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United States Department of Agriculture

Agricultural Research Service


Location: Environmental Microbial & Food Safety Laboratory

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

item Esposito, Douglas
item Lankau, Emily
item Von Sonnenburg, Frank
item Cramer, Jacob
item Grobusch, Martin
item Savini, Helene
item Rapp, Christophe
item Perignon, Alice
item Gobbi, Federico
item Ghesquiere, Wayne
item Zanger, Phillip
item Neumayr, Andreas
item Da Silva, Alexandre
item Rosenthal, Benjamin
item Aronica, Eleonora
item Plier, D.
item Brunette, Gary
item Brown, Clive
item Fayer, Ronald
item Sotir, Mark
item Freedman, David

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.

Last Modified: 08/17/2017
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