Volume 8, Number 6—June 2002
Cluster of African Trypanosomiasis in Travelers to Tanzanian National Parks
|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.