Toxoplasmosis en Bartonellosis humana.

Maguiña, Ciro; Gotuzzo, Eduardo; Alvarez, Humberto; Carcelen, Amador; Irrivaren, Juan; Soto, J Espinoza; Cok, Jaime

doi:10.20453/rmh.v9i1.564

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…Complications are not uncommon in the acute form and include super-infections, most commonly with Salmonella species but also with Toxoplasma , Histoplasma and others [3] , [4] . Haematological, gastrointestinal [5] , cardiovascular [6] and neurological [7] complications also occur and in pregnancy, infection can lead to miscarriage, premature labour and maternal death.…”

Section: Introductionmentioning

confidence: 99%

Bartonella bacilliformis: A Systematic Review of the Literature to Guide the Research Agenda for Elimination

Clemente

Ugarte-Gil

Solórzano³

et al. 2012

PLoS Negl Trop Dis

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BackgroundCarrion's disease affects small Andean communities in Peru, Colombia and Ecuador and is characterized by two distinct disease manifestations: an abrupt acute bacteraemic illness (Oroya fever) and an indolent cutaneous eruptive condition (verruga Peruana). Case fatality rates of untreated acute disease can exceed 80% during outbreaks. Despite being an ancient disease that has affected populations since pre-Inca times, research in this area has been limited and diagnostic and treatment guidelines are based on very low evidence reports. The apparently limited geographical distribution and ecology of Bartonella bacilliformis may present an opportunity for disease elimination if a clear understanding of the epidemiology and optimal case and outbreak management can be gained.MethodsAll available databases were searched for English and Spanish language articles on Carrion's disease. In addition, experts in the field were consulted for recent un-published work and conference papers. The highest level evidence studies in the fields of diagnostics, treatment, vector control and epidemiology were critically reviewed and allocated a level of evidence, using the Oxford Centre for Evidence-Based Medicine (CEBM) guidelines.ResultsA total of 44 studies were considered to be of sufficient quality to be included in the analysis. The majority of these were level 4 or 5 (low quality) evidence and based on small sample sizes. Few studies had been carried out in endemic areas.ConclusionsCurrent approaches to the diagnosis and management of Carrion's disease are based on small retrospective or observational studies and expert opinion. Few studies take a public health perspective or examine vector control and prevention. High quality studies performed in endemic areas are required to define optimal diagnostic and treatment strategies.

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Section: Introductionmentioning

confidence: 99%

Bartonella bacilliformis: A Systematic Review of the Literature to Guide the Research Agenda for Elimination

Clemente

Ugarte-Gil

Solórzano³

et al. 2012

PLoS Negl Trop Dis

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“…For the calculation of the sample and the statistical analysis, the STATA program was used, which averaged the seroprevalence found at national and local level. A seroprevalence average of 55% in the general population, 80% seroprevalence in pregnant women and 27% seroprevalence in cancer patients was taken [3] [8];…”

Section: Discussionmentioning

confidence: 99%

“…Geographically, Peru is divided into 3 regions: jungle, coast and mountains, being a seroprevalence of toxoplasmosis from 47% to 84% in the jungle, 42% to 44% on the coast and 0% to 44% in the mountains [3] [4]. Other studies, such as in blood bank units report seroprevalences of 84% for IgG and 4.9% for IgM [5], seroprevalences of 46.9% were also found in hospitals although these were with small populations [6].…”

Section: Introductionmentioning

confidence: 99%

Toxoplasma Gondii Infection in Risk Population Groups from Andes Peruvian

Pari¹,

Yauyo²,

Aquino³

et al. 2020

OJMM

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Toxoplasmosis is a parasitic infection whose clinical presentations depend on the human's immune response. They can range from asymptomatic to rapidly progressive and deadly. There are no data on this disease in our population. Therefore, we have proposed to know the seroprevalence of toxoplasmosis in population risk groups through a descriptive, exploratory study in the 3 most populated districts of the province of Huancayo. The samples were processed by ELISA method and there were a total of 169 samples, 85 pregnant women and 84 cancer patients. The seroprevalence found in pregnant women was 44.7% and in cancer patients it was 26.2%. Finally, the only risk factor associated with positive serology was the place of origin, having a higher risk for those living in the district of Huancayo and Chilca compared to El Tambo (p < 0.05).

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“…The most common complication in the acute phase is secondary infection, most commonly with Salmonella species but also with Toxoplasma , Histoplasma and others [ 7 – 8 ]. Haematological, gastrointestinal [ 9 ], cardiovascular [ 10 ] and neurological [ 11 ] complications have also been well described.…”

Section: Introductionmentioning

confidence: 99%

An Outbreak of Bartonella bacilliformis in an Endemic Andean Community

Clemente

Ugarte-Gil

Solórzano³

et al. 2016

PLoS ONE

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BackgroundBartonellosis affects small Andean communities in Peru, Colombia and Ecuador. Research in this area has been limited.MethodsRetrospective review of 191 cases of bartonellosis managed in Caraz District Hospital, Peru, during the last outbreak (2003).ResultsThe majority of cases (65%) were 14 years old and younger. There was a peak in acute cases after the rainy season; chronic cases presented more constantly throughout the year. The sensitivity of blood smear against blood culture in acute disease was 25%. The most commonly used treatment for chronic disease was rifampicin; chloramphenicol was used to treat most acute cases. Complications arose in 6.8% and there were no deaths.ConclusionsDiagnostic and treatment algorithms for acute and chronic bartonellosis have been developed without a strong evidence base. Preparation of ready-to-go operational research protocols for future outbreaks would strengthen the evidence base for diagnostic and treatment strategies and enhance opportunities for control.

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Toxoplasmosis en Bartonellosis humana.

Cited by 5 publications

References 21 publications

Bartonella bacilliformis: A Systematic Review of the Literature to Guide the Research Agenda for Elimination

Bartonella bacilliformis: A Systematic Review of the Literature to Guide the Research Agenda for Elimination

Toxoplasma Gondii Infection in Risk Population Groups from Andes Peruvian

An Outbreak of Bartonella bacilliformis in an Endemic Andean Community

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