Johns Hopkins ABX Guide
Skin conditions in the returned traveler
Skin conditions in the returned traveler is a topic covered in the Johns Hopkins ABX Guide.
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PATHOGENS
- Papular eruptions: Sarcoptes scabiei, Onchocerca volvulus, non-human schistosomes (e.g., avian), Edwardsiella lineata larva (sea anemone), Linuche unguinculata (jellyfish), bedbugs, flea bites.
- Nodules/subcutaneous swellings: myiasis due to Cordylobia anthropophaga larvae, Dermatobia hominis larvae or Tunga penetrans; Loa loa; Trypanosoma brucei gambiense and T.b. rhodesiense (more common to see nodule in this form).
- Ulcers: Staphylococcus aureus, Group A streptococci; Leishmania (Viannia) braziliensis complex; Mycobacterium marinum; Boutonnese fever (Rickettsia conorii group); Orientalis tsutsugamushi; Haemophilus ducreyi; Chlamydia trachomatis L serovars; Klebsiella granulomatis; Treponema pallidum; Herpes simplex virus.
- Geographic migratory and linear lesions: examples
- Non-human nematode larvae: Ancylostoma braziliense, A. caninum, Gnathostoma spp, zoonotic Strongyloides, Spururina spp.
- Human nematode larvae: Strongyloides stercoralis.
- Migratory maggots.
- Adult nematodes: Loa loa; Dracunculus medinensis.
- Trematode larvae: Fasciola giganta.
- Mites: Sarcoptes scabei.
- Exanthema: dengue virus serotypes 1, 2, 3 and 4; chikungunya virus; Rickettsia africae; R. conorii; other location-specific arthropod-borne rickettsioses.
- Animal bites: Capnocytophaga spp, Corynebacterium spp, Neisseria spp, Pasturella spp; Staphylococcus aureus, streptococci, anaerobes, rabies virus, herpes B virus
- Additional systemic infections of travelers associated with skin lesions: (not a comprehensive list)
- Bartonella bacilliformis (Oroya fever, Verruga peruana, Carrion disease)
- Brucella spp.
- Ehrlichia spp.
- Enteroviruses
- Neisseria gonorrheae
- Acute HIV infection
- Leishmania major (visceral leishmaniasis)
- Leptospira spp.
- Borrelia burgdorferi (Lyme disease)
- Measles
- Burkholderia pseudomallei
- Neisseria meningitidis
- Parvovirus
- Streptobacillus moniliformis (Rat-bite fever)
- Spirillum minus(Rat-bite fever)
- Borrelia recurrentis(louse-borne relapsing fever)
- Borrelia hermsii(or other species, Ttck-borne relapsing fever)
- Trypanosoma cruzi (Chagas disease)
- Coccidioides spp.
- Paracoccidioides brasiliensis
- Agents of dermatophytoses (fungal infections of the superficial keratinized areas of the body)
- Rickettsial spp. (15 species in the spotted fever group, 2 species in the typhus group, 3 serogroups in the scrub typhus/Orientalis biogroup)
- Tick-borne lymphadenopathy (TIBOLA)
- Dermacentor-borne necrosis eschar lymphadenopathy (DEBONEL)
-- To view the remaining sections of this topic, please log in or purchase a subscription --
PATHOGENS
- Papular eruptions: Sarcoptes scabiei, Onchocerca volvulus, non-human schistosomes (e.g., avian), Edwardsiella lineata larva (sea anemone), Linuche unguinculata (jellyfish), bedbugs, flea bites.
- Nodules/subcutaneous swellings: myiasis due to Cordylobia anthropophaga larvae, Dermatobia hominis larvae or Tunga penetrans; Loa loa; Trypanosoma brucei gambiense and T.b. rhodesiense (more common to see nodule in this form).
- Ulcers: Staphylococcus aureus, Group A streptococci; Leishmania (Viannia) braziliensis complex; Mycobacterium marinum; Boutonnese fever (Rickettsia conorii group); Orientalis tsutsugamushi; Haemophilus ducreyi; Chlamydia trachomatis L serovars; Klebsiella granulomatis; Treponema pallidum; Herpes simplex virus.
- Geographic migratory and linear lesions: examples
- Non-human nematode larvae: Ancylostoma braziliense, A. caninum, Gnathostoma spp, zoonotic Strongyloides, Spururina spp.
- Human nematode larvae: Strongyloides stercoralis.
- Migratory maggots.
- Adult nematodes: Loa loa; Dracunculus medinensis.
- Trematode larvae: Fasciola giganta.
- Mites: Sarcoptes scabei.
- Exanthema: dengue virus serotypes 1, 2, 3 and 4; chikungunya virus; Rickettsia africae; R. conorii; other location-specific arthropod-borne rickettsioses.
- Animal bites: Capnocytophaga spp, Corynebacterium spp, Neisseria spp, Pasturella spp; Staphylococcus aureus, streptococci, anaerobes, rabies virus, herpes B virus
- Additional systemic infections of travelers associated with skin lesions: (not a comprehensive list)
- Bartonella bacilliformis (Oroya fever, Verruga peruana, Carrion disease)
- Brucella spp.
- Ehrlichia spp.
- Enteroviruses
- Neisseria gonorrheae
- Acute HIV infection
- Leishmania major (visceral leishmaniasis)
- Leptospira spp.
- Borrelia burgdorferi (Lyme disease)
- Measles
- Burkholderia pseudomallei
- Neisseria meningitidis
- Parvovirus
- Streptobacillus moniliformis (Rat-bite fever)
- Spirillum minus(Rat-bite fever)
- Borrelia recurrentis(louse-borne relapsing fever)
- Borrelia hermsii(or other species, Ttck-borne relapsing fever)
- Trypanosoma cruzi (Chagas disease)
- Coccidioides spp.
- Paracoccidioides brasiliensis
- Agents of dermatophytoses (fungal infections of the superficial keratinized areas of the body)
- Rickettsial spp. (15 species in the spotted fever group, 2 species in the typhus group, 3 serogroups in the scrub typhus/Orientalis biogroup)
- Tick-borne lymphadenopathy (TIBOLA)
- Dermacentor-borne necrosis eschar lymphadenopathy (DEBONEL)
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Last updated: December 9, 2019
Citation
Hynes, Noreen A. "Skin Conditions in the Returned Traveler." Johns Hopkins ABX Guide, The Johns Hopkins University, 2019. Johns Hopkins Guide, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540506/1/Skin_conditions_in_the_returned_traveler.
Hynes NA. Skin conditions in the returned traveler. Johns Hopkins ABX Guide. The Johns Hopkins University; 2019. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540506/1/Skin_conditions_in_the_returned_traveler. Accessed September 27, 2021.
Hynes, N. A. (2019). Skin conditions in the returned traveler. In Johns Hopkins ABX Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540506/1/Skin_conditions_in_the_returned_traveler
Hynes NA. Skin Conditions in the Returned Traveler [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2019. [cited 2021 September 27]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540506/1/Skin_conditions_in_the_returned_traveler.
* Article titles in AMA citation format should be in sentence-case
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T1 - Skin conditions in the returned traveler
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A1 - Hynes,Noreen,M.D., M.P.H., D.T.M.&H.
Y1 - 2019/12/09/
BT - Johns Hopkins ABX Guide
UR - https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540506/1/Skin_conditions_in_the_returned_traveler
PB - The Johns Hopkins University
DB - Johns Hopkins Guide
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