TY - JOUR
T1 - Skin Infections in Returned Travelers
T2 - an Update
AU - Zimmerman, Robert F.
AU - Belanger, Elizabeth S.
AU - Pfeiffer, Christopher D.
N1 - Publisher Copyright:
© 2015, Springer Science+Business Media New York.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - Dermatologic manifestations of travel-related illness are particularly vexing due to the broad differential diagnosis and clinicians’ unfamiliarity with uncommonly seen diseases. This paper aims to educate and update the reader on selected infectious diseases in the returned traveler whose disease manifestations are primarily dermatologic. First, the evolving epidemiology of these infections is examined; understanding the geographic distribution of infectious etiologies helps refine and narrow the differential diagnosis. This is followed by a discussion of six important clinical syndromes including cutaneous larva migrans (CLM), cutaneous leishmaniasis, tungiasis, myiasis, antibiotic-resistant skin and soft tissue infection, and selected infections associated with fever and rash (e.g., measles, chikungunya virus infection, dengue fever, rickettsial spotted fevers). Familiarity with these syndromes and a situational awareness of their epidemiology will facilitate a prompt, accurate diagnosis and lead to appropriate treatment and prevention of further disease spread.
AB - Dermatologic manifestations of travel-related illness are particularly vexing due to the broad differential diagnosis and clinicians’ unfamiliarity with uncommonly seen diseases. This paper aims to educate and update the reader on selected infectious diseases in the returned traveler whose disease manifestations are primarily dermatologic. First, the evolving epidemiology of these infections is examined; understanding the geographic distribution of infectious etiologies helps refine and narrow the differential diagnosis. This is followed by a discussion of six important clinical syndromes including cutaneous larva migrans (CLM), cutaneous leishmaniasis, tungiasis, myiasis, antibiotic-resistant skin and soft tissue infection, and selected infections associated with fever and rash (e.g., measles, chikungunya virus infection, dengue fever, rickettsial spotted fevers). Familiarity with these syndromes and a situational awareness of their epidemiology will facilitate a prompt, accurate diagnosis and lead to appropriate treatment and prevention of further disease spread.
KW - Antibiotic resistance
KW - Chikungunya
KW - Cutaneous larva migrans
KW - Cutaneous leishmaniasis
KW - Measles
KW - Myiasis
KW - Skin and soft tissue infection
KW - Skin infection
KW - Travel medicine
KW - Tungiasis
UR - http://www.scopus.com/inward/record.url?scp=84926028023&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84926028023&partnerID=8YFLogxK
U2 - 10.1007/s11908-015-0467-8
DO - 10.1007/s11908-015-0467-8
M3 - Review article
AN - SCOPUS:84926028023
SN - 1523-3847
VL - 17
JO - Current Infectious Disease Reports
JF - Current Infectious Disease Reports
IS - 3
ER -