Another limitation is the relatively small number of travelers studied during the winter season. Other studies on C jejuni-associated TD have demonstrated winter seasonality and this may also explain the low number of seroconversions observed in this summer-predominant study.7 On the basis

of this study, we can conclude that there is a small risk of exposure and infection to C jejuni in US travelers to Cuernavaca, Mexico. The finding is useful in selecting antimicrobial drugs for self-treatment of TD for visitors to Mexico from the United States. Rifaximin, ciprofloxacin, and azithromycin all should be of equivalent effect for visitors to Mexico, Anti-cancer Compound Library datasheet where strains of diarrheagenic E coli can be expected to cause most cases of illness. In southern Asia, where Campylobacter strains occur more commonly and fluoroquinolone resistance is prevalent, azithromycin may be the preferred drug taken on trips for self-treatment of TD. This study was supported by the National Institutes of Health Carfilzomib ic50 grant R01, AI54948-01, NIH Clinical and Translational Sciences Award (CTSA), UL1 RR024148, and NIH grant DK56338, which funds the Texas Gulf Coast Digestive Diseases Center. H. L. D. and P. C. O. report receiving research support and honoraria from Salix Pharmaceuticals. “
“Fungal infections in travelers are rare. Fusariosis has recently

become an important infection of immunocompromised patients. Herein, we describe the case of an immunocompetent traveler who contracted Fusarium Grape seed extract keratitis while in Africa. Fungal infections in travelers are rare. When they occur, most are confined to the lungs or the skin.1 Histoplasmosis, coccidioidomycosis, and penicilliosis are the most common inhalational infections. Dermatophyte infections are presumed to be the most common skin infections encountered

in travelers.2,3 Fusariosis has recently become an important infection of immunocompromised patients,4 as well as contact lens wearers. However, Fusarium infections in immunocompetent travelers have not been described. A healthy, 23-year-old woman had traveled to Namibia to volunteer on a carnivore wildlife conservation center. She stayed there for 3 weeks, during which she used single-day disposable contact lenses. Two weeks after her arrival, she had sand thrown into her left eye from the paws of a lion. The next day, she started experiencing sharp pain in her eye, excessive tearing, swelling, and redness of the eyelid. She stopped using the contact lenses and after 3 days saw an ophthalmologist who prescribed drops of maxitrol (Dexamethasone/Neomycin/Polymyxin B). Four days later, when no improvement could be noted, her treatment was changed to oxacillin drops. Following two additional days of treatment, her vision continued to deteriorate and she returned to Israel for further therapy. From the commencement of her symptoms, she was unable to wear the contact lenses and switched to simple eye glasses.