Publications by authors named "J E Zeegelaar"
We report Buruli ulcer in a man in the Netherlands. Phenotyping of samples indicate the Buruli pathogen was acquired in Suriname and activated by trauma on return to the Netherlands. Awareness of this disease by clinicians in non-Buruli ulcer-endemic areas is critical for identification.
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- Skin lesions are common among travelers to tropical countries, notably affecting military personnel during jungle training, as seen in Dutch troops in Belize from 1998 to 2009.
- Diagnostic methods for cutaneous leishmaniasis included Giemsa stain, culture, PCR, and histopathology, with a significant number of infections noted in 1998 and 2004 (attack rates of 25.2% and 17.5%, respectively).
- The absence of new cases in 2009 suggests improved preventive measures, while treatment with sodium stibogluconate, administered either intravenously or intralesionally, was effective for those diagnosed.
Cutaneous leishmaniasis caused by Leishmania major infection affected 172 (18.3%) of 938 Dutch military troops deployed in northern Afghanistan in 2005. The high attack rate was a result of initial insufficient availability of means of prevention and insufficient adherence to preventive measures.
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