The Diarrhea of Travelers to Mexico
Authors: B. H. KEAN
Journal: Annals of Internal Medicine (1963)

Article1 November 1963The Diarrhea of Travelers to MexicoSummary of Five-Year StudyB. H. KEAN, M.D., F.A.C.P.B. H. KEAN, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-59-5-605 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptI am poured out like water, and all my bones are out of joint; my heart is like wax; it is melted in the midst of my bowels.—22nd PsalmDysentery of this Arabian coast used to fall like a hammer blow and crush its victims for a few hours, after which the extreme effects passed off; but it left men curiously tired . . . —T. E. LAWRENCE, Seven Pillars of WisdomTurista—the diarrhea of travelers—is known by experience or hearsay to all who have traveled abroad (1, 2). Its synonyms*are as numerous as the theories about its cause...References1. EDITORIAL, Diarrhea of travelers: turista. JAMA 180: 402, 1962. CrossrefGoogle Scholar2. EDITORIAL, Travellers diarrhoea. Lancet 85: ii, 7246, 1962. Google Scholar3. MACDONALDKEAN IBH: Correspondence. JAMA 181: 804, 1962. CrossrefGoogle Scholar4. KEANSMILLIE BHWG: Intestinal protozoa of American travelers returning from Europe. New Eng. J. Med. 251: 471, 1954. CrossrefMedlineGoogle Scholar5. KEANWATERS BHSR: The diarrhea of travelers. I. Incidence in travelers returning to the United States from Mexico. Arch. Indust. Health 18: 148, 1958. MedlineGoogle Scholar6. VARELAKEANBARRETTKEEGAN GBHEC: The diarrhea of travelers. II. Bacteriologic studies of U. S. students in Mexico. Amer. J. Trop. Med. 8: 353, 1959. CrossrefMedlineGoogle Scholar7. KEANWATERS BHSR: Diarrhea of travelers. III. Drug prophylaxis in Mexico. New Eng. J. Med. 261: 71, 1959. CrossrefMedlineGoogle Scholar8. KEAN BH: The diarrhea of American travelers abroad. Minnesota Med. 42: 1749, 1959. MedlineGoogle Scholar9. ROSENBLUTHSCHAFFNERKEAN MAWBH: Diarrhea of travelers. IV. Viral studies in Mexico with further bacteriologic and parasitologic observations. Amer. J. Trop. Med. 2: 12, 239, 1963. Google Scholar10. KEANSCHAFFNERBRENNANWATERS BHWRSR: The diarrhea of travelers. V. Prophylaxis with phthalylsulfathiazole and neomycin sulfate. JAMA 180: 367, 1962. CrossrefMedlineGoogle Scholar11. GORDON I: The nonamoebic, non-bacillary diarrheal disorders. Amer. J. Trop. Med. 4: 739, 1955. CrossrefMedlineGoogle Scholar12. HODES HL: Diarrhea of newborn and older infants due to viruses. Ann NY Acad. Sci. 66: 215, 1956. CrossrefMedlineGoogle Scholar13. EICHENWALDABABIOARKYHARTMAN HFAAMAP: Epidemic diarrhea in premature and older infants caused by ECHO virus, type 18. JAMA 166: 1563, 1958. CrossrefMedlineGoogle Scholar14. RAMOS-ALVAREZSABIN MAB: Enteropathogenic viruses and bacteria: role in summer diarrheal diseases of infancy and early childhood. JAMA 167: 147, 1958. CrossrefMedlineGoogle Scholar15. GORDONPATTERSONWHITNEY IPRE: Immunity in volunteers recovered from non-bacterial gastroenteritis. J. Clin. Invest. 35: 200, 1956. CrossrefMedlineGoogle Scholar16. KILBOURNEGOLDFIELD EDHG: Coxsackie viruses and "virus-like" diseases of the adult. Amer. J. Med. 21: 175, 1956. CrossrefMedlineGoogle Scholar17. ASHKENAZIMELNICK AJL: Enteroviruses: a review of their properties and associated diseases. Amer. J. Clin. Path. 38: 209, 1962. CrossrefMedlineGoogle Scholar18. LIE KJ: The dried filter paper technique for sending stool specimens to a laboratory for bacteriological examination. Amer. J. Trop. Med. 5: 133, 1956. CrossrefMedlineGoogle Scholar19. VARELA G: Comparacion de los resultatos bacteriologicos obtenidos sembrando heces diarreicas frescas y heces diarreicas secadas en papel filtro. Rev. Inst. Salub. Enferm. Trop. (Méx.) 15: 225, 1955. MedlineGoogle Scholar20. KRANENDONK O: Correspondence. Amer. J. Trop. Med. 9: 536, 