title: Imported Dengue in French University Hospitals: a 6-year survey.
abstract: Dengue fever (DF) is a mosquito-transmitted acute disease caused by any of four dengue flavivirus serotypes (DEN-1, DEN-2, DEN-3, and DEN-4) which is becoming a major public health problem in intertropical areas.1 DF is increasingly observed in febrile travelers returning from tropical areas,2 especially those returning from the Caribbean islands and Southeast Asia, but it is rarely diagnosed in travelers returning from Africa.3-8 Diagnosis is often serologic, and in most cases is not confirmed; virus isolation remains exceptional. In a retrospective study of 44 cases of imported DF diagnosed in France, we found that the epidemiologic, clinical and diagnostic characteristics of these cases were similar to those reported in other previous published studies; diagnosis was carried out with serology, and no virus isolation was reported. To draw the attention of physicians from nonendemic areas to the possible occurrence of dengue infection in febrile travelers from all tropical countries, including those in Africa, and to reinforce recommendations required to establish diagnosis with certainty, we report herein a prospective study from 1998-1999 which we compiled with our previously published data.
authors.affiliation: Service des Maladies Infectieuses et Tropicales, Hôpital Nord, Marseille, and Infectio-Sud formation et recherche, 18 avenue des Baumettes, Nice, France.
authors.forename: Sékéné
authors.initials: S
authors.lastname: Badiaga
authors.forename: Karine
authors.initials: K
authors.lastname: Barrau
authors.forename: Philippe
authors.initials: P
authors.lastname: Brouqui
authors.forename: Jacques
authors.initials: J
authors.lastname: Durant
authors.forename: Denis
authors.initials: D
authors.lastname: Malvy
authors.forename: François
authors.initials: F
authors.lastname: Janbon
authors.forename: Eric
authors.initials: E
authors.lastname: Bonnet
authors.forename: Annick
authors.initials: A
authors.lastname: Bosseray
authors.forename: Albert
authors.initials: A
authors.lastname: Sotto
authors.forename: Dominique
authors.initials: D
authors.lastname: Peyramont
authors.forename: Serge
authors.initials: S
authors.lastname: Dydymski
authors.forename: Celine
authors.initials: C
authors.lastname: Cazorla
authors.forename: Hervé
authors.initials: H
authors.lastname: Tolou
authors.forename: Jean Paul
authors.initials: JP
authors.lastname: Durant
authors.forename: Jean
authors.initials: J
authors.lastname: Delmont
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003715:Dengue / Q000453:epidemiology* / Q000209:etiology* / Q000517:prevention & control; D005260:Female; D005602:France / Q000453:epidemiology; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D012189:Retrospective Studies; D014195:Travel