Bravo Francisco, Sanchez Miguel R
Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Hospital Nacional Cayetano Heredia, Angamos 896, Miraflores, Lima 18, Perú.
Dermatol Clin. 2003 Oct;21(4):655-68, viii. doi: 10.1016/s0733-8635(03)00090-1.
Due to environmental factors and inadequate public health measures in many developing countries, new tropical infections, as well as infections that were previously isolated to remote locales, are becoming more prevalent in several areas of Latin America. This article discusses some tropical infections and infestations with predominantly cutaneous manifestations. Previously uncommon diseases such as gnathostomiasis, mycobacteria ulcerans infection, paederus dermatitis, Balamuthia mandrillaris infection, and human T-lymphotrophic virus 1 dermatitis are increasingly being reported. Well-known tropical infections such as bartonellosis, leishmaniasis, chromomycosis, larva migrans, and larva currens are also becoming more prevalent. On the other hand, the incidence of Hansen's disease, the quintessential tropical infection, is dwindling all over the globe thanks to a highly effective eradication campaign launched by the World Health Organization. Because of increased immigration and tourist travel, the number of cases of these diseases in the United States may escalate.
由于许多发展中国家的环境因素和公共卫生措施不足，新出现的热带感染以及以前仅在偏远地区存在的感染，在拉丁美洲的几个地区正变得更加普遍。本文讨论了一些主要表现为皮肤症状的热带感染和寄生虫感染。以前不常见的疾病，如颚口线虫病、溃疡分枝杆菌感染、隐翅虫皮炎、曼氏巴通体感染和人类嗜T淋巴细胞病毒1型皮炎，报告越来越多。一些知名的热带感染，如巴尔通体病、利什曼病、着色芽生菌病、幼虫移行症和匐行疹也越来越普遍。另一方面，典型的热带感染——麻风病，由于世界卫生组织发起的高效根除运动，全球发病率正在下降。由于移民和旅游人数增加，这些疾病在美国的病例数可能会上升。
