Ongoing outbreak of an acute muscular Sarcocystis-like illness among travellers returning from Tioman Island, Malaysia, 2011-2012

D H Esposito; D O Freedman; A Neumayr; P Parola

doi:10.2807/ese.17.45.20310-en

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Ongoing outbreak of an acute muscular Sarcocystis-like illness among travellers returning from Tioman Island, Malaysia, 2011-2012
D H Esposito¹ , D O Freedman² , A Neumayr³ , P Parola⁴
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Affiliations: ¹ Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, United States ² GeoSentinel Program Office, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, United States ³ TropNet Coordinating Center, Swiss Tropical and Public Health Institute, Basel, Switzerland ⁴ EuroTravNet Coordinating Center, University Hospital Institute for Infectious and Tropical Diseases, Aix-Marseille University and Assisitance-Publique Hôpitaux de Marseille, Marseille, France

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D Esposito
desposito geosentinel.org
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Citation style for this article: Esposito D H, Freedman D O, Neumayr A, Parola P. Ongoing outbreak of an acute muscular Sarcocystis-like illness among travellers returning from Tioman Island, Malaysia, 2011-2012. Euro Surveill. 2012;17(45):pii=20310. https://doi.org/10.2807/ese.17.45.20310-en Received: 05 Nov 2012

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Abstract

As of 4 November, 2012, 100 patients with an acute muscular Sarcocystis-like illness associated with travel to Tioman Island, Malaysia, have been identified. Thirty-five travelled there mostly during July and August 2011 and 65 mostly during July and August 2012, suggesting an ongoing outbreak. Epidemiological investigations are ongoing. Public health agencies and practicing clinicians should be aware of this rarely-reported disease in humans and consider it as differential diagnosis in travellers returning from Tioman Island.