Abstract
In May 2014, six patients presented in Germany with a Sarcocystis-associated febrile myositis syndrome after returning from Tioman Island, Malaysia. During two earlier waves of infections, in 2011 and 2012, about 100 travellers returning to various European countries from the island were affected. While the first two waves were associated with travel to Tioman Island mostly during the summer months, this current series of infections is associated with travel in early spring, possibly indicating an upcoming new epidemic.
Highlights
Sarcocystosis is a cosmopolitan zoonotic disease that is caused by intracellular apicomplexan/coccidian parasites of the genus Sarcocystis, with more than 120 recognised species [5]
This cluster of travellers with a febrile myositis syndrome returning from Tioman Island indicates the beginning of a third wave of a presumably Sarcocystisassociated invasive illness
The snake-associated S. nesbitti [6,7,12] was molecularly determined to be the causative agent on Pangkor
Summary
Suspected new wave of muscular sarcocystosis in travellers returning from Tioman Island, Malaysia, May 2014. In May 2014, six patients presented in Germany with a Sarcocystis-associated febrile myositis syndrome after returning from Tioman Island, Malaysia. During two earlier waves of infections, in 2011 and 2012, about 100 travellers returning to various European countries from the island were affected. While the first two waves were associated with travel to Tioman Island mostly during the summer months, this current series of infections is associated with travel in early spring, possibly indicating an upcoming new epidemic. We report the clinical and laboratory findings of a new, third wave of Sarcocystis-associated febrile myositis syndrome in travellers returning to Germany from Tioman Island, Malaysia, in spring 2014
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