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Cited by 386

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Travelers' Diarrhea in Mexico: A Prospective Study of Physicians and Family Members Attending a Congress

Merson, Michael H., Morris, George K., Sack, David A., Wells, Joy G., Feeley, John C., Sack, R. Bradley, Creech, Walton B., Kapikian, Albert Z., Gangarosa, Eugene J.·1976·New England Journal of Medicine

Abstract

We conducted a prospective study of travelers' diarrhea on 73 physicians and 48 family members attending a medical congress in Mexico City, in October, 1974. Fecal and blood specimens were collected before, during and after their visit and examined for enteric bacterial pathogens, viruses and parasites. In 59 (49 per cent) participants travelers' diarrhea developed. Median duration of illness was five days. Onset occurred a median of six days after arrival. An etiologic agent was found in 63 per cent of ill participants. Enterotoxigenic Escherichia coli of different, non-"enteropathogenic" serotypes was the most common cause; other responsible pathogens included salmonellae, invasive Esch. coli., shigellae, Vibrio parahaemolyticus, Giardia lamblia and the human reovirus-like agent. Consumption of salads containing raw vegetables was associated with enterotoxigenic Esch. coli infection (P = 0.014). Travelers' diarrhea in Mexico is a syndrome caused by a variety of pathogens, the most common of which is enterotoxigenic Esch. col.

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Metadata

Authors
Merson, M. H., Morris, G. K., Sack, D. A., Wells, J. G., Feeley, J. C., Sack, R. B., Creech, W. B., Kapikian, A. Z., & Gangarosa, E. J.
Venue
New England Journal of Medicine
Published
1976-06-10
Volume
294
Issue
24
Pages
1299-1305
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2068265574
Cited by
386
References
0
FWCI
65.82
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Travelers' Diarrhea in Mexico: A Prospective Study of Physicians and Family Members Attending a Congress. https://app.cochat.ai/papers/10.1056/nejm197606102942401
The paper
Merson, M. H., Morris, G. K., Sack, D. A., Wells, J. G., Feeley, J. C., Sack, R. B., Creech, W. B., Kapikian, A. Z., & Gangarosa, E. J. (1976). Travelers' Diarrhea in Mexico: A Prospective Study of Physicians and Family Members Attending a Congress. New England Journal of Medicine. https://doi.org/10.1056/nejm197606102942401

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.