Fungal infections among returning travelers

Anil A Panackal1, Rana A Hajjeh, Martin S Cetron

  • 1Epidemic Intelligence Service, Epidemiology Program Office, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

Insights

Travelers face risks of endemic mycoses like histoplasmosis and coccidioidomycosis in endemic areas. Awareness and medical consideration are crucial for preventing and diagnosing these fungal infections in returning travelers.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Travel Medicine

Background:

  • Endemic mycoses (fungal infections) pose increasing health risks to international travelers.
  • Histoplasmosis, coccidioidomycosis, and penicilliosis are significant concerns in endemic regions.
  • Travelers engage in various activities, increasing exposure to fungal pathogens.

Purpose of the Study:

  • To highlight the emerging threat of endemic mycoses to travelers.
  • To inform travelers about risks associated with visiting endemic areas.
  • To guide healthcare providers in diagnosing and managing fungal infections in returning travelers.

Main Methods:

  • Review of endemic mycoses affecting travelers.
  • Analysis of risk factors and exposure scenarios.
  • Discussion of clinical presentation and diagnostic considerations.

Main Results:

  • Travelers acquire fungal infections through diverse recreational and occupational activities.
  • Infections can occur during both short visits and extended stays in endemic zones.
  • Respiratory illness in returning travelers may indicate endemic mycoses.

Conclusions:

  • Travelers must be educated about the risks of endemic mycoses.
  • Healthcare providers should include these infections in their differential diagnosis for ill travelers.
  • Familiarity with prevention and treatment is essential for clinicians.

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