1960. CrossrefGoogle Scholar21. MODELLHOUDE WR: Factors influencing clinical evaluation of drugs with special reference to the double-blind technique. JAMA 167: 2190, 1958. CrossrefMedlineGoogle Scholar22. NELSONJONESROSS SRHLJB: Trial by furazolidine as a prophylactic in "travellers diarrhoea." Practitioner 188: 654, 1962. MedlineGoogle Scholar23. HILL JA: Diarrhoea in Aden: a therapeutic trial. Trans. Roy. Soc. Trop. Med. Hyg. 55: 355, 1961. CrossrefMedlineGoogle Scholar24. KEAN BH: Medical advice to travelers. New Eng. J. Med. 256: 1088, 1957. CrossrefMedlineGoogle Scholar25. KEAN BH: The medical protection of travelers. Gen. Pract. 20: 113, 1959. Google Scholar26. WINKELSTEIN A: Symptomatic treatment of diarrhea with diphenoxylate. Amer. J. Gastroent. 36: 692, 1961. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: B. H. KEAN, M.D., F.A.C.P.Affiliations: New York, New YorkFrom the Departments of Medicine and Public Health, Cornell University Medical College, New York, New York.Presented in part at the Forty-third Annual Session of The American College of Physicians, Philadelphia, Pennsylvania, April 12, 1962.Requests for reprints should be addressed to B. H. Kean, M.D., 1300 York Avenue, New York 21, New York.*Moctezuma's Revenge, Aztec two-step, Delhi belly, Gippy tummy, Poona poohs, Casablanca crud, G.I.'s, Squitters, Tourist trots, and more recently, San Franciscitis (3). PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTravellers' diarrhoea - prevention, trends and role of microbiomeEvaluation and Management of Traveler's Diarrhea in ChildrenTravelers' Diarrhea: Resolved and Unresolved IssuesTravelers' DiarrheaEpidemiology and etiology of diarrhea in UK military personnel serving on the United Nations Mission in South Sudan in 2017: A prospective cohort studyPrevention and Treatment of Travelers' DiarrheaEpidemiology of Travelers' DiarrheaA review of antibiotic prophylaxis for traveler's diarrhea: past to presentAntibiotic resistance in travellers' diarrhoeal disease, an external perspectiveCurrent approaches to prophylaxis and treatment of travelers' diarrheaA meta-analysis of the use of rifaximin to prevent travellers' diarrhoeaEtiology of travellers' diarrheaUse of antimicrobial agents for treatment and prevention of travellers' diarrhoea in the face of enhanced risk of transient fecal carriage of multi-drug resistant enterobacteriaceae: setting the stage for consensus recommendationsUse of antimicrobial agents for treatment and prevention of travellers' diarrhoea in the face of enhanced risk of transient fecal carriage of multi-drug resistant enterobacteriaceae: setting the stage for consensus recommendationsNausea, Vomiting, and Noninflammatory DiarrheaFoodborne Infections and Intoxications Associated with International TravelEpidemiology of Travelers' DiarrheaDiarrhées du voyageur : épidémiologie, prévention et conduite à tenirFactors influencing the implementation of food safety control systems in Taiwanese international tourist hotelsEfficacy of Rifaximin in Prevention of Travelers' Diarrhea: A Meta‐Analysis of Randomized, Double‐Blind, Placebo‐Controlled TrialsPathogens for Travelers' Diarrhea in Nepal and Resistance PatternsGastrointestinal InfectionsBiologic properties and clinical uses of rifaximinTravelers' diarrheaPrevention and Treatment of Travelers' DiarrheaNausea, Vomiting, and Noninflammatory DiarrheaSystematic review: the epidemiology and clinical features of travellers' diarrhoeaExpert Review of the Evidence Base for Prevention of Travelers' DiarrheaSystematic review: prevention of travellers' diarrhoeaEpidemiology of Travelers' DiarrheaTreatment of Travelers' DiarrheaTherapy for and Prevention of Traveler's DiarrheaHistory of the Development of Travel Medicine as a New DisciplineInfectious Diarrhea from Wilderness