Yersinia pseudotuberculosis Bacteremia and Splenic Abscess in a Patient With Non-Insulin-Dependent Diabetes Mellitus Report of a Case The patient, a 56-year-old woman with a long history of diet-controlled non-insulin-dependent diabetes mellitus, had a two-week history of fevers, chills, malaise, and loose stools but no abdominal pain. On admission to the hospital, her temperature was 38.5°C. [...]
Discussion We have identified distinct clinical features in patients with ALA who have different epidemiological profiles. Differences were found in groups of patients developing ALA after travel to an endemic area (TrALA) and those with ALA after living in an endemic area (En-ALA). The former were older and more likely to be male and had [...]
Results Epidemiology and Etiology In this series, the incidence of ALA was 8.5 patients/100,000 hospital admissions. Of those diagnosed, 75% were young men born outside the United States, and only 18% of patients were older than 50. We segregated ALAs by etiology (Table 1). The median time to presentation after travel was 20 weeks, with [...]
Amebic liver abscess (ALA) is a serious, but readily treatable form of hepatic infection. In order to understand the clinical features of this condition in the United States, we reviewed the medical histories of 56 patients with ALA at two large San Francisco Hospitals from 1979 to 1994. Patients were divided into the following groups [...]
Travelers’ Diarrhea Travelers’ diarrhea occurs worldwide and is most prevalent in travelers visiting developing countries. It is characterized by the onset of watery diarrhea usually within one week of travel. The most common associated symptoms include abdominal cramping, sometimes followed by bloody stools and vomiting. Fever is unusual and is recorded in 1%—10% of cases. [...]
With the increase in global travel, no disease is beyond the reach of any population. Traveling patients should be advised to follow food and water precautions and encouraged to receive the recommended immunizations. Travel medicine plays a vital role not only in limiting the morbidity of travel-related illnesses but also in limiting the spread of [...]
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