Skip to main content

Table 2 Diagnosis by geographic region (N = 253)

From: Imported diseases in travellers presenting to the emergency department after a stay in a malaria-endemic country: a retrospective observational study

 

Geographic region

Diagnosis

Sub-Saharan Africa

Southeast Asia

South America and Caribbean

South Central Asia

Northeast Asia

All regions (%)

Systemic febrile illness

61

12

2

3

0

78 (30.8)

 Malaria

     

40 (15.8)

  P. falciparum

30

0

0

0

0

30

  P. malariae

2

0

0

0

0

2

  P. vivax

1

1

0

1

0

3

  P. ovale

4

0

0

0

0

4

  Type unknown

1

0

0

0

0

1

 Viral infection

     

23 (9.1)

  Puumala virus (Hantavirus)

1

0

0

0

0

1

  Dengue

0

2

1

1

0

4

  CMV

0

0

1

0

0

1

  EBV

1

0

0

0

0

1

  Shingles

1

0

0

0

0

1

  Influenza A

8

3

0

0

0

11

  Influenza B

2

0

0

0

0

2

  Chikungunya

1

1

0

0

0

2

 Bacterial infection

     

15 (5.9)

  Leptospirosis

0

2

0

0

0

2

  Rickettsiosisa

7

1

0

0

0

8

  Enteric fever

0

1

0

1

0

2

  Tick borne relapsing fever

1

0

0

0

0

1

  E. coli bacteraemia (unknown origin)

1

0

0

0

0

1

  S. agalactiae bacteraemia

0

1

0

0

0

1

Acute diarrhoea

    

46 (18.2)

 Campylobacter spp.

2

1

1

0

0

4

 non-typhoidal Salmonella spp.

4

3

1

0

0

8

 Shigella spp.

2

1

0

2

0

5

 Acute diarrhoea of unknown origin

23

3

0

3

0

29

Respiratory tract infection (no pathogen identified)

     

13 (5.1)

 Upper respiratory tract infection

2

0

0

0

0

2

 Pneumonia

3

3

2

0

0

8

 Bronchitis

1

1

0

0

0

2

 Atypical pneumonia

1

0

0

0

0

1

Abdominal infection

     

1 (0.4)

 Acute appendicitis

1

0

0

0

0

1

ENT infection (no pathogen identified)

     

12 (4.7)

 Tonsillitis

5

0

1

1

0

7

 Acute otitis media/externa

0

1

0

0

0

1

 Herpangina

0

1

0

0

0

1

 Acute sinusitis

1

0

0

0

0

1

 Viral pharyngitis

1

0

0

0

0

1

 Acute otitis media with mastoiditis

0

0

0

1

0

1

Dermatological infection

     

6 (2.4)

 Bacterial skin/soft tissue infection

5

0

1

0

0

6

Genitourinary infection

     

10 (4.0)

 Pyelonephritis

1

0

1

1

0

3

 Cystitis

0

1

0

0

0

1

 Acute prostatitis

1

1

0

0

0

2

 Urosepsis

1

0

1

0

0

2

 Pelvic abscess

1

0

0

0

0

1

 Urinary tract infection

0

1

0

0

0

1

Central nervous system infection

     

2 (0.8)

 Viral meningitis

2

0

0

0

0

2

Parasitic infection

     

1 (0.4)

 Toxoplasmosis

1

0

0

0

0

1

Inflammatory syndrome of unknown origin

36

14

5

3

1

59 (23.3)

Non-infectious diagnosis

18

6

1

0

0

25 (9.9)

  1. Systemic febrile illness = malaria, viral and bacterial infections
  2. CMV Cytomegalovirus, EBV Epstein-Barr virus, ENT Ear nose throat
  3. a Typical eschar (7 of 8 patients) and/or positive IgG antibody titer to Rickettsia conorii (3 of 8 patients)