Strongyloides stercoralis infection in a Spanish regional hospital: Not just an imported disease
| Autor: | José María Cepeda-Rodrigo, María Isabel Pacheco-Tenza, Joan Gregori-Colomé, María Navarro-Cots, Jara Llenas-García, José Antonio Ruiz-Maciá |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics 030231 tropical medicine Serology Strongyloides stercoralis 03 medical and health sciences 0302 clinical medicine Communicable Diseases Imported Epidemiology medicine Helminths Animals Humans 030212 general & internal medicine Aged Retrospective Studies biology business.industry Retrospective cohort study medicine.disease biology.organism_classification Hospitals Regional hospital Strongyloidiasis Spain Histopathology Female business |
| Zdroj: | Enfermedades infecciosas y microbiologia clinica (English ed.). 36(1) |
| ISSN: | 2529-993X |
| Popis: | Introduction Strongyloides stercoralis infection is more prevalent in tropical regions but autochthonous cases have been reported in Spain, mainly in La Safor (Valencia). The objective is to describe the strongyloidiasis cases registered in a regional hospital of Alicante province (Spain) and to determine if they were autochthonous cases. Methods Retrospective study of all diagnosed cases of strongyloidiasis in Vega Baja Hospital (Orihuela, Alicante) between January 1999 and March 2016. Results A total of 10 cases were found, four of which were autochthonous cases. Two of them presented with a hyper-infection syndrome, with a fatal outcome. All autochthonous cases were in patients ≥69 years old with gastrointestinal, cutaneous, and/or respiratory symptoms. Serology was positive in the 8 cases studied. Larvae were found in histopathological samples of the gastrointestinal tract of three patients. Conclusions We communicate the first autochthonous cases of strongyloidiasis in the region of Vega Baja. Screening programs should be implemented, especially in immunosuppressed patients or patients under chronic corticosteroid treatment. |
| Databáze: | OpenAIRE |
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