Fatal Respiratory Diphtheria in a U.S. Traveler to Haiti — Pennsylvania, 2003
Respiratory diphtheria can be severe or fatal in unvaccinated persons; even with appropriate treatment, 5%-10% of patients with diphtheria die. For >50 years, vaccination against diphtheria has been recommended for children and adults in the United States. Persons who are unvaccinated or vaccinat...
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Veröffentlicht in: | MMWR. Morbidity and mortality weekly report 2004-01, Vol.52 (53), p.1285-1286 |
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creator | Lurie, P Stafford, H Tran, P Teacher, C Ankeny, R Barron, M Bart, J Bisgard, K Tiwari, T Murphy, T Moran, J Cassiday, P |
description | Respiratory diphtheria can be severe or fatal in unvaccinated persons; even with appropriate treatment, 5%-10% of patients with diphtheria die. For >50 years, vaccination against diphtheria has been recommended for children and adults in the United States. Persons who are unvaccinated or vaccinated inadequately can contract diphtheria during travel to areas where the disease is endemic, putting them and their close contacts at risk for severe illness. This report describes fatal respiratory diphtheria in an unvaccinated Pennsylvania resident who had visited Haiti, a country where the disease is endemic. The case highlights the need for all international travelers to be up-to-date with all recommended vaccinations, including a primary series of diphtheria toxoid-containing vaccine. |
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For >50 years, vaccination against diphtheria has been recommended for children and adults in the United States. Persons who are unvaccinated or vaccinated inadequately can contract diphtheria during travel to areas where the disease is endemic, putting them and their close contacts at risk for severe illness. This report describes fatal respiratory diphtheria in an unvaccinated Pennsylvania resident who had visited Haiti, a country where the disease is endemic. The case highlights the need for all international travelers to be up-to-date with all recommended vaccinations, including a primary series of diphtheria toxoid-containing vaccine.</description><identifier>ISSN: 0149-2195</identifier><identifier>EISSN: 1545-861X</identifier><identifier>PMID: 14712177</identifier><language>eng</language><publisher>United States: Centers for Disease Control and Prevention</publisher><subject>2003 AD ; Case studies ; Corynebacterium diphtheriae ; Development and progression ; Diphtheria ; Diphtheria - diagnosis ; Diphtheria - epidemiology ; Diseases ; Dosage ; Endemic diseases ; Fatal Outcome ; Haiti - epidemiology ; Humans ; Lungs ; Male ; Middle Aged ; Notifiable diseases ; Pennsylvania - epidemiology ; Respiratory diseases ; Respiratory tract diseases ; Statistics ; Travel ; Travelers ; Vaccination</subject><ispartof>MMWR. Morbidity and mortality weekly report, 2004-01, Vol.52 (53), p.1285-1286</ispartof><rights>COPYRIGHT 2004 U.S. Government Printing Office</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/23314897$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/23314897$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14712177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lurie, P</creatorcontrib><creatorcontrib>Stafford, H</creatorcontrib><creatorcontrib>Tran, P</creatorcontrib><creatorcontrib>Teacher, C</creatorcontrib><creatorcontrib>Ankeny, R</creatorcontrib><creatorcontrib>Barron, M</creatorcontrib><creatorcontrib>Bart, J</creatorcontrib><creatorcontrib>Bisgard, K</creatorcontrib><creatorcontrib>Tiwari, T</creatorcontrib><creatorcontrib>Murphy, T</creatorcontrib><creatorcontrib>Moran, J</creatorcontrib><creatorcontrib>Cassiday, P</creatorcontrib><creatorcontrib>Centers for Disease Control and Prevention (CDC)</creatorcontrib><title>Fatal Respiratory Diphtheria in a U.S. Traveler to Haiti — Pennsylvania, 2003</title><title>MMWR. Morbidity and mortality weekly report</title><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><description>Respiratory diphtheria can be severe or fatal in unvaccinated persons; even with appropriate treatment, 5%-10% of patients with diphtheria die. For >50 years, vaccination against diphtheria has been recommended for children and adults in the United States. Persons who are unvaccinated or vaccinated inadequately can contract diphtheria during travel to areas where the disease is endemic, putting them and their close contacts at risk for severe illness. This report describes fatal respiratory diphtheria in an unvaccinated Pennsylvania resident who had visited Haiti, a country where the disease is endemic. The case highlights the need for all international travelers to be up-to-date with all recommended vaccinations, including a primary series of diphtheria toxoid-containing vaccine.