Amy Meyer1,2, Hariharan Regunath1,2, Christian Rojas-Moreno1,2, William Salzer2, Gordon Christensen2. 1. Amy Meyer, is at the University of Missouri School of Medicine, Columbia, Missouri. Hariharan Regunath, MD, MSMA member since 2019, is in the Department of Medicine, Division of Pulmonary, Critical Care and Environmental Medicine, and Division of Infectious Diseases, University of Missouri, Columbia, Missouri. 2. Christian Rojas-Moreno, MD, William Salzer, MD, and Gordon Christensen, MD is in the Department of Medicine, Division of Infectious Diseases, University of Missouri, Columbia, Missouri.
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.
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.
Authors: Stefan H F Hagmann; Pauline V Han; William M Stauffer; Andy O Miller; Bradley A Connor; DeVon C Hale; Christina M Coyle; John D Cahill; Cinzia Marano; Douglas H Esposito; Phyllis E Kozarsky Journal: Fam Pract Date: 2014-09-26 Impact factor: 2.267
Authors: David O Freedman; Leisa H Weld; Phyllis E Kozarsky; Tamara Fisk; Rachel Robins; Frank von Sonnenburg; Jay S Keystone; Prativa Pandey; Martin S Cetron Journal: N Engl J Med Date: 2006-01-12 Impact factor: 91.245
Authors: Kira Harvey; Douglas H Esposito; Pauline Han; Phyllis Kozarsky; David O Freedman; D Adam Plier; Mark J Sotir Journal: MMWR Surveill Summ Date: 2013-07-19
Authors: Zulfiqar A Bhutta; Johannes Sommerfeld; Zohra S Lassi; Rehana A Salam; Jai K Das Journal: Infect Dis Poverty Date: 2014-07-31 Impact factor: 4.520