Neghina Raul, Neghina Adriana-Maria, Merkler Carmen, Marincu Iosif, Moldovan Roxana, Iacobiciu Ioan
Department of Parasitology, Victor Babes University of Medicine and Pharmacy, 2nd Eftimie Murgu Square, 300041 Timisoara, Romania.
Travel Med Infect Dis. 2009 Jan;7(1):49-51. doi: 10.1016/j.tmaid.2008.09.007. Epub 2008 Nov 6.
Schistosomiasis is the second most common parasitic disease after malaria. Imported cases of schistosomiasis are reported in nonendemic regions due to an increased number of travelers to affected geographical areas. The present case report aimed to emphasize the importance of a correct history of a patient, including information regarding travel history and its consequences, and to overview the evolution of a tropical disease diagnosed rarely in Romania.
Retrospective analysis of a single case of imported schistosomiasis diagnosed in Timisoara, Romania.
A 25-year old male patient had traveled and worked abroad for a long period of time in tropical areas in Asia and South America (Brazil). The clinical pattern at admission to hospital included fever and diarrhea with multiple liquid stools with mucus. Physical examination was normal. Routine laboratory tests revealed an increased number of leucocytes.
Final diagnosis was established with difficulty in this case. Failure to associate a febrile prolonged syndrome or chronic diarrhea with a history of travel can cause a delayed diagnosis.
血吸虫病是仅次于疟疾的第二常见寄生虫病。由于前往疫区的旅行者数量增加,非流行地区报告了输入性血吸虫病病例。本病例报告旨在强调患者正确病史的重要性,包括旅行史及其后果的信息,并概述罗马尼亚罕见诊断的一种热带疾病的病程。
对罗马尼亚蒂米什瓦拉诊断的一例输入性血吸虫病病例进行回顾性分析。
一名25岁男性患者曾在亚洲和南美洲(巴西)的热带地区长期旅行和工作。入院时的临床症状包括发热和腹泻,多次排带黏液的稀便。体格检查正常。常规实验室检查显示白细胞数量增加。
该病例最终诊断困难。未能将长期发热综合征或慢性腹泻与旅行史联系起来可能导致诊断延迟。