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[热带感染流行风险地区呼吸道源性发热综合征的诊断方案]

[Diagnostic protocol for febrile syndrome of respiratory origin in geographical areas of endemic risk of tropical infections].

作者信息

Villamil-Gómez W

机构信息

Infectious Diseases and Infection Control Research Group, Hospital Universitario de Sincelejo, Sincelejo, Sucre, Colombia.

出版信息

Medicine (Madr). 2022 Jun;13(58):3432-3437. doi: 10.1016/j.med.2022.05.033. Epub 2022 Jun 9.

DOI:10.1016/j.med.2022.05.033
PMID:35702162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9183391/
Abstract

The syndromic surveillance of a group of diseases that have similar signs and symptoms, a common pathophysiology, and diverse etiology is aimed at rapidly detecting the presence of outbreaks which could potentially harm public health. This includes not only known outbreaks of infectious origin but also those of unknown origin. In patients suspected of having SARS-CoV-2/COVID-19, it is recommended to consider other etiologies of tropical fever in the differential diagnosis when these patients live in or come from endemic areas, as is the case of dengue, malaria, leptospirosis, acute Chagas disease, and rickettsiosis, among other endemic diseases. The possibility of SARS-CoV-2/AH1 AH5N1 MERS-CoV coinfection with these pathogens should also be considered.

摘要

对一组具有相似体征和症状、共同病理生理学及多样病因的疾病进行综合征监测,旨在快速检测可能危害公众健康的疫情爆发情况。这不仅包括已知的感染源引发的疫情,还包括来源不明的疫情。对于疑似感染严重急性呼吸综合征冠状病毒2/冠状病毒病2019(SARS-CoV-2/COVID-19)的患者,当这些患者居住在或来自地方病流行地区时,如登革热、疟疾、钩端螺旋体病、急性恰加斯病和立克次体病等其他地方病,在鉴别诊断中建议考虑热带发热的其他病因。还应考虑严重急性呼吸综合征冠状病毒2/甲型流感病毒H1N1/甲型禽流感病毒H5N1/中东呼吸综合征冠状病毒(SARS-CoV-2/AH1 AH5N1 MERS-CoV)与这些病原体合并感染的可能性。

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本文引用的文献

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Overlaying COVID-19 mitigation plans on malaria control infrastructures.将新冠缓解计划叠加在疟疾控制基础设施上。
Trans R Soc Trop Med Hyg. 2021 Jan 7;115(1):6-8. doi: 10.1093/trstmh/traa108.
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When fever is not malaria in Latin America: a systematic review.在拉丁美洲,发热不一定是疟疾:系统综述。
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Middle East Respiratory Syndrome.中东呼吸综合征
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Orally transmitted acute Chagas disease in domestic travelers in Colombia.哥伦比亚国内旅行者中的经口传播急性恰加斯病
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