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Title: Muscular Sarcocystosis in travelers returning from Tioman Island, Malaysia — 2011

Author
item ESPOSITO, DOUGLAS - Centers For Disease Control And Prevention (CDC) - United States
item LANKAU, EMILY - Centers For Disease Control And Prevention (CDC) - United States
item VON SONNENBURG, FRANK - University Of Munich
item CRAMER, JACOB - Bernhard Nocht Institute
item GROBUSCH, MARTIN - University Of Amsterdam
item SAVINI, HELENE - Hospital Instruction Of The Laveran Armies
item RAPP, CHRISTOPHE - Hospital Instruction Of The Laveran Armies
item PERIGNON, ALICE - Bernhard-Nocht Institute For Tropical Medicine
item GOBBI, FEDERICO - Sacred Heart Hospital Don Calabria
item GHESQUIERE, WAYNE - University Of British Columbia
item ZANGER, PHILLIP - Bernhard-Nocht Institute For Tropical Medicine
item NEUMAYR, ANDREAS - Swiss Tropical Institute(STI)
item DA SILVA, ALEXANDRE - Centers For Disease Control And Prevention (CDC) - United States
item Rosenthal, Benjamin
item ARONICA, ELEONORA - University Of Amsterdam
item PLIER, D. - University Of Alabama
item BRUNETTE, GARY - Centers For Disease Control And Prevention (CDC) - United States
item BROWN, CLIVE - Centers For Disease Control And Prevention (CDC) - United States
item Fayer, Ronald
item SOTIR, MARK - Centers For Disease Control And Prevention (CDC) - United States
item FREEDMAN, DAVID - University Of Alabama

Submitted to: Meeting Abstract
Publication Type: Abstract Only
Publication Acceptance Date: 3/9/2012
Publication Date: 3/11/2012
Citation: Esposito, D., Lankau, E., Von Sonnenburg, F., Cramer, J., Grobusch, M., Savini, H., Rapp, C., Perignon, A., Gobbi, F., Ghesquiere, W., Zanger, P., Neumayr, A., Da Silva, A., Rosenthal, B.M., Aronica, E., Plier, D., Brunette, G., Brown, C., Fayer, R., Sotir, M., Freedman, D. 2012. Muscular Sarcocystosis in travelers returning from Tioman Island, Malaysia — 2011. [abstract].

Interpretive Summary:

Technical Abstract: In October 2011, the GeoSentinel global surveillance system for travel-related morbidity detected an unusual cluster of illnesses among travelers returning from Tioman Island, Malaysia. Complete information was received for 17 of 32 (53%) patients reported to GeoSentinel; 9 probable and 1 confirmed case were determined. Among case patients, the median age was 47.5 years (range 21-59); 50% were male. All resided in Europe. All complained of mild to severe myalgia with onset a median of 11 days (range 2-39) after departing Tioman Island, had marked eosinophilia (median highest value 15%, range 11-28%), and markedly elevated creatinine phosphokinase (median highest value 527 U/L, range 268-1435). All cases lodged on the northwest coast of Tioman Island, visited the beach, and swam in the ocean; none swam in fresh water. All consumed ice in beverages, 7 (70%) brushed teeth with tap water, and 6 (60%) ate fresh produce. Except for 50% reporting physical contact with cats; no significant animal exposures were reported.