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Chapter 16 : Infectious Diseases at High Altitude

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Infectious Diseases at High Altitude, Page 1 of 2

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Abstract:

High mountain ranges cover approximately one-fifth of the earth’s surface, and approximately 400 million people permanently reside in these locations. Travel to elevations above 2,500 m is an increasingly common activity undertaken by a diverse population of individuals. These may be trekkers, climbers, miners in high-altitude sites in South America, and more recently, soldiers deployed for high-altitude duty in remote areas of the world. What is also being increasingly recognized is the plight of the millions of pilgrims, many with comorbidities, who annually ascend to high-altitude sacred areas.

Citation: Basnyat B, Starling J. 2016. Infectious Diseases at High Altitude, p 325-332. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0006-2015
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Figures

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Figure 1

High-altitude evacuation of an ill Nepalese woman in the Himalayas from Dingboche to Kathmandu, Nepal. Photo by Jennifer M. Starling.

Citation: Basnyat B, Starling J. 2016. Infectious Diseases at High Altitude, p 325-332. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0006-2015
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Image of Figure 2a
Figure 2a

High-altitude evacuation of a Nepalese porter in the Himalayas by the Himalayan Rescue Association in Pheriche, Nepal. This patient was diagnosed with pneumonia complicated by HAPE. He was febrile, tachycardic to 149, and his oxygen saturation was 67% without supplemental oxygen. Photos by Jennifer M. Starling.

Citation: Basnyat B, Starling J. 2016. Infectious Diseases at High Altitude, p 325-332. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0006-2015
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Image of Figure 2b
Figure 2b

High-altitude evacuation of a Nepalese porter in the Himalayas by the Himalayan Rescue Association in Pheriche, Nepal. This patient was diagnosed with pneumonia complicated by HAPE. He was febrile, tachycardic to 149, and his oxygen saturation was 67% without supplemental oxygen. Photos by Jennifer M. Starling.

Citation: Basnyat B, Starling J. 2016. Infectious Diseases at High Altitude, p 325-332. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0006-2015
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Download as Powerpoint

References

/content/book/10.1128/9781555819231.chap16
1. Basnyat B . 2014. High altitude pilgrimage medicine. High Alt Med Biol 15 : 434439.[PubMed] [CrossRef]
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4. Brunette GW (ed). 2014. CDC Health Information for International Travel 2014: The Yellow Book. Oxford University Press, New York, NY.
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8. Mishra KP,, Ganju L . 2010. Influence of high altitude exposure on the immune system: a review. Immunol Invest 39 : 219234.[PubMed] [CrossRef]
9. Pandey P,, Bodhidatta L,, Lewis M,, Murphy H,, Shlim DR,, Cave W,, Rajah R,, Springer M,, Batchelor T,, Sornsakrin S,, Mason CJ . 2011. Travelers’ diarrhea in Nepal: an update on the pathogens and antibiotic resistance. J Travel Med 18 : 102108.[PubMed] [CrossRef]
10. Thompson CN,, Blacksell SD,, Paris DH,, Arjyal A,, Karkey A,, Dongol S,, Giri A,, Dolecek C,, Day N,, Baker S,, Thwaites G,, Farrar J,, Basnyat B . 2015. Undifferentiated febrile illness in Kathmandu, Nepal. Am J Trop Med Hyg 9 : 875878.[PubMed] [CrossRef]

Tables

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TABLE 1

Infectious risks at high altitude

Citation: Basnyat B, Starling J. 2016. Infectious Diseases at High Altitude, p 325-332. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0006-2015

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