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. 2019 Nov 9;32:101504. doi: 10.1016/j.tmaid.2019.101504

Table 2.

Diagnoses (N = 303) among 260 ill travelers with diseases associated with attendance at an international mass gathering.

Diagnosis Number of Diagnosesa % of Ill Travelers
Respiratory
 Pneumoniab 67 25.7
 Influenzac 53 20.3
 Acute bronchitis 52 19.9
 Influenza-like illness 27 10.4
 Upper respiratory tract infection, unspecified 22 8.4
 Acute exacerbation of chronic respiratory disease 5 1.9
 Pharyngitis 4 1.5
 Cough, no etiology 2 0.8
 Enterovirus 68 infection 1 0.4
 Pleural effusion 1 0.4
 Pulmonary embolism 1 0.4
 Pulmonary tuberculosis 1 0.4
Gastrointestinal
 Acute gastroenteritis 6 2.3
 Acute diarrhea 4 1.5
 Campylobacter infection 1 0.4
 Nausea and vomiting, no etiology 1 0.4
 Non-pathogenic protozoa 1 0.4
 Salmonella infection 1 0.4
Ear, nose, and throat
 Acute sinusitis 3 1.1
 Acute otitis media 2 0.8
 Tonsillitis 1 0.4
Dermatologic
 Skin and soft tissue infection 7 2.7
 Insect bite 1 0.4
Urogenital
 Pyelonephritisd 2 0.8
 Acute renal failure 1 0.4
 Cystitis 1 0.4
 Vaginitis 1 0.4
Neurologic
 Viral meningitis 1 0.4
Trauma
 Injury 1 0.4
 Strain 1 0.4
 Blisters 1 0.4
Febrile systemic illness
 Viral syndrome without rash 9 3.4
 Sepsis or bacteremia 3 1.1
 Viral syndrome 1 0.4
Miscellaneous
 Antibiotic resistant organisme 5 1.9
 Dehydration 2 0.8
 Fatigue 2 0.8
 Myalgia 2 0.8
 Adverse drug eventd 1 0.4
 Dizziness 1 0.4
 Heart disease 1 0.4
 Osteomyelitis 1 0.4
 Thrombophlebitis 1 0.4
 Deathf 1 0.4
a

All diagnoses were confirmed according to pre-established GeoSentinel Network criteria for each diagnosis, unless otherwise specified.

b

Including Streptococcus pneumoniae infection (4 cases).

c

Influenza A (38 cases) and influenza B (15 cases).

d

One case was probable.

e

One organism was specified (Salmonella spp.).

f

Directly related to complications from pneumococcal pneumonia.