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[Vacation souvenirs: inoculation pathologies (cutaneous larva migrans, cutaneous leishmaniases, Lyme disease, rickettsioses)].
Rev Med Brux. 2000 Sep; 21(4):A257-65.RM

Abstract

Residents of western countries travel more and more to (sub)tropical areas for holidays or work. During their stay they come in contact with insects and parasites susceptible to induce skin disorders that can manifest during their stay or after returning. This dermatosis account for approximatively 10% of referral to outpatient tropical clinics. The aim of this paper is to provide family physicians not familiar with these pathologies some practical guidelines to help them to identify and treat some tropical dermatosis: cutaneous larva migrans, cutaneous leishmaniasis, Lyme disease, rickettsiosis. Cutaneous larva migrans is the most frequent serpiginous itching eruption observed in travellers. It is cause by transepidermal penetration of animal hookworms (ancylostomas) through contact with soil infested with cat and dog feces. Effective treatments include topical thiabendazole or oral albendazole or ivermectine. Persons visiting mediterranean countries can acquire cutaneous leishmanisis that has many clinical presentations; the most typical is "bouton d'Orient", which manifests as painless ulceration resistant to antibiotic treatment. Treatment with intralesionel pentavalent antimony or pentamidine injection are effective. Lyme disease is an endemic infection in certain areas of North America and Europe, caused by the spirochete borrelia and transmitted through tick bite. It manifest as non-itching large persistent migrant erythema. If untreated this infection may expose to chronic debilitating rheumatologic, cardiac and neurological complications. Rickettsiosis, especially boutonneuse fever, are a potentially fatal multisystemic infectious diseases transmitted through the bite of a dog tick. Diagnosis must be evoked in the presence of a brutal fever syndrome, a painless eschar and widespread eruption associate to systemic symptoms. This infection must be recognized clinically in order to begin rapidly treatment with cyclines.

Authors+Show Affiliations

Tas S
Service de Dermatologie, Hôpital Erasme, U.L.B.

MeSH

AnimalsCatsDecision TreesDogsFamily PracticeHumansLarva MigransLeishmaniasis, CutaneousLyme DiseaseMedical History TakingPhysical ExaminationRickettsia InfectionsTravelTropical Climate

Pub Type(s)

English Abstract
Journal Article
Review

Language

fre

PubMed ID

11068477

Citation

Tas, S. "[Vacation Souvenirs: Inoculation Pathologies (cutaneous Larva Migrans, Cutaneous Leishmaniases, Lyme Disease, Rickettsioses)]." Revue Medicale De Bruxelles, vol. 21, no. 4, 2000, pp. A257-65.
Tas S. [Vacation souvenirs: inoculation pathologies (cutaneous larva migrans, cutaneous leishmaniases, Lyme disease, rickettsioses)]. Rev Med Brux. 2000;21(4):A257-65.
Tas, S. (2000). [Vacation souvenirs: inoculation pathologies (cutaneous larva migrans, cutaneous leishmaniases, Lyme disease, rickettsioses)]. Revue Medicale De Bruxelles, 21(4), A257-65.
Tas S. [Vacation Souvenirs: Inoculation Pathologies (cutaneous Larva Migrans, Cutaneous Leishmaniases, Lyme Disease, Rickettsioses)]. Rev Med Brux. 2000;21(4):A257-65. PubMed PMID: 11068477.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Vacation souvenirs: inoculation pathologies (cutaneous larva migrans, cutaneous leishmaniases, Lyme disease, rickettsioses)]. A1 - Tas,S, PY - 2000/11/9/pubmed PY - 2001/2/28/medline PY - 2000/11/9/entrez SP - A257 EP - 65 JF - Revue medicale de Bruxelles JO - Rev Med Brux VL - 21 IS - 4 N2 - Residents of western countries travel more and more to (sub)tropical areas for holidays or work. During their stay they come in contact with insects and parasites susceptible to induce skin disorders that can manifest during their stay or after returning. This dermatosis account for approximatively 10% of referral to outpatient tropical clinics. The aim of this paper is to provide family physicians not familiar with these pathologies some practical guidelines to help them to identify and treat some tropical dermatosis: cutaneous larva migrans, cutaneous leishmaniasis, Lyme disease, rickettsiosis. Cutaneous larva migrans is the most frequent serpiginous itching eruption observed in travellers. It is cause by transepidermal penetration of animal hookworms (ancylostomas) through contact with soil infested with cat and dog feces. Effective treatments include topical thiabendazole or oral albendazole or ivermectine. Persons visiting mediterranean countries can acquire cutaneous leishmanisis that has many clinical presentations; the most typical is "bouton d'Orient", which manifests as painless ulceration resistant to antibiotic treatment. Treatment with intralesionel pentavalent antimony or pentamidine injection are effective. Lyme disease is an endemic infection in certain areas of North America and Europe, caused by the spirochete borrelia and transmitted through tick bite. It manifest as non-itching large persistent migrant erythema. If untreated this infection may expose to chronic debilitating rheumatologic, cardiac and neurological complications. Rickettsiosis, especially boutonneuse fever, are a potentially fatal multisystemic infectious diseases transmitted through the bite of a dog tick. Diagnosis must be evoked in the presence of a brutal fever syndrome, a painless eschar and widespread eruption associate to systemic symptoms. This infection must be recognized clinically in order to begin rapidly treatment with cyclines. SN - 0035-3639 UR - https://www.unboundmedicine.com/medline/citation/11068477/[Vacation_souvenirs:_inoculation_pathologies__cutaneous_larva_migrans_cutaneous_leishmaniases_Lyme_disease_rickettsioses_]_ DB - PRIME DP - Unbound Medicine ER -