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Travelers' diarrhea in Mexico. A prospective study of physicians and family members attending a congress.

Publication ,  Journal Article
Merson, MH; Morris, GK; Sack, DA; Wells, JG; Feeley, JC; Sack, RB; Creech, WB; Kapikian, AZ; Gangarosa, EJ
Published in: N Engl J Med
June 10, 1976

We conducted a prospective study of travelers' diarrhea on 73 physicians and 48 family members attending a medical congress in Mexico City, in October, 1974. Fecal and blood specimens were collected before, during and after their visit and examined for enteric bacterial pathogens, viruses and parasites. In 59 (49 per cent) participants travelers' diarrhea developed. Median duration of illness was five days. Onset occurred a median of six days after arrival. An etiologic agent was found in 63 per cent of ill participants. Enterotoxigenic Escherichia coli of different, non-"enteropathogenic" serotypes was the most common cause; other responsible pathogens included salmonellae, invasive Esch. coli., shigellae, Vibrio parahaemolyticus, Giardia lamblia and the human reovirus-like agent. Consumption of salads containing raw vegetables was associated with enterotoxigenic Esch. coli infection (P = 0.014). Travelers' diarrhea in Mexico is a syndrome caused by a variety of pathogens, the most common of which is enterotoxigenic Esch. col.

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Published In

N Engl J Med

DOI

ISSN

0028-4793

Publication Date

June 10, 1976

Volume

294

Issue

24

Start / End Page

1299 / 1305

Location

United States

Related Subject Headings

  • Water Microbiology
  • Vibrio parahaemolyticus
  • United States
  • Travel
  • Shigella
  • Serotyping
  • Salmonella
  • Prospective Studies
  • Mexico
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Merson, M. H., Morris, G. K., Sack, D. A., Wells, J. G., Feeley, J. C., Sack, R. B., … Gangarosa, E. J. (1976). Travelers' diarrhea in Mexico. A prospective study of physicians and family members attending a congress. N Engl J Med, 294(24), 1299–1305. https://doi.org/10.1056/NEJM197606102942401
Merson, M. H., G. K. Morris, D. A. Sack, J. G. Wells, J. C. Feeley, R. B. Sack, W. B. Creech, A. Z. Kapikian, and E. J. Gangarosa. “Travelers' diarrhea in Mexico. A prospective study of physicians and family members attending a congress.N Engl J Med 294, no. 24 (June 10, 1976): 1299–1305. https://doi.org/10.1056/NEJM197606102942401.
Merson MH, Morris GK, Sack DA, Wells JG, Feeley JC, Sack RB, et al. Travelers' diarrhea in Mexico. A prospective study of physicians and family members attending a congress. N Engl J Med. 1976 Jun 10;294(24):1299–305.
Merson, M. H., et al. “Travelers' diarrhea in Mexico. A prospective study of physicians and family members attending a congress.N Engl J Med, vol. 294, no. 24, June 1976, pp. 1299–305. Pubmed, doi:10.1056/NEJM197606102942401.
Merson MH, Morris GK, Sack DA, Wells JG, Feeley JC, Sack RB, Creech WB, Kapikian AZ, Gangarosa EJ. Travelers' diarrhea in Mexico. A prospective study of physicians and family members attending a congress. N Engl J Med. 1976 Jun 10;294(24):1299–1305.
Journal cover image

Published In

N Engl J Med

DOI

ISSN

0028-4793

Publication Date

June 10, 1976

Volume

294

Issue

24

Start / End Page

1299 / 1305

Location

United States

Related Subject Headings

  • Water Microbiology
  • Vibrio parahaemolyticus
  • United States
  • Travel
  • Shigella
  • Serotyping
  • Salmonella
  • Prospective Studies
  • Mexico
  • Male