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Common Dermatologic Conditions in Returning Travelers

  • Skin and Soft Tissue Infections in Returning Travelers from the Tropics (C Franco-Paredes, Section Editor)
  • Published:
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Abstract

Purpose of Review

Travel medicine practitioners often are confronted with returning travelers with dermatologic disorders that could be of infectious causes or inflammatory or allergic. Some dermatologic processes are the result of exposure to insects or acquired due to environmental exposures. There is a broad range of dermatosis of infectious and non-infectious etiologies that clinicians need to consider in the differential diagnosis of dermatosis in travelers

Recent Findings

With increasing international travel to tropical destinations, many individuals may be exposed to rickettsia (i.e., African tick bite fever, scrub typhus, or Mediterranean spotted fever), parasitic infections (i.e., cutaneous larva migrans, cutaneous leishmaniasis, African trypanosomiasis, or American trypanosomiasis), viral infections (i.e., measles or Zika virus infection), bacterial (i.e., Buruli ulcer) or ectoparasites (scabies or tungiasis), and myiasis. Cutaneous lesions provide clinical clues to the diagnosis of specific exposures during travel among returned travelers.

Summary

Dermatologic disorders represent the third most common health problem in returned travelers, after gastrointestinal and respiratory illness. Many of these conditions may pose a risk of severe complications if there is any delay in diagnosis. Therefore, clinicians caring for travelers need to become familiar with the most frequent infectious and non-infectious skin disorders in travelers.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Hochedez P, Caumes E. Common skin infections in travelers. J Travel Med. 2008;15(4):252–62 This is a classic article written by dermatologist with extensive experience and expertise in travel medicine which provides a detailed description of dermatologic conditions in travelers.

    Article  Google Scholar 

  2. Wilson ME, Chen LH. Dermatologic infectious diseases in international travelers. Curr Infect Dis Rep. 2004;6:54–62 In depth narrative review of dermatologic conditions in travelers.

    Article  Google Scholar 

  3. Francesconi F, Lupi O. Myiasis. Clin Microbiol Rev. 2012;25(1):79–105.

    Article  Google Scholar 

  4. Reis CMS, Reis-Filho EGM. Mycetomas: an epidemiological, etiological, clinical, laboratory and therapeutic review. An Bras Dermatol. 2018;93(1):8–18 Narrative review of mycetoma and actinomycetoma.

    Article  Google Scholar 

  5. Jensenius M, Fournier PE, Raoult D. Rickettsioses and the international traveler. Clin Infect Dis. 2004;39(10):1493–9. https://doi.org/10.1086/425365Comprehensive review of clinically relevant Rickettsial infections in travelers including African tick bite fever and Mediterranean spotted fever.

    Article  PubMed  Google Scholar 

  6. Raff AB, Kroshinsky D. Cellulitis: a review. JAMA. 2016;316(3):325–37.

    Article  Google Scholar 

  7. Franco-Paredes C, Chastain DB, Allen L, Henao-Martínez AF. Overview of cutaneous mycobacterial infections. Current Tropical Medicine Reports. 2018;5(4):228–32.

    Article  Google Scholar 

  8. Horseman MA, Surani S. A comprehensive review of Vibrio vulnificus: an important cause of severe sepsis and skin and soft-tissue infection. Int J Infect Dis. 2011;15(3):e157–66.

    Article  Google Scholar 

  9. Goncalves Pessoa RB, de Oliveira WF, Marques DSC, Dos Santos Correia MT, de Carvalho E, Coelho L. The genus Aeromonas: a general approach. Microb Pathog. 2019;130:81–94.

    Article  CAS  Google Scholar 

  10. Nadelman RB. Erythema migrans. Infect Dis Clin North Am. 2015;29(2):211–39.

    Article  Google Scholar 

  11. Malane MS, Grant-Kels JM, Feder HM Jr, Luger SW. Diagnosis of Lyme disease based on dermatologic manifestations. Ann Intern Med. 1991;114(6):490–8 This article provides the most relevant clinical description of the dermatologic manifestations of Lyme disease.

    Article  CAS  Google Scholar 

  12. Godar DA, Laniosz V, Wetter DA. Lyme disease update for the general dermatologist. Am J Clin Dermatol. 2015;16(1):5–18 This article raised awareness of the importance of rickettsioses in international travelers.

    Article  Google Scholar 

  13. Franco-Paredes C. The growing challenge of leishmaniasis in travelers. Travel Med Infect Dis. 2014;12(6 Pt A):559–60.

    Article  Google Scholar 

  14. Center for Disease Control and Prevention (CDC). Myiasis. https://www.cdc.gov/dpdx/myiasis/index.html. Published 2020. Accessed 11/29/2020.

  15. Osorio J, Moncada L, Molano A, Valderrama S, Gualtero S, Franco-Paredes C. Role of ivermectin in the treatment of severe orbital myiasis due to Cochliomyia hominivorax. Clin Infect Dis. 2006;43(6):e57–9.

    Article  Google Scholar 

  16. Cestari TF, Pessato S, Ramos-e-Silva M. Tungiasis and myiasis. Clin Dermatol. 2007;25(2):158–64.

    Article  Google Scholar 

  17. Coates SJ, Thomas C, Chosidow O, Engelman D, Chang AY. Ectoparasites: pediculosis and tungiasis. J Am Acad Dermatol. 2020;82(3):551–69.

    Article  Google Scholar 

  18. Stevens DL, Bryant AE. Necrotizing soft-tissue infections. N Engl J Med. 2017;377(23):2253–65.

    Article  Google Scholar 

  19. Sanchez Clemente N, Ugarte-Gil CA, Solorzano N, et al. Bartonella bacilliformis: a systematic review of the literature to guide the research agenda for elimination. PLoS Negl Trop Dis. 2012;6(10):e1819.

    Article  Google Scholar 

  20. Wiersinga WJ, van der Poll T, White NJ, Day NP, Peacock SJ. Melioidosis: insights into the pathogenicity of Burkholderia pseudomallei. Nat Rev Microbiol. 2006;4(4):272–82.

    Article  CAS  Google Scholar 

  21. Tellez I, Franco-Paredes C. A woman with chronic subcutaneous swelling of the right foot associated with sinus tracts discharging yellow grains. PLoS Negl Trop Dis. 2010 Sep 28;4(9):e772.

    Article  Google Scholar 

  22. Lautenschlager S. Cutaneous manifestations of syphilis. American Journal of Clinical Dermatology. 2006;7:291–304.

    Article  Google Scholar 

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Correspondence to José Antonio Suarez.

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This article is part of the Topical Collection on Skin and Soft Tissue Infections in Returning Travelers from the Tropics

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Shepard, Z., Rios, M., Solis, J. et al. Common Dermatologic Conditions in Returning Travelers. Curr Trop Med Rep 8, 104–111 (2021). https://doi.org/10.1007/s40475-021-00231-8

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  • DOI: https://doi.org/10.1007/s40475-021-00231-8

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