December 1985

Outbreak of Parasitic Gastroenteritis Among Travelers Returning From Africa

Author Affiliations

From the Department of Medicine, Abbott Northwestern Hospital, Minneapolis (Drs Poland and Sarosi); the Department of Internal Medicine, University of Minnesota, Minneapolis (Drs Poland and Sarosi); and the Division of Parasitic Diseases, Center for Infectious Diseases, Centers for Disease Control, Public Health Service, US Department of Health and Human Services, Atlanta (Dr Navin). Dr Sarosi is now with the University of Texas Health Science Center at Houston.

Arch Intern Med. 1985;145(12):2220-2221. doi:10.1001/archinte.1985.00360120092015

Eosinophilia and intestinal infections with a trematode parasite developed In 18 of the 20 American tourists who traveled to Kenya and Tanzania; the fact that the two other tourists also had eosinophilia suggested that they too had been infested. Because no adult flukes were recovered, a specific Identification could not be made, but the eggs we observed resembled those of an Echinostoma. Several tour members had mild, nonspecific abdominal complaints, but ten had moderately severe abdominal cramps and loose or watery stools. Treatment with praziquantel was associated with rapid symptomatic improvement, and after treatment no parasitic eggs were recovered from patients' stools.

(Arch Intern Med 1985;145:2220-2221)