Assuntos
Doença de Chagas/complicações , Constipação Intestinal/etiologia , Doenças do Colo Sigmoide/etiologia , Doença de Chagas/diagnóstico por imagem , Constipação Intestinal/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Paraguai , Radiografia , Doenças do Colo Sigmoide/diagnóstico por imagemRESUMO
In recent years, Chagas disease has emerged as a disease of importance outside of endemic areas, largely as a result of migration. In Europe, clinicians may have to treat infected migrants from endemic areas as well as people with acute infections transmitted congenitally,through organ donation or blood transfusion.We describe here the characteristics of patients diagnosed with chronic Chagas disease at the core clinical sites of the EuroTravNet network during 2008 and 2009. Of the 13,349 people who attended the sites, 124 had chronic Chagas disease. Most (96%) were born in Bolivia and the median number of months in the country of residence before visiting a EuroTravNet core site was 38 months (quartile (Q1)Q3: 2655). The median age of the patients was 35 years (Q1Q3: 2945) and 65% were female. All but one were seen as outpatients and the most frequent reason for consultation was routine screening. Considering that Chagas disease can be transmitted outside endemic regions and that there is effective treatment for some stages of the infection, all migrants from Latin America (excluding the Caribbean) should be questioned about past exposure to the parasite and should undergo serological testing if infection is suspected.
Assuntos
Doença de Chagas/diagnóstico , Emigrantes e Imigrantes , Viagem , Trypanosoma cruzi/isolamento & purificação , Adulto , Distribuição por Idade , Bolívia/etnologia , Doença de Chagas/tratamento farmacológico , Doença de Chagas/epidemiologia , Doença de Chagas/etnologia , Doença de Chagas/transmissão , Emigrantes e Imigrantes/estatística & dados numéricos , Ensaio de Imunoadsorção Enzimática , Europa (Continente)/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Vigilância da População , Prevalência , Distribuição por Sexo , Espanha/epidemiologia , Trypanosoma cruzi/efeitos dos fármacosAssuntos
Diagnóstico Diferencial , Fatores de Tempo , Hansenostáticos/uso terapêutico , Hanseníase Dimorfa/diagnóstico , Hanseníase Dimorfa/terapia , Hanseníase Tuberculoide/diagnóstico , Hanseníase Tuberculoide/terapia , Hanseníase Virchowiana/diagnóstico , Hanseníase Virchowiana/terapia , Hanseníase/diagnóstico , Hanseníase/terapia , SeguimentosRESUMO
We report a rare case of human intestinal capillariasis in a young Colombian man who presented with abdominal pain and mild, self-limited diarrhea. Capillaria eggs were visualized in the feces, and treatment with mebendazole (200 mg/d for 3 weeks) resulted in clinical and parasitological cure. To our knowledge, this is the first case in a South American person and the second case reported in Europe. This case highlights the acquisition of endemic intestinal parasitosis far away from classically considered areas of endemicity. We review the English-language literature on human intestinal capillariasis and compare findings from other cases with those from the current case.