Title: Acute and Potentially Life-Threatening Tropical Diseases in Western Travelers—A GeoSentinel Multicenter Study, 1996–2011
题目：西方旅游者从1996－2011年的急性和潜在的威胁生命的热带疾病－一个GeoSentinel多中心研究
Author: Walid Hammad

Background Information:
背景资料：
Each year, an estimated 50 million travelers from Western countries visit tropical regions all over the world.
每年估计有5000万来自西方国家的游客游览世界各地的热带地区。
Given the potentially serious consequences for the patients and, their close contacts and healthcare workers it is important that life threatening tropical diseases are swiftly diagnosed.
由于对患者，他们的密切接触者和医务工作者潜在的严重后果，快速诊断危及生命的热带疾病是重要的。
Pertinent Study Design and Conclusions:
相关的研究设计和结论：
- Descriptive analysis of acute and potentially life threatening tropical diseases among 82,825 ill western travelers reported to GeoSentinel from June of 1996 to August of 2011.
- 这是一个对从1996年6月至2011年8月通过GeoSentinel登记的82,825西方旅游者中患有急性和潜在的威胁生命的热带疾病的描述性分析报告。
- Of these travelers, 3,655 (4.4%) patients had an acute and potentially life threatening disease.
- 在这些旅客中，有3,655例（4.4％）患有急性和潜在的危及生命的疾病。
- The four most common conditions being falciparum malaria (76.9%), typhoid fever (11.7%), paratyphoid fever (6.4%), and leptospirosis (2.4%).
- 四个最常见的情况是恶性疟疾（76.9％），伤寒（11.7％）（6.4％），副伤寒，钩端螺旋体病（2.4％）。
 

Bottom Line:
Western physicians seeing febrile and recently returned travelers from the tropics need to consider a wide profile of potentially life threatening tropical illnesses, with a specific focus on the most likely diseases described in this case series.
要点：
西方医生在看到最近从热带返回的发热旅客需要考虑许多潜在的威胁生命的热带疾病，尤其要注意上面谈到的最有可能的疾病。
References 参考文献：
Jensenius M, Han PV, Schlagenhauf P, Schwartz E, Parola P, Castelli F, von Sonnenburg F, Loutan L, Leder K, Freedman DO; GeoSentinel Surveillance Network. Acute and potentially life-threatening tropical diseases in western travelers—a GeoSentinel multicenter study, 1996-2011. Am J Trop Med Hyg. 2013 Feb; 88(2):397-404