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移民背景下的放射学诊断:传染病

Radiological Diagnoses in the Context of Emigration: Infectious diseases.

作者信息

Stojkovic Marija, Müller Jan, Junghanss Thomas, Weber Tim Frederik

机构信息

Department of Clinical Tropical Medicine, University Hospital Heidelberg, Germany.

Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Germany.

出版信息

Rofo. 2018 Feb;190(2):121-133. doi: 10.1055/s-0043-120764. Epub 2017 Nov 3.

Abstract

BACKGROUND

Globalization and emigration impact on the spectrum of diseases challenging health care systems. Medical practitioners have to particularly prepare for infectious diseases.

METHODS

The database of a health care center specialized on tropical medicine was screened for patients with history of migration and one of the following diagnoses: Cystic echinococcosis, tuberculosis, schistosomiasis, visceral leishmaniosis, and neurocysticercosis. Representative casuistics were prepared from select case histories. Radiological pertinent knowledge was compiled based on literature search.

RESULTS

A small selection of frequently imported infectious diseases covers a considerable fraction of health care problems associated with migration. For cystic echinococcosis, schistosomiasis, and neurocysticercosis imaging is the most relevant diagnostic procedure defining also disease stages. Tuberculosis and visceral leishmaniosis are important differentials for malignant diseases.

CONCLUSION

Imaging plays a meaningful role in diagnosis, treatment stratification, and follow-up of imported infectious diseases. Radiological skills concerning these diseases are important for providing health care for patients in context of migration.

KEY POINTS

· Imaging plays a meaningful role in multidisciplinary care for imported infectious diseases.. · A small selection covers a considerable fraction of infectious diseases expected in context of migration..

CITATION FORMAT

· Stojkovic M, Müller J, Junghanss T et al. Radiological Diagnoses in the Context of Emigration: Infectious diseases. Fortschr Röntgenstr 2018; 190: 121 - 133.

摘要

背景

全球化和移民对挑战卫生保健系统的疾病谱产生影响。医学从业者必须特别为传染病做好准备。

方法

对一家热带医学专科保健中心的数据库进行筛查,以找出有移民史且患有以下诊断之一的患者:囊型包虫病、结核病、血吸虫病、内脏利什曼病和神经囊尾蚴病。从选定的病例史中整理出具有代表性的病例。基于文献检索汇编放射学相关知识。

结果

一小部分经常输入的传染病涵盖了与移民相关的相当一部分卫生保健问题。对于囊型包虫病、血吸虫病和神经囊尾蚴病,影像学是定义疾病阶段的最相关诊断方法。结核病和内脏利什曼病是恶性疾病的重要鉴别诊断。

结论

影像学在输入性传染病的诊断、治疗分层和随访中发挥着重要作用。有关这些疾病的放射学技能对于在移民背景下为患者提供卫生保健很重要。

关键点

· 影像学在输入性传染病的多学科护理中发挥着重要作用。· 一小部分涵盖了移民背景下预期的相当一部分传染病。

引用格式

· Stojkovic M, Müller J, Junghanss T等。移民背景下的放射学诊断:传染病。Fortschr Röntgenstr 2018; 190: 121 - 133。

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