What is more important is the pre-deployment

education or orientation of each traveler with regards to the characteristics of the vector anopheles and the proper use of individual personnel protective equipment such as long-acting insect repellent lotion containing N,N-Diethyl-3-methylbenzamide (DEET), its reapplication when needed, PS-341 molecular weight and proper use of insecticide impregnated bed nets. Health education sessions are organized for servicepersons not only before leaving or upon arrival overseas but also just before returning home. It is unfortunately a well-known fact that disseminating information, even if it is of high quality, does not automatically lead to modification of risk behavior.9 Regular assessment of the impact of health education campaigns has, therefore, been implemented by the French Military Health Service to assess how the transmitted Metformin concentration message is perceived and if necessary adapt it to increase its effectiveness. The authors state they have no conflicts of interest to declare. “
“We report the case of an immunocompetent traveler returning from Morocco who presented with a giant splenic abscess, revealing an infection by Salmonella enterica serovar enteritidis.

Salmonellae are an important cause of food-borne infections in returning travelers. In immunocompetent hosts Salmonella typhi and Salmonella paratyphi cause enteric fever whereas other Salmonellae are commonly diagnosed in returning travelers with diarrhea.1 These Salmonella usually cause self-limited gastroenteritis but many other sites may be involved, particularly in patients with preexistent disease.2 In addition,

invasive infections may occur in infants, adults over the age of 65, and patients with debilitating or underlying illnesses.3 We report an uncommon complication revealing a disseminated Salmonella enteritidis infection, in a young and immunocompetent traveler. A 17-year-old man was admitted to our hospital with high-grade fever, anorexia, nausea, and abdominal pain lasting for 8 days. This French native student had returned 1 month earlier from Morocco where he had been vacationing Calpain for 5 weeks. He recalled symptoms of intermittent left abdominal and shoulder pain during the last 3 years, but denied any history of trauma. Eight days before admission, severe left upper abdominal and left shoulder pain appeared suddenly, together with nausea and high-grade fever. He initially received ofloxacin (200 mg bid) for 2 days and then co-amoxicillin (1 g tid) for 4 days without any improvement. On admission, the patient appeared ill and pale and complained of severe pain in the left upper abdominal quadrant. Physical examination revealed fever (39.2°C), tachycardia (pulse rate : 120/min), normal blood pressure, and a painful, large, and tender mass in the left upper abdominal quadrant. Laboratory tests revealed a white blood cell count at 20,000/mL (including 83% neutrophils).