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Mo Med. Imported Infections in Rural Mid-West United States - A Report from a Tertiary Care Center

tetano

Editor, Senior Moderator
Mo Med. 2020 Mar-Apr;117(2):89-94.
Imported Infections in Rural Mid-West United States - A Report from a Tertiary Care Center.


Meyer A[SUP]1,[/SUP][SUP]2[/SUP], Regunath H[SUP]1,[/SUP][SUP]2[/SUP], Rojas-Moreno C[SUP]1,[/SUP][SUP]2[/SUP], Salzer W[SUP]2[/SUP], Christensen G[SUP]2[/SUP].

Author information




Abstract

Background:

There is lack of specific data on imported infections in the mid-west United States (U.S.).
Methods:

Retrospective data on demographic and geographic data of imported infections seen by the infectious diseases clinics and consultation service from 2001-2018 was collected.
Results:

Of the 64 infections, tuberculosis(TB) was most common [20(31.3%); pulmonary(11,55%), lymphadenopathy(8,40%), gastrointestinal(4,20%), disseminated(2,10%), and 1(5%) each of genitourinary and vertebral spine infection, 4 Human immune-deficiency virus infection and 1 echinococcosis)] followed by malaria(11,17.2%). Other infections: Cysticercosis [7,10.9%], giardiasis (4,6.3%), 3 each (4.7%) Human T-lymphotrophic Virus infection and schistosomiasis, 2 each (3.1%) leprosy, strongyloidiasis, and typhoid fever, one each (1.6%) of ascariasis, brucellosis, Chagas disease, Chikungunya virus, hepatitis A virus, echinococcosis, Japanese encephalitis virus, loiasis, paratyphoid fever, Q fever, and unspecified parasitosis. Geographic origins: Africa(26,40.6%), Asia(16,25%), Central America(11,17.2%), Europe(2,3.1%), Oceania(2,3.1%), South America(2,3.1%), and Unknown(5). More cases were seen after 2015.
Conclusions:

With increasing tourism, it is important to educate rural mid-west healthcare professionals on travel medicine. The current COVID-19 pandemic illustrates the importance of this type of education and data accumulation now and in the future.
Copyright 2020 by the Missouri State Medical Association.



PMID:32308221
[Indexed for MEDLINE]
 
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