title: Epidemiology and clinical features of imported dengue fever in Europe: sentinel surveillance data from TropNetEurop.
abstract: Travelers have the potential both to acquire and to spread dengue virus infection. The incidence of dengue fever (DF) among European travelers certainly is underestimated, because few centers use standardized diagnostic procedures for febrile patients. In addition, DF is currently not reported in most European public health systems. Surveillance has commenced within the framework of a European Network on Imported Infectious Disease Surveillance (TropNetEurop) to gain information on the quantity and severity of cases of dengue imported into Europe. Descriptions of 294 patients with DF were analyzed for epidemiological information and clinical features. By far the most infections were imported from Asia, which suggests a high risk of DF for travelers to that region. Dengue hemorrhagic fever occurred in 7 patients (2.4%) all of whom recovered. Data reported by member sites of the TropNetEurop can contribute to understanding the epidemiology and clinical characteristics of imported DF.
authors.affiliation: Department of Infectious Diseases and Tropical Medicine, University of Munich, 80802 Munich, Germany. jelinek@lrz.uni-muenchen.de
authors.forename: T
authors.initials: T
authors.lastname: Jelinek
authors.forename: N
authors.initials: N
authors.lastname: Mühlberger
authors.forename: G
authors.initials: G
authors.lastname: Harms
authors.forename: M
authors.initials: M
authors.lastname: Corachán
authors.forename: M P
authors.initials: MP
authors.lastname: Grobusch
authors.forename: J
authors.initials: J
authors.lastname: Knobloch
authors.forename: U
authors.initials: U
authors.lastname: Bronner
authors.forename: H
authors.initials: H
authors.lastname: Laferl
authors.forename: A
authors.initials: A
authors.lastname: Kapaun
authors.forename: Z
authors.initials: Z
authors.lastname: Bisoffi
authors.forename: J
authors.initials: J
authors.lastname: Clerinx
authors.forename: S
authors.initials: S
authors.lastname: Puente
authors.forename: G
authors.initials: G
authors.lastname: Fry
authors.forename: M
authors.initials: M
authors.lastname: Schulze
authors.forename: U
authors.initials: U
authors.lastname: Hellgren
authors.forename: I
authors.initials: I
authors.lastname: Gjørup
authors.forename: P
authors.initials: P
authors.lastname: Chalupa
authors.forename: C
authors.initials: C
authors.lastname: Hatz
authors.forename: A
authors.initials: A
authors.lastname: Matteelli
authors.forename: M
authors.initials: M
authors.lastname: Schmid
authors.forename: L N
authors.initials: LN
authors.lastname: Nielsen
authors.forename: S
authors.initials: S
authors.lastname: da Cunha
authors.forename: J
authors.initials: J
authors.lastname: Atouguia
authors.forename: B
authors.initials: B
authors.lastname: Myrvang
authors.forename: K
authors.initials: K
authors.lastname: Fleischer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001208:Asia / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003715:Dengue / Q000453:epidemiology* / Q000503:physiopathology / Q000635:transmission; D003716:Dengue Virus; D004641:Emigration and Immigration; D005060:Europe / Q000453:epidemiology; D005260:Female; D006801:Humans; D007223:Infant; D020407:Internet; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D018571:Sentinel Surveillance; D014195:Travel