</description><subject>2003 AD</subject><subject>Case studies</subject><subject>Corynebacterium diphtheriae</subject><subject>Development and progression</subject><subject>Diphtheria</subject><subject>Diphtheria - diagnosis</subject><subject>Diphtheria - epidemiology</subject><subject>Diseases</subject><subject>Dosage</subject><subject>Endemic diseases</subject><subject>Fatal Outcome</subject><subject>Haiti - epidemiology</subject><subject>Humans</subject><subject>Lungs</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Notifiable diseases</subject><subject>Pennsylvania - epidemiology</subject><subject>Respiratory diseases</subject><subject>Respiratory tract diseases</subject><subject>Statistics</subject><subject>Travel</subject><subject>Travelers</subject><subject>Vaccination</subject><issn>0149-2195</issn><issn>1545-861X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkc1KAzEQxxdRbK0-gpKTJ7fkY7ObPYpfFQqKWvC2TLezbUqarUkq9OZD-IQ-iZFWUXDmMDDz-w8z_HeSLpOZTFXOnneTLmVZmXJWyk5y4P2cfoWg-0mHZQXjrCi6yd01BDDkAf1SOwitW5NLvZyFGToNRFsCZNR_7JMnB69o0JHQkgHooMnH2zu5R2v92ryC1XBGeNx-mOw1YDwebWsvGV1fPV0M0uHdze3F-TCdcslDyoRQFCUv8iYrJOdA61IqoCyf5LmQSDGTsuSlqnnDsFCKZ4Xgk3FTosp5rUQvOd3sXbr2ZYU-VAvtazQGLLYrXylKVS64iGC6AadgsNK2aYODeooWHZjWYqNj-5zFg0ReKhn5_j98zAkudP2v4PSXYIZgwsy3ZhV0a_1f8GR78mq8wEm1dHoBbl19mxGB4w0w99GIn3l8gmWqLMQnsHiLzg</recordid><startdate>20040109</startdate><enddate>20040109</enddate><creator>Lurie, P</creator><creator>Stafford, H</creator><creator>Tran, P</creator><creator>Teacher, C</creator><creator>Ankeny, R</creator><creator>Barron, M</creator><creator>Bart, J</creator><creator>Bisgard, K</creator><creator>Tiwari, T</creator><creator>Murphy, T</creator><creator>Moran, J</creator><creator>Cassiday, P</creator><general>Centers for Disease Control and Prevention</general><general>U.S. Government Printing Office</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20040109</creationdate><title>Fatal Respiratory Diphtheria in a U.S. Traveler to Haiti — Pennsylvania, 2003</title><author>Lurie, P ; Stafford, H ; Tran, P ; Teacher, C ; Ankeny, R ; Barron, M ; Bart, J ; Bisgard, K ; Tiwari, T ; Murphy, T ; Moran, J ; Cassiday, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g252t-13380e5276f47522a0c958a016d6635e0e4559298c2f1e78824732dbf9e862c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>2003 AD</topic><topic>Case studies</topic><topic>Corynebacterium diphtheriae</topic><topic>Development and progression</topic><topic>Diphtheria</topic><topic>Diphtheria - diagnosis</topic><topic>Diphtheria - epidemiology</topic><topic>Diseases</topic><topic>Dosage</topic><topic>Endemic diseases</topic><topic>Fatal Outcome</topic><topic>Haiti - epidemiology</topic><topic>Humans</topic><topic>Lungs</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Notifiable diseases</topic><topic>Pennsylvania - epidemiology</topic><topic>Respiratory diseases</topic><topic>Respiratory tract diseases</topic><topic>Statistics</topic><topic>Travel</topic><topic>Travelers</topic><topic>Vaccination</topic><toplevel>online_resources</toplevel><creatorcontrib>Lurie, P</creatorcontrib><creatorcontrib>Stafford, H</creatorcontrib><creatorcontrib>Tran, P</creatorcontrib><creatorcontrib>Teacher, C</creatorcontrib><creatorcontrib>Ankeny, R</creatorcontrib><creatorcontrib>Barron, M</creatorcontrib><creatorcontrib>Bart, J</creatorcontrib><creatorcontrib>Bisgard, K</creatorcontrib><creatorcontrib>Tiwari, T</creatorcontrib><creatorcontrib>Murphy, T</creatorcontrib><creatorcontrib>Moran, J</creatorcontrib><creatorcontrib>Cassiday, P</creatorcontrib><creatorcontrib>Centers for Disease Control and Prevention (CDC)</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>MMWR. 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subjects | 2003 AD Case studies Corynebacterium diphtheriae Development and progression Diphtheria Diphtheria - diagnosis Diphtheria - epidemiology Diseases Dosage Endemic diseases Fatal Outcome Haiti - epidemiology Humans Lungs Male Middle Aged Notifiable diseases Pennsylvania - epidemiology Respiratory diseases Respiratory tract diseases Statistics Travel Travelers Vaccination |
title | Fatal Respiratory Diphtheria in a U.S. Traveler to Haiti — Pennsylvania, 2003 |
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