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Imported Mansonella perstans infection in Spain

Infectious Diseases of Poverty 2020年第4期9卷 158-158页

作者： Sabino Puente Mar Lago Mercedes Subirats Ismael Sanz-Esteban Marta Arsuaga Belén Vicente Montserrat Alonso-Sardon moncef belhassen-garcia Antonio Muro Unidad de Medicina Tropical Servicio de Medicina InternaHospital La Paz-Carlos IIIMadridSpain Microbiología Hospital La Paz-Carlos IIIMadridSpain Facultad de Fisioterapia Universidad Europea de MadridMadridSpain Laboratorio de Inmunología Parasitaria y Molecular CIETUSIBSALFacultad de FarmaciaUniversidad de Salamanca37007SalamancaSpain Área de Medicina Preventiva y Salud Pública IBSALCIETUSUniversidad de SalamancaSalamancaSpain Servicio de Medicina Interna Sección de Enfermedades InfecciosasCAUSAIBSALCIETUSUniversidad de SalamancaPaseo San Vicente 58-18237007SalamancaSpain

Background Mansonella perstans infection can be considered one of the most neglected tropical infectious *** few studies have reported on the clinical picture caused by infection with this ***,our study was aimed to describe the clinical patterns and treatment of imported *** infection by migrants from *** The present study evaluated a large cohort of migrants who have been diagnosed,examined and treated for imported *** infection at a Spanish reference center(Hospital Carlos III Tropical Medicine Unit,Madrid,Spain)over a 19-year *** patients voluntarily attend the emergency unit or are referred from primary care or general hospitals in ***-square test was used to compare the association between categorical *** continuous variables were compared by Student’s t-test or the Mann–Whitney *** corresponding regression models were used for multivariate *** Five hundred three cases of migrants from tropical and subtropical areas with *** infection were *** hundred sixty-four patients were female(52.5%).The mean age(±SD)was 44.6±18.2 years(range:16–93 years).The mean time(±SD)between the arrival in Spain and the first consultation was 8.6±18.0 *** major origin of the patients was Equatorial Guinea(97.6%).Regarding the clinical picture,257 patients were asymptomatic(54.7%)and 228 were symptomatic(45.3%);190 patients had pruritus(37.8%),50(9.9%)had arthralgia,18 patients had Calabar-like swelling(3.6%),and 15(3%)had abdominal *** hundred forty-two(87.9%)migrants had hyper-IgE,and 340(67.6%)had *** hundred ninety-five patients had coinfections with other filarial nematodes(38.8%),and 308 migrants had only *** infection(61.2%).Four hundred thirty-seven cases(86.9%)had been treated with anti-filarial drugs;292 cases were treated with one anti-filarial drug,and 145 cases were treated with combined anti-filarial ***,20(4%)

关键词： Mansonellosis Mansonella perstans Clinical study Immigrant Imported diseases Spain

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Loiasis in sub-Saharan migrants living in Spain with emphasis of cases from Equatorial Guinea

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Infectious Diseases of Poverty 2020年第1期9卷 82-89页

作者： Sabino Puente German Ramírez-Olivencia Mar Lago Mercedes Subirats Francisco Bru Eugenio Pérez-Blazquez Marta Arsuaga Concepción Ladron de Guevara Fernando de la Calle-Prieto Belén Vicente Montserrat Alonso-Sardón moncef belhassen-garcia Antonio Muro Unidad de Medicina Tropical.Servicio de Medicina Interna.Hospital La Paz-Carlos III MadridSpain Unidad de Aislamiento de Alto Nivel.Sección de Enfermedades Infecciosas.Servicio de Medicina Interna.Hospital Central de la Defensa Gómez Ulla MadridSpain Microbiología.Hospital La Paz-Carlos III MadridSpain Dermatología MadridSpain Servicio de Oftalmología.Hospital Universitario 12 de Octubre Universidad Complutense de MadridMadridSpain Laboratorio de Inmunología Parasitaria y Molecular.CIETUS.IBSAL Facultad de FarmaciaUniversidad de SalamancaAvenida Donantes de Sangre s/n37007 SalamancaSpain Área de Medicina Preventiva y Salud Pública IBSALCIETUSUniversidad de SalamancaSalamancaSpain Servicio de Medicina Interna.Sección de Enfermedades Infecciosas.CAUSA.IBSAL.CIETUS Universidad de SalamancaPaseo San Vicente 58-18237007 SalamancaSpain

