2008-2013 年在热带疾病科就诊的返回法国旅行者的海洋生物螫伤。

Marine envenomations in returning French travellers seen in a tropical diseases unit, 2008-13.

机构信息

Service des maladies infectieuses et tropicales, groupe hospitalier Pitié-Salpêtrière, AP-HP, 47-83 bd de l'hôpital, 75013 Paris, France,

Service des maladies infectieuses et tropicales, groupe hospitalier Pitié-Salpêtrière, AP-HP, 47-83 bd de l'hôpital, 75013 Paris, France.

出版信息

J Travel Med. 2016 Feb 8;23(2):tav022. doi: 10.1093/jtm/tav022. Print 2016 Feb.

DOI:10.1093/jtm/tav022

PMID:26858271

Abstract

BACKGROUND

Travel and aquatic activities are increasing in tropical regions. The risk and the spectrum of marine envenomation are unknown in travellers. This work aims to evaluate the prevalence and the characteristics of marine envenomations in returning travellers.

METHODS

We retrospectively studied the medical charts of all returning travellers presenting with a health problem in a French tropical disease unit between 2008 and 2013, with focus on travellers complaining of marine envenomation. Characteristics of each type of envenomation are described.

RESULTS

Of the 3315 travellers seen during the study period, 43 consulted for a presumed marine envenomation. Six patients were excluded, leaving 37 cases of confirmed marine envenomation. It corresponds to a prevalence of 1.1%. Sex ratio was balanced with 18 men and 19 women. Median age was 42 years (range 25-68 years). Median travel duration was 14 days (range: 6-62 days). The main travel destination was Southeast Asia in 10 cases, followed by islands of East Africa in seven cases. Median elapsed time between envenomation and consultation was 14 days (range: 2-130 days). The purpose of travel was tourism in all cases. The main clinical aspects were oedema, sting marks, cellulitis and flagellations. Eleven cases were presumably caused by corals, 10 by stonefish, 8 by jellyfish, 2 by weever fish, 2 by starfish, 2 by stingray, 1 by lionfish and 1 by sea anemone.

CONCLUSION

Prevalence of marine envenomation is low in returning travellers. They are mostly caused by corals, stonefish and jellyfish.

摘要

背景

在热带地区，旅行和水上活动日益增多。旅行者遭遇海洋生物螫伤的风险和范围尚不清楚。本研究旨在评估返回旅行者中海洋生物螫伤的发生率和特征。

方法

我们回顾性研究了 2008 年至 2013 年间在一家法国热带病单位就诊的所有有健康问题的返回旅行者的病历，重点关注报告海洋生物螫伤的旅行者。描述了每种类型螫伤的特征。

结果

在研究期间，3315 名旅行者中，有 43 人因疑似海洋生物螫伤就诊。排除 6 例患者，留下 37 例确诊的海洋生物螫伤病例。发生率为 1.1%。男女比例平衡，有 18 名男性和 19 名女性。中位年龄为 42 岁（范围 25-68 岁）。中位旅行时间为 14 天（范围 6-62 天）。主要旅行目的地是东南亚 10 例，其次是东非岛屿 7 例。从螫伤到就诊的中位时间为 14 天（范围 2-130 天）。所有病例的旅行目的均为旅游。主要临床特征为水肿、刺痛痕迹、蜂窝织炎和鞭痕。11 例推测由珊瑚引起，10 例由石鱼引起，8 例由水母引起，2 例由黄姑鱼引起，2 例由海星引起，2 例由鳐鱼引起，1 例由狮子鱼引起，1 例由海葵引起。