Imported loiasis in Italy : an analysis of 100 cases
| Autor: | Stefania Marocco, Dora Buonfrate, Geraldo Badona Monteiro, Andrea Angheben, Michel Boussinesq, Zeno Bisoffi, Chiara Postiglione, Marta Mascarello, Maria Gobbo, Federico Gobbi |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Veterinary medicine medicine.medical_specialty media_common.quotation_subject Immigration Ethnic group Black People Emigrants and Immigrants White People Filariasis Loiasis medicine Travel medicine Animals Humans Skin Diseases Parasitic media_common Neglected Travel biology business.industry Public Health Environmental and Occupational Health Central africa loa loa Italy medicine.disease biology.organism_classification Treatment Infectious Diseases Imported Female Loa loa business Demography |
| Popis: | Summary Background loiasis is a neglected filariasis, affecting millions of individuals living in the rainforest areas of West and Central Africa. Aim of this study was to compare clinical and parasitological manifestations of loiasis between subjects born in endemic areas and expatriates/travelers. Methods we report clinical and parasitological manifestations of 100 patients with imported loiasis seen between 1993 and 2013 at the Center of Tropical Diseases, Negrar, Italy. Results: among the 100 patients, 30 were African immigrants, 70 were Europeans (59 long-term expatriates and 11 travelers). Thirty-five patients (19 Africans and 16 Europeans) had positive microfilaremia. Calabar swellings were twice as frequent in Europeans (90%) than in Africans (46.7%), while a history of “eyeworm” was recorded in a higher proportion of Africans (43.3%) than in Europeans (17.4%). The median duration of exposure in the non-endemic group was also fairly long (14.6 years). Different drug regimens were used for treatment. Conclusions we suggest that the differences between Africans and Europeans are more likely to be related to genetic differences, rather than to chronicity. Moreover the management of imported loiasis needs standardization. |
| Databáze: | OpenAIRE |
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