and Foreign TravelThe Practice of Travel Medicine: Guidelines by the Infectious Diseases Society of AmericaNew Insights and Directions in Travelers' DiarrheaTravelers' diarrhea: Modern concepts and new developmentsTravellers??? Diarrhoea: Contemporary Approaches to Therapy and PreventionDiarrhea at the SummitProphylactic Antimicrobials for Traveler's Diarrhea: An Early HistoryAntibacterial Chemoprophylaxis in the Prevention of Traveler's Diarrhea: Evaluation of Poorly Absorbed Oral RifaximinWhat??s new in enteric infectious diseases at home and abroadWhat's new in enteric infectious diseases at home and abroadCorrelation between Adherence to Precautions Issued by the WHO and Diarrhea among Long-Term Travelers to IndiaPharmacotherapy, vaccines and malaria advice for HIV-infected travellersUpdate in traveler's diarrheaTraveler's DiarrheaProfilaxis de la diarrea del viajeroEmergence of Trimethoprim-resistant Escherichia coli in Healthy Persons in the Absence of Prophylactic or Therapeutic Antibiotics During Travel to Guadalajara, MexicoEmpirical Antimicrobial Therapy for Traveler's DiarrheaTRAVELERS' DIARRHEAQuinolones as Chemoprophylactic Agents for Travelers' DiarrheaTravelers' Diarrhea: Epidemiology, Microbiology, Prevention, and TherapyTravel Medicine: What's That?TRAVELER'S DIARRHEAPrevention and Treatment of Traveler's DiarrheaIn vitro activity of sulphimidazole alone and in association with trimethoprim against enteric pathogensReview article: prevention and treatment of travellers'diarrhoea3. Travel medicine—prevention based on epidemiological dataEmergence of resistant fecal Escherichia coli in travelers not taking prophylactic antimicrobial agentsTraveller's diarrhea among Austrian tourists in warm climate countries: I. EpidemiologyAdverse Reactions to Furazolidone and Other Drugs: A Comparative ReviewIntestinal Parasites: Incidence and Etiology in over 1,000 Patients at King Faisal Specialist Hospital in RiyadhTraveler's DiarrheaNonfluid therapy and selected chemoprophylaxis of acute diarrheaTravelers' diarrheaTraveler's DiarrheaLiteraturverzeichnisTrips to the South—a Health Hazard: Morbidity of Finnish TravellersAntimicrobial Therapy of Gastrointestinal InfectionsPrevention of Traveler's DiarrheaTravelers' DiarrheaKolitis bei infektiösen ErkrankungenTravelers' diarrheaGiardiasis and Traveler's DiarrheaDiarrhea of Travelers (Emporiatric Enteritis)Travellers' DiarrhoeaCase 13-1979Immunity to Enterotoxigenic Escherichia coliTraveler's DiarrheaTE-WEN CHANG, M.D.Enteropathogenic Organisms: New Etiologic Agents and Concepts of DiseaseProphylactic Doxycycline for Travelers' DiarrheaProphylaxe von TropenkrankheitenMontezuma's Revenge: A Status Report for PharmacistsASSOCIATION BETWEEN HLA-B8 AND AUTOIMMUNITY IN JUVENILE DIABETES MELLITUSMONTEZUMA'S REVENGETravelers' Diarrhea in MexicoBacterial Studies of Clindamycin-Associated ColitisTuristaTravelers' Diarrhea and Toxigenic Escherichia coliToxigenic TuristaEnterotoxigenic Intestinal Bacteria in Tropical SprueFREDERICK A. KLIPSTEIN, M.D., F.A.C.P., LILLIAN V. HOLDEMAN, Ph.D., JOSÉ J. CORCINO, M.D., W. E. C. MOORE, Ph.D.Bakteriell bedingte Erkrankungen unter besonderer Berücksichtigung der DarminfektionIntestinal MicrofloraAcute Diarrheal DiseaseAN INVESTIGATION OF TRAVELLERS' DIARRHŒATURISTA IN TEHERANMicroflora of the small intestineImbalance of the normal microbial floraColitis: Management Based on Pathogenic MechanismsAvoiding Pediatricians AbroadNormal Bacterial Populations of the Intestine and Their Relation to Intestinal Function 1 November 1963Volume 59, Issue 5_Part_1Page: 605-614KeywordsBoneDiarrheaDysenteryEscherichia coliFallsHeartNauseaPrevention, policy, and public healthSalmonellaShigella ePublished: 1 December 2008 Issue Published: 1 November 1963 PDF downloadLoading ...