National Referral Unit for Tropical Diseases, Infectious Diseases Department, Ramón y Cajal University Hospital, IRYCIS, Ctra Colmenar, Km 9100, 28034 Madrid, Spain.
Future Microbiol. 2020 Apr;15:437-444. doi: 10.2217/fmb-2019-0273. Epub 2020 Apr 6.
Helminth infections cause considerable morbidity worldwide and may be frequently underdiagnosed especially in areas of lower endemicity. Patients may harbor latent infections that may become symptomatic years or decades after the initial exposure and timely diagnosis may be critical to prevent complications and improve outcomes. In this context, disease in special populations, such as immunosuppressed patients, may be of particular concern. Heightened awareness and recent diagnostic developments may contribute to the correct management of helminth infections in nonendemic regions. A review of the main helminth infections in travelers and migrants (strongyloidiasis, taeniasis-neurocysticercosis and schistosomiasis) is presented, focusing on epidemiology, developments in diagnosis, treatment and prevention.
寄生虫感染在全球范围内造成了相当大的发病率，特别是在低流行地区，可能经常被误诊。患者可能携带潜伏感染，这些感染可能在初次接触后数年或数十年才出现症状，及时诊断可能对预防并发症和改善预后至关重要。在这种情况下，特殊人群（如免疫抑制患者）的疾病可能特别令人关注。提高认识和最近的诊断进展可能有助于在非流行地区对寄生虫感染进行正确管理。本文回顾了旅行者和移民中的主要寄生虫感染（钩虫病、带绦虫病-神经囊尾蚴病和血吸虫病），重点介绍了流行病学、诊断、治疗和预防方面的最新进展。
