{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T18:28:09Z","timestamp":1723746489514},"reference-count":33,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,8,2]]},"abstract":"<jats:p>Every year Christian pilgrims from around the world visit the holy sites located around the Sea of Galilee. Some become ill during their stay with infectious diseases that were acquired in their country of origin, and are hospitalized at Poriya Medical Center. They pose a diagnostic challenge due to language barriers, the rarity of these infections in Israel, and the fact that diagnostic tests are not readily available. All patient records from 2015 of Holy Land tourists hospitalized at Poriya Medical Center were screened for the diagnosis of imported zoonotic diseases that are not commonly diagnosed in Israel. Three patients who were on a Holy Land tour were hospitalized during 2015 with laboratory-confirmed diagnostically challenging zoonotic infectious diseases: a 91-year-old priest from Ethiopia diagnosed with relapsing fever due to <jats:italic>Borrelia recurrentis<\/jats:italic>, an 85-year-old retired mountaineer from New Hampshire diagnosed with human granulocytic anaplasmosis, and a 57-year-old farmer from central Brazil diagnosed with leptospirosis. These case reports emphasize the importance of considering imported zoonotic infectious diseases and obtaining appropriate diagnostic tests when treating Holy Land travelers to Israel.<\/jats:p>","DOI":"10.4269\/ajtmh.17-0097","type":"journal-article","created":{"date-parts":[[2017,8,3]],"date-time":"2017-08-03T06:05:19Z","timestamp":1501740319000},"page":"611-614","source":"Crossref","is-referenced-by-count":6,"title":["Case Report: Infectious Diseases in Pilgrims Visiting the Holy Land"],"prefix":"10.4269","volume":"97","author":[{"given":"Orna","family":"Nitzan","sequence":"first","affiliation":[{"name":"Infectious Disease Unit, Baruch Padeh Medical Center, Poriya, Israel;"},{"name":"Faculty of Medicine in the Galilee, Bar Ilan University, Ramat Gan, Israel;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnon","family":"Blum","sequence":"additional","affiliation":[{"name":"Faculty of Medicine in the Galilee, Bar Ilan University, Ramat Gan, Israel;"},{"name":"Department of Surgery A, Baruch Padeh Medical Center, Poriya, Israel;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Marva","sequence":"additional","affiliation":[{"name":"Central Public Health Laboratories, Ministry of Health, Jerusalem, Israel;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adina","family":"Katz","sequence":"additional","affiliation":[{"name":"Hematology Laboratory, Baruch Padeh Medical Center, Poriya, Israel;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bat-Sheva","family":"Tzadok","sequence":"additional","affiliation":[{"name":"Faculty of Medicine in the Galilee, Bar Ilan University, Ramat Gan, Israel;"},{"name":"Emergency Department, Baruch Padeh Medical Center, Poriya, Israel;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaarit","family":"Nachum-Biala","sequence":"additional","affiliation":[{"name":"Koret School of Veterinary Medicine, Hebrew University, Rehovot, Israel;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gad","family":"Baneth","sequence":"additional","affiliation":[{"name":"Koret School of Veterinary Medicine, Hebrew University, Rehovot, Israel;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avi","family":"Peretz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine in the Galilee, Bar Ilan University, Ramat Gan, Israel;"},{"name":"Clinical Microbiology Laboratory, Baruch Padeh Medical Center, Poriya, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Emerg Infect Dis","first-page":"1740","article-title":"Molecular characterization of tickborne relapsing fever Borrelia, Israel","volume":"12","author":"Assous","year":"2006"},{"key":"b2","series-title":"Vector Borne Zoonotic Dis","first-page":"331","article-title":"Detection of Borrelia duttonii, a tick-borne relapsing fever agent in central Tanzania, within ticks by flagellin gene-based nested polymerase chain reaction","volume":"1","author":"Fukunaga","year":"2001"},{"key":"b3","series-title":"Microbiol Rev","first-page":"381","volume":"50","author":"Barbour","year":"1986"},{"key":"b4","series-title":"Clin Microbiol Infect","first-page":"332","volume":"18","author":"Badiaga","year":"2012"},{"key":"b5","series-title":"J Appl Microbiol","first-page":"1115","volume":"108","author":"Cutler","year":"2010"},{"key":"b6","series-title":"PLoS One","first-page":"e78473","article-title":"The epidemiology and geographic distribution of relapsing fever borreliosis in West and North Africa, with a review of the Ornithodoros erraticus complex (Acari: Ixodida)","volume":"8","author":"Trape","year":"2013"},{"key":"b7","series-title":"BMC Res Notes","first-page":"615","article-title":"Prevalence and risk factors of louse-borne relapsing fever in high risk populations in Bahir Dar city Northwest, Ethiopia","volume":"7","author":"Yimer","year":"2014"},{"key":"b8","series-title":"Public Health","first-page":"22","article-title":"Fourth case of louse-borne relapsing fever in young migrant, Sicily, Italy, December 2015. 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