La bilharziose d'importation chez les voyageurs : enquête en France métropolitaine

Agbessi, C.-A.; Bourvis, Nadège; Fromentin, Marjorie; Jaspard, Maryse; Teboul, F.; Bougnoux, Marie‐Elisabeth; Hanslik, Thomas

doi:10.1016/j.revmed.2006.05.006

Cited by 19 publications

(9 citation statements)

References 15 publications

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“…Other authors have already called attention to the presence of long-lasting undiagnosed schistosomiasis cases among immigrant populations established in Europe, with Senegal, the Gambia, Mali and Nigeria being the most common countries of origin [ 6 – 8 ]. Despite such words of warning, however, literature dealing with chronic schistosomiasis in the EU is scarce, with most studies focusing on cases involving newly acquired schistosomiasis imported by travelers rather than long-term infection [ 9 – 11 ]. In France, a European country with a high percentage of sub-Saharan immigrants, a systematic survey of intestinal parasite infections in an immigrant population found Schistosoma haematobium to be the most dangerous parasitic disease [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Epidemiological, clinical, diagnostic and economic features of an immigrant population of chronic schistosomiasis sufferers with long-term residence in a non-endemic country (North Metropolitan area of Barcelona, 2002-2016)

et al. 2017

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BackgroundSchistosomiasis, one of the neglected tropical diseases (NTD) listed by the WHO, is an acute and chronic parasitic disease caused by blood flukes (trematode worms) of the genus Schistosoma. Complications of long-term infestation include liver cirrhosis, bladder tumors and kidney failure. The objective of this study was to carry out a clinical and epidemiological characterization of a schistosomiasis-diagnosed immigrant population with long-term residencein the EU as well as to evaluate the diagnostic methods available to date.Methods and resultsA total of 61 individuals with Schistosoma infection who received medical attention between June 2002 and June 2016 at the North Metropolitan International Health Unit in Barcelona (Catalonia, Spain), were included in the study. All patients were sub-Saharan African immigrants. The majority were male (91.8%) with a median age of 34 years. Symptoms attributable to infection such as haematuria, abdominal pain and dysuria were recorded in up to 90% of patients. The percentage of eosinophils decreased amongst older patients (p = 0.002) and those with symptoms associated with urinary tract infections (p = 0.017). Serology was used for diagnosis in 80.3% of the cases, with microscopic examination showing the remaining 9.8% positive for parasite eggs. Direct microbiological diagnosis was more useful in patients with less than 5 years of residence in the EU (p = 0.05). Chronic complications were present in 22 (36%) of the patients, with renal failure affecting 20 (33%). Of these 20, 6(10%) developed terminal renal failure and required hemodialysis, while 3 (5%) received a renal transplantation.ConclusionMorbidity associated with chronic long-term schistosomiasis is frequent among African immigrants in non-endemic countries. Better diagnostic tools and appropriate early treatment would prevent the development of visceral damage. Thorough screening in selected patients would also be useful to avoid chronic complications.

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Section: Discussionmentioning

confidence: 99%

Epidemiological, clinical, diagnostic and economic features of an immigrant population of chronic schistosomiasis sufferers with long-term residence in a non-endemic country (North Metropolitan area of Barcelona, 2002-2016)

et al. 2017

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“…Although eosinophilia has been considered a constant finding, it is only observed in about 70–80% of cases [6]. Thus, the absence of eosinophilia does not exclude Katayama syndrome.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Infiltrates and Eosinophilia in a 25-Year-Old Traveler

et al. 2013

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“…In the present case, an expressive concentration of Charcot-Leyden crystals was detected; this fact can also be an indication of intestinal parasitism by helminths, since this is the result of breakage of eosinophils that are attracted to or produced in larger amounts in an attempt to contain helminthes infections [15]. Even brief contact with bodies of water contaminated with cercaria of Schistosoma mansoni (less than five minutes) resulted in infection rates ranging from 30,0% to 77,0% of the portion of exposed tourists who became infected [11, 13, 16, 17]. The short period of exposure to contaminated water and Schistosoma mansoni infection was also evidenced in the present case since the patient entered only once in the contaminated water and spent approximately five minutes there.…”

Section: Discussionmentioning

confidence: 99%

Acute Schistosomiasis in Brazilian Traveler: The Importance of Tourism in The Epidemiology of Neglected Parasitic Diseases

Leal

Franco

Neves

et al. 2012

Case Reports in Infectious Diseases

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Parasitic infectious diseases acquired in tourist areas may pose a challenge to physicians and to travel medicine practitioners. Acute schistosomiasis may be seen in returning travelers and migrants after primary infection. This form of schistosomiasis is frequently misdiagnosed due to its temporal delay and its nonspecific presentation and might occur even in countries where the disease is endemic, such as in Brazil. The patient developed the acute phase of schistosomiasis with severe clinical manifestations. The quantitative analysis revealed the presence of 240 eggs per gram of stool. The treatment was administered with oxamniquine, and the control of cure of the patient was monitored and was favorable. The present paper aims to emphasize the importance of a detailed clinical history including information regarding travel history.

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La bilharziose d'importation chez les voyageurs : enquête en France métropolitaine

Cited by 19 publications

References 15 publications

Epidemiological, clinical, diagnostic and economic features of an immigrant population of chronic schistosomiasis sufferers with long-term residence in a non-endemic country (North Metropolitan area of Barcelona, 2002-2016)

Epidemiological, clinical, diagnostic and economic features of an immigrant population of chronic schistosomiasis sufferers with long-term residence in a non-endemic country (North Metropolitan area of Barcelona, 2002-2016)

Pulmonary Infiltrates and Eosinophilia in a 25-Year-Old Traveler

Acute Schistosomiasis in Brazilian Traveler: The Importance of Tourism in The Epidemiology of Neglected Parasitic Diseases

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