View More View Less
  • 1 Laboratory for Parasitology, Service of Microbiology, Clinical Center of Serbia, Belgrade, Serbia
  • | 2 Center for Parasitic Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
  • | 3 Institute for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia
  • | 4 Institute for Medical Research, University of Belgrade, Dr. Subotića 4, P.O. Box 102, 11129, Belgrade, Serbia
Restricted access



Travel to the tropics is associated with a risk of parasitic infection, which is increasing in parallel with the rise in travel to these areas. We thus examined the prevalence and trend in the occurrence of parasitic infections in Serbian travelers.


A retrospective analysis of the medical records of all travelers returning from tropical and subtropical areas, who presented at the Institute for Infectious and Tropical Diseases in Belgrade between January 2001 and January 2008, was performed.


Of a total of 2440 travelers, 169 (6.9%) were diagnosed with a parasitic infection, including malaria in 79, intestinal parasites in 84 (pathogenic species in 30 and non-pathogenic in 54), filariasis in four, and visceral leishmaniasis and fascioliasis in one patient each. Importantly, of the whole series only 583 (23.9%) were symptomatic, of which 19.4% were found to be infected with a parasite. The single pathogenic parasite occurring in asymptomatic patients was Giardia intestinalis.


Parasitic infection causing symptomatic disease among travelers returning from tropical areas to Serbia is not infrequent. In view of the expected increase in travel to the tropics, diagnostic protocols for tropical parasitic diseases should take these data into account.

  • 1. R. Steffen M. Rickenbach U. Wilhelm A. Helminger M. Schär 1987 Health problems after travel to developing countries J Infect Dis 156 8491.

    • Search Google Scholar
    • Export Citation
  • 2. E.T. Ryan M.E. Wilson K.C. Kain 2002 Illness after international travel New Engl J Med 347 505516.

  • 3. Sabatinelli G , Ejov M, Joergensen P: Malaria in the WHO European Region (1971–1999) Euro Surveill 6, pii=213 (2001).

  • 4. Jelinek T : Imported schistosomiasis in Europe: preliminary data for 2007 from TropNetEurop. Euro Surveill 13, pii=8038 (2008).

  • 5. A.N. Malik L. John A.D. Bruceson D.N. Lockwood 2006 Changing pattern of visceral leishmaniasis, United Kingdom, 1985–2004 Emerg Infect Dis 12 12571259.

    • Search Google Scholar
    • Export Citation
  • 6. R. Nuesch L. Zimmerli R. Stockli N. Gyr F.R. Christoph Hatz 2005 Imported strongyloidosis: a longitudinal analysis of 31 cases J Travel Med 12 8084.

    • Search Google Scholar
    • Export Citation
  • 7. J.M. Miller H.A. Boyd S.R. Ostrowski S.T. Cookson M.E. Parise P.S. Gonzaga D.G. Addiss M. Wilson P. Nguyen-Dinh S.P. Wahlquist L.H. Weld R.B. Wainwright B.D. Gushulak M.S. Cetron 2000 Malaria, intestinal parasites, and schistosomiasis among Barawan Somali refugees resettling to the United States: a strategy to reduce morbidity and decrease the risk of imported infections Am J TropMed Hyg 62 115121.

    • Search Google Scholar
    • Export Citation
  • 8. Kecmanović M , Šuvaković V (1976): Tropical and parasitic diseases. In: Fifty Years of Institute for Infectious and Tropical Diseases “Dr Kosta Todorovic” in Belgrade, 1926–1976, Galenika, Belgrade, pp. 111115.

    • Search Google Scholar
    • Export Citation
  • 9. Kecmanović M , Pavlović M, Šuvaković V, Bakalović S, Mišić S, Gavrilović G, Brmbolić B (1983): Filariasis Loa. 4th Yugoslavian Congress of Infectologists, Belgrade, October 18–21. Proceedings, pp. 113116.

    • Search Google Scholar
    • Export Citation
  • 10. A.K. Boggild S. Yohanna J.S. Keystone K.C. Kain 2006 Prospective analysis of parasitic infections in Canadian travelers and immigrants J Travel Med 13 138144.

    • Search Google Scholar
    • Export Citation
  • 11. S. Ansart L. Perez O. Vergely M. Danis F. Bricaire E. Caumes 2005 Illnesses in travelers returning from the tropics: a prospective study of 622 patients J Travel Med 12 312318.

    • Search Google Scholar
    • Export Citation
  • 12. P. Zamarrón Fuertes A. Pérez-Ayala J.A. Pérez Molina F.F. Norman B. Monge-Maíllo M. Navarro R. López-Vélez 2010 Clinical and epidemiological characteristics of imported infectious diseases in Spanish travelers J Travel Med 17 303309.

    • Search Google Scholar
    • Export Citation
  • 13. D.R. Hill 2000 Health problems in a large cohort of Americans traveling to developing countries J Travel Med 7 259266.

  • 14. B. Monge-Maillo B.C. Jiménez J.A. Pérez-Molina F. Norman M. Navarro A. Pérez-Ayala J.M. Herrero P. Zamarrón R. López-Vélez 2009 Imported infectious diseases in mobile populations, Spain Emerg Infect Dis 15 17451752.

    • Search Google Scholar
    • Export Citation
  • 15. T. Jelinek G. Peyerl-Hoffmann N. Mühlberger O. Wichmann M. Wilhelm N. Schmider M.P. Grobusch F. von Sonnenburg J. Gascon H. Laferl C. Hatz M. Alifrangis G. Burchard P. McWhinney M. Schulze H. Kollaritsch S. da Cunha J. Beran P. Kern I. Gjørup J. Cuadros 2002 Molecular surveillance of drug resistance through imported isolates of Plasmodium falciparum in Europe Malaria J 1 11.

