Adv Exp Med Biol 2015; 849: 75-82
    PubMedGoogle Scholar
  • 34 Leder K, Tong S, Weld L et al. Illness in travelers visiting friends and relatives: a review of the GeoSentinel Surveillance Network. Clin Infect Dis 2006; 43: 1185-1193
    CrossrefPubMedGoogle Scholar
  • 35 Leder K, Torresi J, Libman MD et al. GeoSentinel surveillance of illness in returned travelers, 2007–2011. Ann Intern Med 2013; 158: 456-468
    CrossrefPubMedGoogle Scholar
  • 36 Leder K, Torresi J, Brownstein JS et al. Travel-associated illness trends and clusters, 2000–2010. Emerg Infect Dis 2013; 19: 1049-1073
    CrossrefPubMedGoogle Scholar
  • 37 Lederman ER, Weld LH, Elyazar IR et al. Dermatologic conditions of the ill returned traveler: an analysis from the GeoSentinel Surveillance Network. Int J Infect Dis 2008; 12: 593-602
    CrossrefPubMedGoogle Scholar
  • 38 Lim PL, Han P, Chen LH et al. Expatriates ill after travel: results from the Geosentinel Surveillance Network. BMC Infect Dis 2012; 12: 386
    CrossrefPubMedGoogle Scholar
  • 39 Löscher T, Saathoff E. Eosinophilia during intestinal infection. Best Pract Res Clin Gastroenterol 2008; 22: 511-536
    CrossrefPubMedGoogle Scholar
  • 40 Lüthi B, Schlagenhauf P. Risk factors associated with malaria deaths in travellers: A literature review. Travel Med Infect Dis 2015; 13: 48-60
    CrossrefPubMedGoogle Scholar
  • 41 Maude RR, Vatcharapreechasakul T, Ariyaprasert P et al. Prospective observational study of the frequency and features of intra-abdominal abscesses in patients with melioidosis in northeast Thailand. Trans R Soc Trop Med Hyg 2012; 106: 629-631
    CrossrefPubMedGoogle Scholar
  • 42 McCarthy AE, Weld LH, Barnett ED et al. Spectrum of illness in international migrants seen at GeoSentinel clinics in 1997–2009, Part 2: Migrants resettled internationally and revaluated for specific health concerns. Clin Infect Dis 2013; 56: 925-933
    CrossrefPubMedGoogle Scholar
  • 43 McGregor AC, Whitty CJ, Wright SG. Geographic, symptomatic and laboratory predictors of parasitic and bacterial causes of diarrhoea in travellers. Trans R Soc Trop Med Hyg 2012; 106: 549-553
    CrossrefPubMedGoogle Scholar
  • 44 Monge-Maillo B, Norman FF, Pérez-Molina JA et al. Travelers visiting friends and relatives (VFR) and imported infectious disease: travelers, immigrants or both? A comparative analysis. Travel Med Infect Dis 2014; 12: 88-94
    CrossrefPubMedGoogle Scholar
  • 45 Morris-Jones R, Morris-Jones S. Travel-associated skin disease. Infect Dis Clin North Am 2012; 26: 675-689
    CrossrefPubMedGoogle Scholar
  • 46 Nicolls DJ, Weld LH, Schwartz E et al. Characteristics of schistosomiasis in travelers reported to the GeoSentinel Surveillance Network 1997–2008. Am J Trop Med Hyg 2008; 79: 729-34
    PubMedGoogle Scholar
  • 47 Odolini S, Parola P, Gkrania-Klotsas E et al. Travel-related imported infections in Europe, EuroTravNet 2009. Clin Microbiol Infect 2012; 18: 468-74
    CrossrefPubMedGoogle Scholar
  • 48 Patel TA, Armstrong M, Morris-Jones SD et al. Imported enteric fever: case series from the hospital for tropical diseases, London, United Kingdom. Am J Trop Med Hyg 2010; 82: 1121-6
    CrossrefPubMedGoogle Scholar
