Vilalta E, Gascón J, Valls M E, Corachán M
Sección de Medicina Tropical, Hospital Clínic i Provincial, Barcelona.
Med Clin (Barc). 1995 Sep 16;105(8):292-4.
The increase in immigration and adventure travelling by tourists generates a population susceptible to have a type of helminthiasis which we are not familiar with. The clinical-epidemiologic characteristics of different groups of patients with this disease are presented.
A descriptive retrospective longitudinal study was carried out. The clinical-epidemiologic and imaging laboratory data of 56 patients with ankylostomiasis and strongyloidiasis observed in the Department of Tropical Medicine of the Hospital Clinic i Provincial, in Barcelona, Spain, were collected.
Ankylostomiasis and strongyloidiasis represent 2% of the global diseases attended. The risk factor the "use of open footwear" was present in almost all the cases. Among the immigrants this parasitosis may become manifest up to 10 years after the last contact. The digestive form and the accidental finding were the most common forms of presentation among the tourists and immigrants, respectively, with diarrhoea being the most frequent manifestation among the tourists (p = 0.008). Forty-five percent of the patients presented polyparasitism, being more frequently observed among the immigrants (p = 0.025). Anemia was found among 44% of the immigrants while this was not observed in any of the tourists (p = 0.012). No clinical relapse was observed with treatment with mebendazol and thiabendazol.
A clinically different behavior was observed between the two groups of travellers. Although infrequent, the clinical importance ot its diagnosis is based on avoiding severe complications in immunosuppressed individuals and preventing anemia in patients with several diseases.
移民人数的增加以及游客冒险旅行导致出现了易感染某种我们并不熟悉的蠕虫病的人群。本文介绍了不同患者群体患此病的临床流行病学特征。
开展了一项描述性回顾性纵向研究。收集了在西班牙巴塞罗那市省立医院临床医院热带医学科观察到的56例钩虫病和类圆线虫病患者的临床流行病学及影像实验室数据。
钩虫病和类圆线虫病占所诊治全球疾病的2%。几乎所有病例都存在“穿露趾鞋”这一危险因素。在移民中，这种寄生虫病可能在最后一次接触后长达10年才显现出来。消化道症状型和偶然发现型分别是游客和移民中最常见的表现形式，腹泻是游客中最常见的症状（p = 0.008）。45%的患者存在多重寄生虫感染，在移民中更为常见（p = 0.025）。发现44%的移民有贫血症状，而游客中未观察到任何贫血病例（p = 0.012）。使用甲苯达唑和噻苯达唑治疗未观察到临床复发情况。
观察到两组旅行者在临床上有不同表现。尽管这种疾病并不常见，但其诊断的临床重要性在于避免免疫抑制个体出现严重并发症，并预防多病患者出现贫血。
