在法国东北部白纹伊蚊日益猖獗的地区，回国旅行者对虫媒病毒感染的诊断不足。

IF 2.9 4区医学 Q2 INFECTIOUS DISEASES Infectious diseases now Pub Date : 2024-07-21 DOI:10.1016/j.idnow.2024.104956

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引用次数: 0

摘要

背景：疟疾和虫媒病毒等病媒传播疾病是旅行后发热的常见病因：疟疾和虫媒病毒等病媒传播疾病是旅行后发热的常见病因：在排除疟疾后，我们回顾性分析了2014年至2023年期间在斯特拉斯堡大学医院接受治疗的患者近期旅行后感染登革热病毒（DENV）、基孔肯雅病毒（CHIKV）和寨卡病毒（ZIKV）的诊断情况。对2023年采样的现有血清（n = 35）进行了DENV、CHIKV和ZIKV感染回顾性检测：结果：我们的结果显示，915 名疟疾阴性患者中，78% 的人在十年间没有进行过虫媒病毒感染检测。回顾性检测发现了漏检的虫媒病毒感染：两例 DENV 感染和一例 CHIKV 感染，占未强制申报或病媒控制的患者的 8.6%（3/35）：结论：我们的研究结果凸显了早期病例检测的必要性，尤其是在即将举办 2024 年奥运会的背景下。

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Underdiagnosis of arbovirus infections in returned travelers in an area with growing circulation of Aedes albopictus in North-Eastern France

Background

Vector-borne diseases such as malaria and arboviruses are common etiologies of post-travel fever.

Methods

After excluding malaria, we retrospectively analyzed the diagnosis of dengue virus (DENV), chikungunya virus (CHIKV), and zika virus (ZIKV) infections following recent travel by patients treated at the Strasbourg University Hospital between 2014 and 2023. Available serums (n = 35) sampled in 2023 were retrospectively tested for DENV, CHIKV, and ZIKV infections.

Results

Our results showed that 78% of the 915 malaria-negative patients without changes over the course of ten years had not undergone arbovirus infection testing. Retrospective testing revealed missing arbovirus infections: two DENV infections and one CHIKV infection, representing 8.6% (3/35) of patients for whom no mandatory declaration or vector control could be undertaken.