Residents and travelers experience a variety of fungal infections of the skin. Many are not unique to the travel location, but the heat and humidity of the tropical environment increases susceptibility to these infections. In addition, inoculation with endemic fungal…
This chapter describes common infestations by ectoparasites, including mites, lice, ticks, creeping eruption (cutaneous larva migrans), maggots (myiasis), and jiggers (tungiasis). Waterborne swimmer's itch (cercarial dermatitis) and jellyfish, or cnidarian (“nye- dare -ee-uhn”), envenomation are also discussed. Living in close…
Acute skin reactions are often symptomatic and account for many of the skin-related complaints of travelers. Sunburn and other ultraviolet (UV) light reactions, bacterial infections, medication-related rashes, dermatitis, and insect bites and stings are all common. These occur with brief…
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Toxic seafoods are causative agents in a number of gastrointestinal and neurologic illnesses. Historically, these illnesses were seen mainly in specific geographic locations, associated with local seafood products and affecting local resident populations. However, that situation has now changed remarkably:…
Once away from home, travelers are especially vulnerable to food-borne illness since with regard to food, they rely on the sourcing, processing, and culinary skills of others. Toxic syndromes due to food poisoning may occur after ingestion of foods that…
Entamoeba histolytica and Giardia lamblia are the most common protozoan pathogens of the human intestinal tract worldwide. In the United States, infections caused by Giardia and Cryptosporidium are most prevalent. Giardia and E. histolytica infection rates are significantly higher in…
Gastrointestinal infections are the most common illnesses in travelers, occurring in 34% of all travelers, typically those traveling from high-income countries to low and middle-income countries. Traveler's diarrhea (TD) is defined as three or more unformed stools per day and…
Health threats to travelers from infectious disease are common, with estimates of up to 75% of travelers becoming ill at some time during their travel. The World Health Organization (WHO) cites an extensive list ( ) of potential infectious…
International travel often brings us into contact with multidrug-resistant (MDR) organisms (MRDOs), especially bacteria. These germs may or may not colonize or infect the traveler, but when they do, they present challenges to the clinician. This chapter will focus on…