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A Case Series of Three US Adults with Japanese Encephalitis, 2010-2012
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2014
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Source: J Travel Med. 21(5):310-313
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Alternative Title:J Travel Med
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Description:Background
Japanese encephalitis (JE) virus is the leading vaccine-preventable cause of encephalitis in Asia. Although the risk for JE for most travelers to Asia is low, it varies based on the destination, season, trip duration, and activities.
Methods
We present case reports for three US adults who were infected with JE virus while traveling or residing in Asia.
Results
Among the three JE cases, one case had a 10-day trip to mainland China and participated in outdoor activities in a rural area, a second case had been resident in Taiwan for 4 months, and a third, fatal case was an expatriate living in South Korea.
Conclusions
JE should be considered in the differential diagnosis for any patient with an acute neurologic infection who recently has been in a JE-endemic country. Health-care providers should assess the itineraries of travelers to JE-endemic countries, provide guidance on personal protective measures to prevent vector-borne diseases, and consider recommending JE vaccine for travelers at increased risk for JE virus infection.
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Pubmed ID:24861145
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Pubmed Central ID:PMC4594826
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