Volume 8, Number 6—June 2002
Dispatch
Cluster of African Trypanosomiasis in Travelers to Tanzanian National Parks
Tomas Jelinek*
, 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
, 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 SurveillanceTable
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.
