title: Invasive pneumococcal disease in a traveler who returned from the Philippines: a case report and in vivo study of the isolate.
abstract: A 54-year-old Japanese man without underlying disease developed pneumococcal bacteremia and meningitis after traveling to the Philippines. The isolate demonstrated high affinity to the lung and invasiveness in vivo. The international travelers can import indigenous high virulent strains even if the bacterium is commonly isolated in the home country.
authors.affiliation: Department of Laboratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
authors.forename: Yoshitomo
authors.initials: Y
authors.lastname: Morinaga
authors.forename: Katsunori
authors.initials: K
authors.lastname: Yanagihara
authors.forename: Kenji
authors.initials: K
authors.lastname: Masunaga
authors.forename: Michitoshi
authors.initials: M
authors.lastname: Hashiguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Okamura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Watanabe
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
authors.forename: Shimeru
authors.initials: S
authors.lastname: Kamihira
mesh_terms: D000818:Animals; D016470:Bacteremia / Q000175:diagnosis / Q000382:microbiology*; D004195:Disease Models, Animal; D017809:Fatal Outcome; D006801:Humans; D008168:Lung / Q000382:microbiology; D008297:Male; D008586:Meningitis, Pneumococcal / Q000150:complications* / Q000175:diagnosis*; D051379:Mice; D008875:Middle Aged; D010679:Philippines; D012703:Serotyping; D013296:Streptococcus pneumoniae / Q000302:isolation & purification / Q000472:pathogenicity*; D014195:Travel