RESUMEN
ETIOLOGY: Helminth infestation of the digestive tract or organ tissues is a common and curable cause of high eosinophil counts. Parasite infestation should be the number one suspect in patients with hypereosinophilia. DIAGNOSIS: Clinical signs and epidemiology are suggestive. If the patient has travelled to the tropics, one should consider both exotic and cosmopolite parasites. LABORATORY TESTS: The causal agent can sometimes be identified by direct examination of tissue samples, depending on the localization. In practice however identification may be a difficult task when the level of infestation is low or the helminth is in a larval stage. The epidemiological situation, clinical features and results of serology tests must all be considered for diagnosis. ANTIHELMINTH TREATMENT (TEST): Clinical improvement after treatment can be a criteria for positive diagnosis. Normal eosinophil counts followed later by normal serology confirms the diagnosis.
Asunto(s)
Eosinofilia/parasitología , Helmintiasis , Algoritmos , Antihelmínticos/uso terapéutico , Árboles de Decisión , Diagnóstico Diferencial , Eosinófilos , Helmintiasis/complicaciones , Helmintiasis/diagnóstico , Helmintiasis/tratamiento farmacológico , Helmintiasis/parasitología , Humanos , Recuento de Leucocitos , Factores de RiesgoAsunto(s)
Anfotericina B/administración & dosificación , Antiprotozoarios/administración & dosificación , Leishmaniasis Visceral/tratamiento farmacológico , Adulto , Anfotericina B/uso terapéutico , Antiprotozoarios/uso terapéutico , Portadores de Fármacos , Emulsiones Grasas Intravenosas , Femenino , Humanos , Resultado del TratamientoRESUMEN
We have identified the first French cases of cyanobacterium-like bodies (CLB) or cyclosporidia in the feces of two immunocompetent patients who presented with a persistent diarrheal syndrome after a visit to India and Nepal.1 We take this opportunity to review the available data on this new microorganism.
RESUMEN
In the present case report a 50-year-old woman is presented with a Strongyloides stercoralis infection after a one-month stay in Sri Lanka. She showed a severe involvement of the central nervous system without a correlation of an immunosuppression. Strongyloides stercoralis is regarded as the cause of the cerebral involvement. Other possible causes are also discussed.
Asunto(s)
Encefalopatías/diagnóstico , Strongyloides stercoralis , Estrongiloidiasis/diagnóstico , Animales , Femenino , Humanos , Inmunocompetencia , Imagen por Resonancia Magnética , Persona de Mediana Edad , Tomografía Computarizada por Rayos XRESUMEN
1,000 refugees living in Strasbourg have had a stoll parasitologic exam between 1986 and 1990. We have not retained results of South America and other areas of Asia subjects because of their scarce total number. Proportionally, the most numerous are the South East Asia Nationals (51.7%); followed by those from Middle East and Africa (20 and 15.5%) and more recently by those from East of Europe (5.2%). Their parasitic infestation's rate remains important (60.9%) but variable depending on their origin. Thus, people coming from Middle East and Africa are parasited mainly by protozoan, although those from South East Asia are parasited by helminths. It's interesant to notify that the prevalence of D. fragilis is ten times higher among East European people than in the common people.
Asunto(s)
Heces/parasitología , Refugiados , África/etnología , Animales , Asia Sudoriental/etnología , Eucariontes/aislamiento & purificación , Europa Oriental/etnología , Francia , Helmintos/aislamiento & purificación , Humanos , Medio Oriente/etnologíaRESUMEN
Cryptosporidium sp is a new enteric pathogenic organism which is responsible for self-limited acute diarrhea in infants. During a prospective study we diagnosed the first pediatric cases of cryptosporidiosis in Strasbourg. This leads us to recommend that cryptosporidiosis be looked for in the etiological diagnosis of infantile diarrhea.
Asunto(s)
Criptosporidiosis/epidemiología , Niño , Preescolar , Criptosporidiosis/complicaciones , Diarrea/etiología , Francia , Hospitales Pediátricos , Humanos , Incidencia , Lactante , Estudios Prospectivos , Vómitos/etiologíaRESUMEN
Pneumocystis carinii pneumonia is one of these opportunistic infections that are so frequently observed in immunodepressed patients. The usual radiological image is one of interstitial pneumonia. We report the case of a misleading and unusual pseudotumoral form in a female patient with non-Hodgkin malignant lymphoma. The course of the pneumonia was favourable after cotrimoxazole therapy, partial surgical resection and prophylaxis of relapses by inhaled pentamidine.
Asunto(s)
Agammaglobulinemia/complicaciones , Linfoma no Hodgkin/complicaciones , Neumonía por Pneumocystis/diagnóstico por imagen , Adulto , Biopsia , Líquido del Lavado Bronquioalveolar/análisis , Femenino , Humanos , Neumonía por Pneumocystis/etiología , Neumonía por Pneumocystis/patología , RadiografíaRESUMEN
The authors described a 6 years old boy suffering from acute lymphoblastic leukemia and treated by the B.F.M. protocol who presented during intensive chemotherapy period a aspergillus renal abscess apparently unique. During the postoperative period the evolution was progressively favorable under prolonged anti-fungal treatment. The different clinical features, the non facilities of diagnosis and the mean possibility of treatment in aspergillus infection in immunodeficient patients are reviewed.