Background:Loiasis is an uncommon and poorly understood parasitic disease outside endemic areas of *** aim of this study was to describe the clinical and biological patterns and treatment of imported loiasis by sub-Saharan migrants diagnosed in Madrid,***:A retrospective study was conducted with sub-Saharan immigrants seen at the Tropical Medicine Unit of the Carlos III Hospital in Madrid,Spain,a reference center,over 19 *** variables were expressed as frequency counts and *** variables were expressed as the mean and standard deviation(SD)or median and interquartile range(IQR:Q3–Q1).Chi-square tests were used to assess the association between categorical *** measured outcomes were expressed as the odds ratio(OR)with a 95%confidential *** variables were compared by Student’s t-tests or Mann-Whitney U *** logistic regression models were used.P<0.05 was considered a statistically significant ***:One hundred thirty-one migrants from tropical and subtropical areas with loiasis were ***-nine patients were male(37.4%).The migrants’mean age(±SD)was 42.3±17.3 years,and 124(94.7%)were from Equatorial *** median time(IQR)between arrival in Spain and the first consultation was 2(1–7)*** hundred fifteen migrants had eosinophilia,and one hundred thirteen had hyper-IgE ***-seven patients had pruritus(43.5%),and thirty patients had Calabar swelling(22.9%).Seventy-three patients had coinfections with other filarial nematodes(54.2%),and 58 migrants had only Loa loa infections(45.8%).One hundred two patients(77.9%)were treated;45.1%(46/102)patients were treated with one drug,and 54.9%(56/102)patients were treated with combined *** reactions were described in 14(10.7%)***:Our patients presented early clinical manifestations and few atypical ***,physicians should systematically consider loiasis in migrants with a

关键词： Loa loa Loiasis Tropical medicine Clinical study Immigrant Imported disease Spain

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<i>Angiostrongylus costaricensis</i>: Systematic Review of Case Reports

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Advances in Infectious Diseases 2014年第1期4卷 36-41页

作者： Angela Romero-Alegría moncef belhassen-García Virginia Velasco-Tirado Ana garcia-Mingo Lucia Alvela-Suárez Javier Pardo-Lledias Miguel Cordero Sánchez Department of Internal Medicine CAUSA IBSAL Salamanca Spain Department of Internal Medicine CAUSA IBSAL Salamanca Spain CIETUS University of Salamanca Salamanca Spain Department of Internal Medicine General Hospital of Palencia “Río Carrión” Palencia Spain

Introduction: Abdominal angiostrongyliasis is an infrequently diagnosed disease because it is little known and is usually well tolerated. Methods: We carried out a systematic review with PubMed as a search engine for the MedLine database, and we analysed the clinical, epidemiological and analytical parameters of this disease. Results: In total, reports of 27 case have been found, together with a series of 116 patients, which were later augmented up to 194 patients. In the results, we have observed a predominance of male patients, and Costa Rica, Brazil and the United States as the main countries of origin. Typical symptoms include abdominal pain on the right iliac fossa, with leukocytosis and eosinophilia. Discussion: There are some serological diagnostic methods, although lack of standardization leads to most of the diagnoses being reached via pathology. Surgery is the usual treatment approach. Although there are medical options, this is a controversial subject because of the low number of cases published in the literature, which implies an absence of solid studies.

关键词： Angiostrongylus costaricensis Abdominal Angiostrongyliasis Acute Abdomen Eosinophilia

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