Tropical Medicine, Infectious Diseases Service, Hospital Ramon y Cajal, Instituto Ramon Y Cajal De Investigacion Sanitaria, Madrid, Spain.
Euro Surveill. 2011 Sep 15;16(37):19966.
In recent years, Chagas disease has emerged as a disease of importance outside of endemic areas, largely as a result of migration. In Europe, clinicians may have to treat infected migrants from endemic areas as well as people with acute infections transmitted congenitally,through organ donation or blood transfusion.We describe here the characteristics of patients diagnosed with chronic Chagas disease at the core clinical sites of the EuroTravNet network during 2008 and 2009. Of the 13,349 people who attended the sites, 124 had chronic Chagas disease. Most (96%) were born in Bolivia and the median number of months in the country of residence before visiting a EuroTravNet core site was 38 months (quartile (Q₁)–Q₃: 26–55). The median age of the patients was 35 years (Q₁–Q₃: 29–45) and 65% were female. All but one were seen as outpatients and the most frequent reason for consultation was routine screening. Considering that Chagas disease can be transmitted outside endemic regions and that there is effective treatment for some stages of the infection, all migrants from Latin America (excluding the Caribbean) should be questioned about past exposure to the parasite and should undergo serological testing if infection is suspected.
近年来，恰加斯病（Chagas disease）已成为非流行地区的重要疾病，主要是由于移民。在欧洲，临床医生可能不仅需要治疗来自流行地区的感染移民，还需要治疗因器官捐赠或输血而感染的先天性急性感染患者。本文描述了 2008 年至 2009 年期间，EuroTravNet 网络核心临床站点诊断的慢性恰加斯病患者的特征。在就诊的 13349 人中，有 124 人患有慢性恰加斯病。大多数（96%）患者出生于玻利维亚，在就诊前居住在该国的月数中位数为 38 个月（四分位距（Q₁）-Q₃：26-55）。患者的中位年龄为 35 岁（Q₁-Q₃：29-45），65%为女性。除 1 例外，所有患者均为门诊患者，就诊最常见的原因是常规筛查。考虑到恰加斯病可在非流行地区传播，且对感染的某些阶段有有效治疗方法，所有来自拉丁美洲（加勒比地区除外）的移民均应询问其是否有过寄生虫接触史，如果怀疑感染，应进行血清学检测。
