Myocarditis during Acute Schistosomiasis in Two Travelers

Epelboin, Loïc; Jauréguiberry, Stéphane; Estève, Jean-Baptiste; Danis, M.; Komajda, Michel; Bricaire, François; Caumes, Éric

doi:10.4269/ajtmh.2010.09-0084

Cited by 22 publications

(24 citation statements)

References 19 publications

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“…Almost all cases have eosinophilia 304,305 . Other clinical manifestations include myocarditis 306 and neurological involvement. Cerebral schistosomiasis may manifest as an acute or sub-acute encephalitic-like syndrome, as a slowly growing inflammatory pseudotumor with mass effect, or as a stroke syndrome 307 .…”

Section: Acute Pulmonary Schistosomiasis (Katayama Syndrome)mentioning

confidence: 99%

Schistosome infection and its effect on pulmonary circulation

Butrous

2019

gcsp

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Section: Acute Pulmonary Schistosomiasis (Katayama Syndrome)mentioning

confidence: 99%

Schistosome infection and its effect on pulmonary circulation

Butrous

2019

gcsp

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“…Cardiac injuries such as myocarditis, pericarditis or asymptomatic myocardial ischaemia have also been described during AS [29,44,45]. As was the case for neurological complications, the first description of cardiac complications was made during the Leyte campaign [46].…”

Section: Life‐threatening Complicationsmentioning

confidence: 99%

“…Pulmonary symptoms and radiographic abnormalities point to interstitial pneumonitis, similar to what is seen in tropical pulmonary eosinophilia. It is noteworthy that these severe forms can occur either during spontaneous evolution of the disease or after treatment with praziquantel [11,29,45,49].…”

Section: Life‐threatening Complicationsmentioning

confidence: 99%

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Acute schistosomiasis, a diagnostic and therapeutic challenge

Jauréguiberry

Paris

Caumes

2010

Clinical Microbiology and Infection

114

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In non-endemic countries, acute (invasive) schistosomiasis (AS) is typically seen in non-immune travellers, whereas chronic schistosomiasis is more frequently diagnosed in immigrants. Travellers with AS initially present with non-specific signs such as fever, cough, headache, and urticaria. Life-threatening cardiac and neurological complications may occur. The positive diagnosis of AS relies on seroconversion, which appears together with hypereosinophilia approximately 3 weeks after the onset of symptoms. When prescribed during AS, praziquantel usually does not prevent the chronic phase of the disease and is associated with exacerbation of signs and symptoms in approximately 50% of cases. According to the published literature, corticosteroids may be recommended alone or in association with praziquantel. When associated with corticosteroids, pharmacokinetic interactions may impair the efficacy of praziquantel. We suggest that corticosteroids should be restricted to use in patients with systemic complications of AS, whereas praziquantel should be initiated only when ova are detected in either stools or urine, depending on the culprit species.

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“…Deve então ter-se em consideração esta e outras possíveis infecções por helmintos (triquinose, fascíola e toxocaríase) entre as causas de urticária e/ou febre em viajantes que retornam com estes sintomas e eosinofilia [26] [ 27] . A Esquistossomose também tem sido reportada em dois viajantes franceses provenientes de Mali [28] . Especial consideração deve ter-se no caso de imunossupressão ou uso de corticosteróides devido à possibilidade de doença disseminada nos casos de Estrongiloidíase [27] .…”

Section: Introductionunclassified

Avaliação pós-viagem dos viajantes atendidos no ambulatório dos viajantes da DMIP do HCFMUSP

Arriaga¹,

Louise²

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Background. The Travelers Outpatient Clinic (DMIP/HC /FMUSP) was established in São Paulo in February 2001. Currently, patients attend the clinic for pre-travel consultation and in case of illness when return to the city. Post-travel evaluation is not done routinely. This research aims to expand the information about the trips; profile occurrences; assess pre-trip orientations; adherence and adequacy, impact on disease prevention, and may be used to improve the pre-travel orientation and quality of care. Methods. In the period from 03/02/2011 to 31/12/2011 were invited to participate in the study travelers seeking outpatient care for pre-travel consultation. Travelers who agreed to participate signed the informed consent form. The study was conducted in two stages. Pre-travel orientation: collecting data on general prevention measures recommended in relation to vector-borne diseases, food and water, accidental exposure to animals, and individual data on the conditions of travel, prior vaccination and health. Post-travel evaluation: A questionnaire was sent to participants 15 days after the expected travel return date. The responses were stored in Excel database. Descriptive statistics were used to present all relevant variables using Epi Info (CDC) and SPSS. Multivariate logistic regression was used to detect independent risk factors associated with the development of diarrhea. Results. Were obtained 150 responses (52.81% response rate); 94% of participants were Brazilians, (89%) had college education, 54.5% of the participants were between 25 and 44 years and 55.1% were female. The time from consultation until the trip was less than 28 days in 60.1%. Travel destination: Africa in 58 travelers (38.7%), followed by Asia in 43 (28.7%). Demand for medical services: 10.9% during the trip, and 6% in return. Cause of seeking medical care: diarrhea (31.2 %) followed by accidents in 18.7% and suspected malaria in 12.5%. Among the patients with diarrhea the accommodation in native houses (RR=2.38 P = 0.004) and multiple accommodations (RR=2.006 P = 0.020) were risk factors. Travel to Asia was also a risk (RR 1.93 P = 0.024). In multivariate analysis the association was not maintained. Regarding adherence to prophylactic measures recommended; the use of mineral water was high among all travelers (94.1%); use of hypochlorite, boiled water and cleaning food before consumption were higher in the group of travelers with diarrhea; finding hypochlorite for water consumption as a risk factor (P = 0.003) regardless of the country visited. Adherence to chemoprophylaxis for malaria was low, however only 9.6% of travelers at risk had malaria. Reporting of accidental exposure to other animals occurred in 4.7% of our travelers. The sexual relationship with acquaintances during the trip was

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Myocarditis during Acute Schistosomiasis in Two Travelers

Cited by 22 publications

References 19 publications

Schistosome infection and its effect on pulmonary circulation

Schistosome infection and its effect on pulmonary circulation

Acute schistosomiasis, a diagnostic and therapeutic challenge

Avaliação pós-viagem dos viajantes atendidos no ambulatório dos viajantes da DMIP do HCFMUSP

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