Typhoid fever in the Czech Republic and an imported case after return from the Rainbow Gathering in Italy

Download PDF Česká verze

Authors: M. Špačková ¹ ; E. Míšková ²; D. Dědičová ¹; M. Gašpárek ³
Authors place of work: Centrum epidemiologie a mikrobiologie, Státní zdravotní ústav, Praha ¹; Infekční oddělení a Centrální laboratoř, Nemocnice Třebíč ²; Národní referenční centrum pro analýzu epidemiologických dat, Oddělení biostatistiky, Státní zdravotní ústav, Praha ³
Published in the journal: Epidemiol. Mikrobiol. Imunol. 68, 2019, č. 1, s. 47-50
Category: Krátké sdělení

Summary

Typhoid fever is a disease caused by the highly virulent bacterium Salmonella Typhi. It is transmitted by the oral-faecal route. In the Czech Republic, 53 cases of typhoid fever were reported in 1997-2017. Only seven of these cases were autochthonous. In August 2017, an imported case of typhoid fever was recorded in a 25-year-old unvaccinated woman who participated in the Rainbow Gathering in Italy one week prior to the onset of the disease. During her stay in Italy, she slept in a tent, ate her own food, and drank unboiled water. Presenting with persisting cough, tiredness, muscle and joint pain, and fever up to 40 °C after her return, she was admitted to the Třebíč Hospital where she was diagnosed with S. Typhi. The epidemiological investigation identified six contacts. On discharge from hospital and at follow-up, the patient was tested negative. None of the contacts became ill.

Keywords:

imported case – Rainbow Gathering – Typhoid fever

Zdroje

1. Chlíbek, R., Očkování dospělých Edice postgraduální medicíny ed. 2018, Praha: Mladá fronta a.s.

2. WHO, Typhoid vaccines: WHO position paper. March 2018. Weekly Epidemiological Record, 2018. 93(13): p. 153-172.

3. Mogasale, V., et al., Burden of typhoid fever in low-income and middle-income countries: a systematic, literature-based update with risk-factor adjustment. The Lancet Global health, 2014. 2(10): p. e570-e580.

4. Pavli, A. and H. Maltezou, Pre-travel vaccinations and malaria prophy-laxis for international travelers. Public Health Open J, 2017. 2(1): p. 21-25.

5. Kynclová, Ž. Evropská forma Woodstocku „Rainbow gathering“ u nás za chalupou. 2009; Available from: https://kynclova.blog.idnes.cz/blog.aspx?c=92991.

6. ECDC. Typhoid fever outbreak linked to Rainbow gathering in Northern Italy 2017 15 Sep 2017; Available from: https://ecdc.europa.eu/en/news-events/typhoid-fever-outbreak-linked-rainbow-gathering-northern-italy.