    • Search Google Scholar
    • Export Citation
  • 16. D. Perić I. Skrobonja A. Skrobonja 2009 Malaria in Croatia in the period between 1987 to 2006 LijecVjesn 131 192195.

  • 17. S. Antinori L. Galimberti E. Gianelli S. Calattini M. Piazza P. Morelli M. Moroni M. Galli M. Corbellino 2004 Prospective observational study of fever in hospitalized returning travelers and migrants from tropical areas, 1997–2001 J Travel Med 11 135142.

    • Search Google Scholar
    • Export Citation
  • 18. L. Fenner R. Weber R. Steffen P. Schlagenhauf 2007 Imported infectious disease and purpose of travel, Switzerland Emerg Infect Dis 13 217222.

    • Search Google Scholar
    • Export Citation
  • 19. P.K. Garg S. Perry M. Dorn L. Hardcastle J. Parsonnet 2005 Risk of intestinal helminth and protozoan infection in a refugee population Am J Trop Med Hyg 73 386391.

    • Search Google Scholar
    • Export Citation
  • 20. A. Nikolić O. Djurković-Djaković B. Bobić 1998 Intestinal parasitic infections in Serbia SrpArh Celok Lek 126 15.

  • 21. W.F. Bierman J.C. Wetsteyn T. van Gool 2005 Presentation and diagnosis of imported schistosomiasis: relevance of eosinophilia, microscopy for ova, and serology J Travel Med 12 913.

    • Search Google Scholar
    • Export Citation
  • 22. M. Rougemont M. Van Saanen R. Sahli H.P. Hinrikson J. Bille K. Jaton 2004 Detection of four Plasmodium species in blood from humans by 18S rRNA gene subunit-based and species-specific real-time PCR assays J Clin Microbiol 42 56365643.

    • Search Google Scholar
    • Export Citation
  • 23. M.A. Rantala S.M. Taylor P.A. Trottman M. Luntamo B. Mbewe K. Maleta T. Kulmala P. Ashorn S.R. Meshnick 2010 Comparison of real-time PCR and microscopy for malaria parasite detection in Malawian pregnant women Malaria J 9 269.

    • Search Google Scholar
    • Export Citation
The author instruction is available in PDF.
Please, download the file from HERE.

Senior editors

Editor(s)-in-Chief: Dunay, Ildiko Rita

Editor(s)-in-Chief: Heimesaat, Markus M.

Vice Editor(s)-in-Chief: Fuchs, Anja

Editorial Board

Chair of the Editorial Board:
Jeffrey S. Buguliskis (Thomas Jefferson University, USA)

  • Jörn Albring (University of Münster, Germany)
  • Stefan Bereswill (Charité - University Medicine Berlin, Germany)
  • Dunja Bruder (University of Megdeburg, Germany)
  • Jan Buer (University of Duisburg, Germany)
  • Jeff Buguliskis (Thomas Jefferson University, USA)
  • Edit Buzas (Semmelweis University, Hungary)
  • Charles Collyer (University of Sydney, Australia)
  • Renato Damatta (UENF, Brazil)
  • Ivelina Damjanova (Semmelweis University, Hungary)
  • Maria Deli (Biological Research Center, HAS, Hungary)
  • Olgica Djurković-Djaković (University of Belgrade, Serbia)
  • Jean-Dennis Docquier (University of Siena, Italy)
  • Anna Erdei (Eötvös Loránd University, Hungary)
  • Zsuzsanna Fabry (University of Washington, USA)
  • Beniam Ghebremedhin (Witten/Herdecke University, Germany)
  • Nancy Guillen (Institute Pasteur, France)
  • Georgina L. Hold (University of Aberdeen, United Kingdom)
  • Ralf Ignatius (Charité - University Medicine Berlin, Germany)
  • Zsuzsanna Izsvak (MDC-Berlin, Germany)
  • Achim Kaasch (University of Cologne, Germany)
  • Tamás Laskay (University of Lübeck, Germany)
  • Oliver Liesenfeld (Roche, USA)
  • Shreemanta Parida (Vaccine Grand Challenge Program, India)
  • Matyas Sandor (University of Wisconsin, USA)
  • Ulrich Steinhoff (University of Marburg, Germany)
  • Michal Toborek (University of Miami, USA)
  • Mary Jo Wick (University of Gothenburg, Sweden)
  • Susanne A. Wolf (MDC-Berlin, Germany)


Dr. Dunay, Ildiko Rita
Magdeburg, Germany

Indexing and Abstracting Services:

  • PubMed Central
  • Scopus
  • ESCI
  • CABI


CrossRef Documents 23
WoS Cites 708
Wos H-index 27
Days from submission to acceptance 219
Days from acceptance to publication 176
Acceptance Rate 70%



European Journal of Microbiology and Immunology
Publication Model Gold Open Access
Submission Fee none
Article Processing Charge 928 EUR/article
Regional discounts on country of the funding agency World Bank Lower-middle-income economies: 50%
World Bank Low-income economies: 100%
Further Discounts Editorial Board / Advisory Board members: 50%
Corresponding authors, affiliated to an EISZ member institution subscribing to the journal package of Akadémiai Kiadó: 100%
Subscription Information Gold Open Access
Purchase per Title  

European Journal of Microbiology and Immunology
Language English
Size A4
Year of
2021 Volume 11
per Year
per Year
Founder Akadémiai Kiadó
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Chief Executive Officer, Akadémiai Kiadó
ISSN 2062-509X (Print)
ISSN 2062-8633 (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Apr 2021 2 0 0
May 2021 3 0 0
Jun 2021 2 0 0
Jul 2021 9 0 0
Aug 2021 3 0 0
Sep 2021 0 0 0
Oct 2021 0 0 0