Table 2: Top dermatologic diagnoses and source countries for returning Canadian travellers (n = 1076) seen at a CanTravNet site, 2009–2012
DiagnosisNo. (% of all dermatologic diagnoses)Top 3 source countries for diagnosisTrip duration, d; median (IQR)
1.Rash212(19.7)Mexico; Cuba; India, Costa Rica, Dominican Republic (tied)15 (7–32.75)
Unknown etiology, nonfebrile77
Atopic dermatitis40
Contact dermatitis33
Drug related11
Sea bather’s eruption3
Heat induced1
2.Arthropod bites207(19.2)United States, Cuba, Mexico14 (7–23)
Insect bites; including stings142
Tick bites38
Insect bites, superinfected24
Spider bites3
3.Skin and soft tissue infection156(14.5)Cuba, India, United States29 (10–63)
Skin and soft tissue27
Skin abscess17
Secondary infection of existing skin lesion18
4.Cutaneous larva migrans105(9.8)Jamaica, Mexico, Barbados10 (7–18.75)
5.Pruritus, unknown origin65(6.0)Dominican Republic, Cuba, Ghana14 (7–29)
6.Animal bites56(5.2)Thailand; Indonesia; Chile, Mexico, India (tied) 22 (14.25–36)
Required rabies PEP47
7.Fungal infection (superficial/cutaneous mycosis)46(4.3)Cuba, Mexico, India22 (8–61)
8.Cutaneous leishmaniasis36(3.3)Costa Rica, Syrian Arab Republic, Afghanistan35 (23.5–56.75)
9.Marine envenomation†32(3.0)United States, Mexico, Cuba8 (7–14)
10.Infestations26(2.4)India, Panama, Dominican Republic23 (14.25–64.5)
11.Myiasis18(1.7)Costa Rica, Belize, Uganda16.5 (9–24)
12.Leprosy15(1.4)Sri Lanka, Philippines, IndiaNA‡
13.Psoriasis10(0.9)Vietnam; Thailand, Russia, Philippines, Jamaica, Cambodia (tied)18 (4.5–29)

NOTE: PEP = postexposure prophylaxis.
*Includes bites from a bat,6 tiger,1 stingray1 and leech.1†Includes envenomations from jellyfish and other cnidarians, sea anemone, stingray and venomous fish. This does not include envenomations from sea bather’s eruption, because this is otherwise classified.
‡Not applicable. The reason for travel in leprosy cases is immigration.