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Severe strongyloidiasis: a systematic review and meta-analysis of 339 cases.
Rojas, Olga C; Montoya, Alexandra M; Villanueva-Lozano, Hiram; Carrion-Alvarez, Diego.
Afiliação
  • Rojas OC; Departamento de Microbiología, Facultad de Medicina, Universidad Autónoma de Nuevo León, Facultad de Medicina, Dr Eleuterio Gonzalez Gonzalitos-Francisco I. Madero s/n 64460, Monterrey, Nuevo Leon, Mexico.
  • Montoya AM; Departamento de Microbiología, Facultad de Medicina, Universidad Autónoma de Nuevo León, Facultad de Medicina, Dr Eleuterio Gonzalez Gonzalitos-Francisco I. Madero s/n 64460, Monterrey, Nuevo Leon, Mexico.
  • Villanueva-Lozano H; Departamento de Medicina Interna, Hospital Regional ISSSTE Monterrey, Av. Adolfo López Mateos, 122 Burócratas Federales 64380, Monterrey, Nuevo León, Mexico.
  • Carrion-Alvarez D; Departamento de Medicina Interna, Hospital Regional ISSSTE Monterrey, Av. Adolfo López Mateos, 122 Burócratas Federales 64380, Monterrey, Nuevo León, Mexico.
Trans R Soc Trop Med Hyg ; 117(10): 682-696, 2023 10 03.
Article em En | MEDLINE | ID: mdl-37300462
Strongyloidiasis is a parasitosis representing a significant public health problem in tropical countries. It is often asymptomatic in immunocompetent individuals but its mortality rate increases to approximately 87% in severe forms of the disease. We conducted a systematic review, including case reports and case series, of Strongyloides hyperinfection and dissemination from 1998 to 2020 searching PubMed, EBSCO and SciELO. Cases that met the inclusion criteria of the Preferred Reported Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist were analysed. Statistical analysis was performed using Fisher's exact test and Student's t-test and a Bonferroni correction for all the significant values. A total of 339 cases were included in this review. The mortality rate was 44.83%. The presence of infectious complications, septic shock and a lack of treatment were risk factors for a fatal outcome. Eosinophilia and ivermectin treatment were associated with an improved outcome.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estrongiloidíase / Superinfecção / Strongyloides stercoralis Tipo de estudo: Risk_factors_studies / Systematic_reviews Limite: Animals / Humans Idioma: En Revista: Trans R Soc Trop Med Hyg Ano de publicação: 2023 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
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XML
PubMed Links
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estrongiloidíase / Superinfecção / Strongyloides stercoralis Tipo de estudo: Risk_factors_studies / Systematic_reviews Limite: Animals / Humans Idioma: En Revista: Trans R Soc Trop Med Hyg Ano de publicação: 2023 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido