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Comparative, clinico-epidemiologic study of Schistosoma mansoni infections in travellers and immigrants in Spain.
Eur J Clin Microbiol Infect Dis. 2002 Mar; 21(3):219-23.EJ

Abstract

The study presented here aimed to contrast the marked clinical differences in the presentation of Schistosoma mansoni-induced infection between immigrants and travellers entering Spain from endemic regions, and to elucidate the therapeutic implications of these infections. A total of 200 African immigrants and 80 travellers with schistosomiasis were included in the study. Among the immigrants, 25 patients were diagnosed with Schistosoma mansoni infection; 15 presented with nonspecific symptoms, and 10 were asymptomatic. Hepatosplenomegaly was observed in nine. Among the travellers, 14 were diagnosed with Schistosoma mansoni infection; four were asymptomatic, four had Katayama syndrome, four had diarrhoea, and two had prostatitis. All of the patients were treated with praziquantel. Patients diagnosed with Katayama syndrome received praziquantel and dexamethasone for 3 days, with the praziquantel treatment being repeated at 3-4 weeks. The significant differences observed in the clinical presentation of Schistosoma mansoni-induced infection, indicate that a well-differentiated therapeutic strategy is required when this infection is diagnosed in a non-immune (traveller) or a semi-immune (immigrant) patient.

Authors+Show Affiliations

Roca C
International Health Commission, Societat Catalana de Medicina Familiar i Comunitària, Area bàsica de Salut el Clot, Institut Català de la Salut, c/Bilbao 305, 08026 Barcelona, Spain. 27543lvs@comb.es
Balanzó X
No affiliation info available
Gascón J
No affiliation info available
Fernández-Roure JL
No affiliation info available
Vinuesa T
No affiliation info available
Valls ME
No affiliation info available
Sauca G
No affiliation info available
Corachán M
No affiliation info available

MeSH

AdultAnimalsAnthelminticsEmigration and ImmigrationHumansPraziquantelSchistosoma mansoniSchistosomiasisSpainTravel

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

11957026

Citation

Roca, C, et al. "Comparative, Clinico-epidemiologic Study of Schistosoma Mansoni Infections in Travellers and Immigrants in Spain." European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology, vol. 21, no. 3, 2002, pp. 219-23.
Roca C, Balanzó X, Gascón J, et al. Comparative, clinico-epidemiologic study of Schistosoma mansoni infections in travellers and immigrants in Spain. Eur J Clin Microbiol Infect Dis. 2002;21(3):219-23.
Roca, C., Balanzó, X., Gascón, J., Fernández-Roure, J. L., Vinuesa, T., Valls, M. E., Sauca, G., & Corachán, M. (2002). Comparative, clinico-epidemiologic study of Schistosoma mansoni infections in travellers and immigrants in Spain. European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology, 21(3), 219-23.
Roca C, et al. Comparative, Clinico-epidemiologic Study of Schistosoma Mansoni Infections in Travellers and Immigrants in Spain. Eur J Clin Microbiol Infect Dis. 2002;21(3):219-23. PubMed PMID: 11957026.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparative, clinico-epidemiologic study of Schistosoma mansoni infections in travellers and immigrants in Spain. AU - Roca,C, AU - Balanzó,X, AU - Gascón,J, AU - Fernández-Roure,J L, AU - Vinuesa,T, AU - Valls,M E, AU - Sauca,G, AU - Corachán,M, Y1 - 2002/03/19/ PY - 2002/4/17/pubmed PY - 2002/5/30/medline PY - 2002/4/17/entrez SP - 219 EP - 23 JF - European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology JO - Eur J Clin Microbiol Infect Dis VL - 21 IS - 3 N2 - The study presented here aimed to contrast the marked clinical differences in the presentation of Schistosoma mansoni-induced infection between immigrants and travellers entering Spain from endemic regions, and to elucidate the therapeutic implications of these infections. A total of 200 African immigrants and 80 travellers with schistosomiasis were included in the study. Among the immigrants, 25 patients were diagnosed with Schistosoma mansoni infection; 15 presented with nonspecific symptoms, and 10 were asymptomatic. Hepatosplenomegaly was observed in nine. Among the travellers, 14 were diagnosed with Schistosoma mansoni infection; four were asymptomatic, four had Katayama syndrome, four had diarrhoea, and two had prostatitis. All of the patients were treated with praziquantel. Patients diagnosed with Katayama syndrome received praziquantel and dexamethasone for 3 days, with the praziquantel treatment being repeated at 3-4 weeks. The significant differences observed in the clinical presentation of Schistosoma mansoni-induced infection, indicate that a well-differentiated therapeutic strategy is required when this infection is diagnosed in a non-immune (traveller) or a semi-immune (immigrant) patient. SN - 0934-9723 UR - https://www.unboundmedicine.com/medline/citation/11957026/Comparative_clinico_epidemiologic_study_of_Schistosoma_mansoni_infections_in_travellers_and_immigrants_in_Spain_ L2 - https://dx.doi.org/10.1007/s10096-001-0683-z DB - PRIME DP - Unbound Medicine ER -