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Volume 8, Number 6—June 2002
Dispatch

Cluster of African Trypanosomiasis in Travelers to Tanzanian National Parks

Tomas Jelinek*Comments to Author , Zeno Bisoffi†, Lucio Bonazzi, Pieter van Thiel§, Ulf Bronner¶, Albie de Frey#, Svein Gunnar Gundersen**, Paul McWhinney††, Diego Ripamont‡‡, and for European Network on Imported Infectious Disease Surveillance
Author affiliations: *Ludwig-Maximilians-University, Munich, Germany; †S. Cuore Hospital, Negrar, Verona, Italy; ‡Reggio Emilia Hospital, Reggio, Italy; §University of Amsterdam, Amsterdam, the Netherlands; ¶Karolinska Hospital, Stockholm, Sweden; #Worldwide Travel Medical Consultants, Northcliff, South Africa; **Ullevaal Hospital, Oslo, Norway; ††Bradford Royal Infirmary, Bradford, United Kingdom; ‡‡General Hospital, Bergamo, Italy;

Main Article

Table

Patients with African trypanosomiasis, Tanzania

No. Sex Age Nationality Mo/yr of
diagnosis Clinical details and treatment Travel historya
1 M 33 Italian 02/01 Skin lesion (back), fever, nausea/vomiting; no major complications; treatment with suramin Tourist: Kenya; Lake Manyara, Serengeti, and Ngorongoro NPs
2 M 32 Italian 02/01 Skin lesion left leg; fever; multiorgan failure; anuria; treatment with pentamidine Tourist: East Tsavo, Ngorongoro, and Serengeti NPs
3 F 44 British 02/01 Skin lesion left leg; fever; no major complications; treatment with suramin Tourist: Nairobi, Amboseli, Lake Manyara, Ngorongoro, and Serengeti NPs
4 M 41 Swedish 03/01 Skin lesion right foot; fever; treatment with suramin Tourist: Lake Manyara, Ngorongoro, Tarangire, and Serengeti NPs
5 M 68 South African 03/01 Fever; renal failure; acidosis; jaundice; DIC; treatment with melasoprol Tourist: Serengeti NP
6 F 27 Norwegian 03/01 Skin lesion left side of face; fever; no complications; treatment with suramin Research project on zebras: Ngorongoro and Serengeti NPs
7 M 60 Dutch 03/01 Fever; treatment with suramin Tarangire NP
8 F 55 Dutch 04/01 Skin lesion left ankle; fever; headache; treatment with suramin Tarangire NP
9 F 53 Dutch 06/01 Skin lesion right leg; fever; headache; intracerebral manifestation; coma; death; treatment with suramin and melasoprol Lake Manyara, Ngorongo, and Serengeti NPs

aEast Tsavo NP and Amboseli NP are in Kenya; all other NPs mentioned are in Tanzania.
NP, national park; DIC, disseminated intravascular coagulopathy.

Main Article

Page created: July 16, 2010
Page updated: July 16, 2010
Page reviewed: July 16, 2010
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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