Clinical and epidemiological features of 33 imported Strongyloides stercoralis infections

被引：36

作者：

Gonzalez, Ana ^{[1
]}

Gallo, Marina ^{[2
]}

Eugenia Valls, M. ^{[3
]}

Munoz, Jose ^{[1
]}

Puyol, Laura ^{[1
]}

Jesus Pinazo, M. ^{[1
]}

Mas, Jordi ^{[3
]}

Gascon, Joaquim ^{[1
]}

机构：

[1] Hosp Clin Barcelona, Barcelona Ctr Int Hlth Res CRESIB, CIBERESP, E-08036 Barcelona, Spain

[2] Hosp Univ Reina Sofia, Dept Internal Med, Cordoba, Spain

[3] Hosp Clin Barcelona, Parasitol Unit, Dept Microbiol, E-08036 Barcelona, Spain

来源：

TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE | 2010年 / 104卷 / 09期

关键词：

Strongyloidiasis; Strongyloides stercoralis; hyperinfection syndrome; immunocompromised host; immigrant; traveller; INTESTINAL STRONGYLOIDIASIS; DIAGNOSIS; MANAGEMENT;

D O I：

10.1016/j.trstmh.2010.06.001

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Strongyloides stercoralis has a unique ability to replicate in the human host and lead to chronic infection that can persist for several decades. Thirty-three patients (10 travellers and 23 immigrants) with imported S. stercoralis infection were studied and clinical and epidemiological characteristics described. Only 16 patients (48.5%) reported symptoms, mainly of the gastrointestinal tract. Eosinophilia was present in 21 (63.6%) patients. Seven patients (21.2%) had an immunocompromising condition. Patients were classified into chronic asymptomatic infection (17/33, 51.5%), chronic symptomatic infection (11/33, 33.3%) and hyperinfection (5/33, 15.2%). Four of the latter (80%) had an immunocompromising condition. Strongyloides stercoralis infection should be considered in immigrants and travellers with eosinophilia or compatible symptoms coming from endemic areas. Diagnosis should always be sought in immunocompromised hosts. (c) 2010 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.

引用

页码：613 / 616

页数：4

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