  • 49 Pavli A, Maltezou HC. Leishmaniasis, an emerging infection in travelers. Int J Infect Dis 2010; 14: e1032-e1039
    CrossrefPubMedGoogle Scholar
  • 50 Pavlin BI, Kozarsky P, Cetron MS. Acute pulmonary schistosomiasis in travelers: case report and review of the literature. Travel Med Infect Dis 2012; 10: 209-219
    CrossrefPubMedGoogle Scholar
  • 51 Rochat L, Bizzini A, Senn N et al. Schistosomiasis: A risk underestimated by travelers and a diagnosis frequently missed by general practitioners. A cluster analysis of 42 travelers. J Travel Med 2015; Jan 21. DOI: 10.1111/jtm.12187. [Epub ahead of print]
    PubMedGoogle Scholar
  • 52 Schilte C, Staikovsky F, Couderc T et al. Chikungunya Virus-associated Long-term Arthralgia: A 36-month Prospective Longitudinal Study. PLoS Negl Trop Dis 2013; 7: e2137
    CrossrefPubMedGoogle Scholar
  • 53 Schlagenhauf P, Weld L, Goorhuis A et al. Travel-associated infection presenting in Europe (2008–12): an analysis of EuroTravNet longitudinal, surveillance data, and evaluation of the effect of the pre-travel consultation. Lancet Infect Dis 2015; 15: 55-64
    CrossrefPubMedGoogle Scholar
  • 54 Semenza JC, Sudre B, Miniota J et al. International dispersal of dengue through air travel: importation risk for Europe. PLoS Negl Trop Dis 2014; 8: e3278
    CrossrefPubMedGoogle Scholar
  • 55 Slesak G, Tappe D, Keller C et al. Muskuläre Sarkozystose nach Malaysiareise: eine Fallserie aus Deutschland. Dtsch Med Wochenschr 2014; 139: 990-995
    Article in Thieme ConnectPubMedGoogle Scholar
  • 56 Siu LK, Yeh KM, Lin JC et al. Klebsiella pneumoniae liver abscess: a new invasive syndrome. Lancet Infect Dis 2012; 12: 881-887
    CrossrefPubMedGoogle Scholar
  • 57 Solomon M, Benenson S, Baum S et al. Tropical skin infections among Israeli travelers. Am J Trop Med Hyg 2011; 85: 868-872
    CrossrefPubMedGoogle Scholar
  • 58 Steffen R, Hill DR, DuPont HL. Traveler’s diarrhea: a clinical review. JAMA 2015; 313: 71-80
    CrossrefPubMedGoogle Scholar
  • 59 Strasen J, Williams T, Ertl G et al. Epidemiology of Chagas disease in Europe: many calculations, little knowledge. Clin Res Cardiol 2014; 103: 1-10
    PubMedGoogle Scholar
  • 60 Sunderkötter C, von Stebut E, Schöfer H et al. S1 guideline diagnosis and therapy of cutaneous larva migrans (creeping disease). J Dtsch Dermatol Ges 2014; 12: 86-91
    PubMedGoogle Scholar
  • 61 Ustianowski A, Zumla A. Eosinophilia in the returning traveler. Infect Dis Clin North Am 2012; 26: 781-789
    CrossrefPubMedGoogle Scholar
  • 62 Vilajeliu Balagué A, de Las Heras Prat P, Ortiz-Barreda G et al. Parasitosis importadas en la poblacion inmigrante en España. Rev Esp Salud Publica 2014; 88: 783-802
    CrossrefPubMedGoogle Scholar
  • 63 Wall EC, Watson J, Armstrong M et al. Epidemiology of imported cutaneous leishmaniasis at the Hospital for Tropical Diseases, London, United Kingdom: use of polymerase chain reaction to identify the species. Am J Trop Med Hyg 2012; 86: 115-118
    PubMedGoogle Scholar
  • 64 Wunderlich N, Burchard GD. Tropenerkrankungen des Herzens – Chagas-Krankheit und Echinokokkose. Kardiologe 2008; 3: 239-250
    PubMedGoogle Scholar
  • 65 AWMF-LeitlinieSchistosomiasis (Bilharziose), Diagnose und Therapie. http://www.awmf.org/leitlinien/detail/ll/042-005.html
    Google Scholar