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Case Report: Infectious Diseases in Pilgrims Visiting the Holy Land.

Abstract Every year Christian pilgrims from around the world visit the holy sites located around the Sea of Galilee. Some become ill during their stay with infectious diseases that were acquired in their country of origin, and are hospitalized at Poriya Medical Center. They pose a diagnostic challenge due to language barriers, the rarity of these infections in Israel, and the fact that diagnostic tests are not readily available. All patient records from 2015 of Holy Land tourists hospitalized at Poriya Medical Center were screened for the diagnosis of imported zoonotic diseases that are not commonly diagnosed in Israel. Three patients who were on a Holy Land tour were hospitalized during 2015 with laboratory-confirmed diagnostically challenging zoonotic infectious diseases: a 91-year-old priest from Ethiopia diagnosed with relapsing fever due to Borrelia recurrentis, an 85-year-old retired mountaineer from New Hampshire diagnosed with human granulocytic anaplasmosis, and a 57-year-old farmer from central Brazil diagnosed with leptospirosis. These case reports emphasize the importance of considering imported zoonotic infectious diseases and obtaining appropriate diagnostic tests when treating Holy Land travelers to Israel.
PMID
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Authors

Mayor MeshTerms

Anaplasmosis

Communicable Diseases

Leptospirosis

Relapsing Fever

Zoonoses

Keywords
Journal Title the american journal of tropical medicine and hygiene
Publication Year Start




PMID- 28722620
OWN - NLM
STAT- MEDLINE
DA  - 20170719
DCOM- 20170911
LR  - 20170911
IS  - 1476-1645 (Electronic)
IS  - 0002-9637 (Linking)
VI  - 97
IP  - 2
DP  - 2017 Aug
TI  - Case Report: Infectious Diseases in Pilgrims Visiting the Holy Land.
PG  - 611-614
LID - 10.4269/ajtmh.17-0097 [doi]
AB  - Every year Christian pilgrims from around the world visit the holy sites located 
      around the Sea of Galilee. Some become ill during their stay with infectious
      diseases that were acquired in their country of origin, and are hospitalized at
      Poriya Medical Center. They pose a diagnostic challenge due to language barriers,
      the rarity of these infections in Israel, and the fact that diagnostic tests are 
      not readily available. All patient records from 2015 of Holy Land tourists
      hospitalized at Poriya Medical Center were screened for the diagnosis of imported
      zoonotic diseases that are not commonly diagnosed in Israel. Three patients who
      were on a Holy Land tour were hospitalized during 2015 with laboratory-confirmed 
      diagnostically challenging zoonotic infectious diseases: a 91-year-old priest
      from Ethiopia diagnosed with relapsing fever due to Borrelia recurrentis, an
      85-year-old retired mountaineer from New Hampshire diagnosed with human
      granulocytic anaplasmosis, and a 57-year-old farmer from central Brazil diagnosed
      with leptospirosis. These case reports emphasize the importance of considering
      imported zoonotic infectious diseases and obtaining appropriate diagnostic tests 
      when treating Holy Land travelers to Israel.
FAU - Nitzan, Orna
AU  - Nitzan O
AD  - Faculty of Medicine in the Galilee, Bar Ilan University, Ramat Gan, Israel.
AD  - Infectious Disease Unit, Baruch Padeh Medical Center, Poriya, Israel.
FAU - Blum, Arnon
AU  - Blum A
AD  - Department of Surgery A, Baruch Padeh Medical Center, Poriya, Israel.
AD  - Faculty of Medicine in the Galilee, Bar Ilan University, Ramat Gan, Israel.
FAU - Marva, Esther
AU  - Marva E
AD  - Central Public Health Laboratories, Ministry of Health, Jerusalem, Israel.
FAU - Katz, Adina
AU  - Katz A
AD  - Hematology Laboratory, Baruch Padeh Medical Center, Poriya, Israel.
FAU - Tzadok, Bat-Sheva
AU  - Tzadok BS
AD  - Emergency Department, Baruch Padeh Medical Center, Poriya, Israel.
AD  - Faculty of Medicine in the Galilee, Bar Ilan University, Ramat Gan, Israel.
FAU - Nachum-Biala, Yaarit
AU  - Nachum-Biala Y
AD  - Koret School of Veterinary Medicine, Hebrew University, Rehovot, Israel.
FAU - Baneth, Gad
AU  - Baneth G
AD  - Koret School of Veterinary Medicine, Hebrew University, Rehovot, Israel.
FAU - Peretz, Avi
AU  - Peretz A
AD  - Clinical Microbiology Laboratory, Baruch Padeh Medical Center, Poriya, Israel.
AD  - Faculty of Medicine in the Galilee, Bar Ilan University, Ramat Gan, Israel.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170719
PL  - United States
TA  - Am J Trop Med Hyg
JT  - The American journal of tropical medicine and hygiene
JID - 0370507
SB  - AIM
SB  - IM
MH  - Aged, 80 and over
MH  - *Anaplasmosis
MH  - Animals
MH  - *Communicable Diseases
MH  - Ethiopia
MH  - Humans
MH  - Israel
MH  - *Leptospirosis
MH  - Male
MH  - Middle Aged
MH  - New Hampshire
MH  - *Relapsing Fever
MH  - Travel/*statistics & numerical data
MH  - *Zoonoses
EDAT- 2017/07/20 06:00
MHDA- 2017/09/12 06:00
CRDT- 2017/07/20 06:00
AID - 10.4269/ajtmh.17-0097 [doi]
PST - ppublish
SO  - Am J Trop Med Hyg. 2017 Aug;97(2):611-614. doi: 10.4269/ajtmh.17-0097. Epub 2017 
      Jul 19.