Abstract

Two visitors to the Serengeti National Park in Tanzania were infected with Trypanosoma brucei rhodesiense. As reported to the ProMED-mail list, an American tourist, there for only 2 days in May, in Nepal a week later was found to have acute trypanosomiasis; a British man there for 3 days also acquired the parasite. Both had a chancre at the site of infection, both had noticed tsetse bites. These cases, unusual after such brief exposure, were presented at the recent ASTMH meeting. David Freedman (GeoSentinel Network, University of Alabama at Birmingham, USA) commented that its database covering 26 global sites since 1997 contains no other cases of East African trypanosomiasis in travellers. [A.Sinha et al., African trypanosomiasis in two travelers from the United States.Clin. Infect. Dis. 29, 840–844, 1999 includes reviews of 29 other published cases.]

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