[Immigration and HIV: pulmonary, cutaneous and genitourinary syndromes. Eosinophilia]. / Inmigración y VIH: síndromes pulmonar, cutáneo y genitourinario. Eosinofilia.

Infectious diseases are the leading cause of mortality in less developed countries, many of which are located in tropical areas. These diseases have particular features than can hamper diagnosis unless clinicians are familiar with their characteristics. The present article describes the clinical pattern of pulmonary, cutaneous and genitourinary tropical diseases and the main principles of their diagnosis. Emphasis is placed on their geographical distribution and the influence of HIV infection.

[Travel advice for special travellers]. / Recomendaciones al viajero en situaciones especiales.

The increase in the hope and quality of life, along with the greater rapidity and comfort of the different means of transport have made possible that travellers with chronic diseases, pregnant and kids makes tourist trips to tropical or subtropical zones. On the other hand the increase of the international cooperation has caused the appearance of long stay travellers who live in conditions such as the local population. These travellers have special characteristics due to their physical training conditions, chronic treatments, or the way of life during the travel that them makes more susceptible to suffer problems of health during the travel. For this reason the usual recommendations for travellers are insufficient in these groups and is necessary to make an individualized travel advice that considers these factors. This revision shows the most important warnings that must be made in these groups of special travellers.

Recommendations for management of Chagas disease in organ and hematopoietic tissue transplantation programs in nonendemic areas.

The substantial immigration into Spain from endemic areas of Chagas disease such as Latin America has increased the number of potential donors of organs and tissues. In addition, an increasing number of patients with advanced Chagas heart disease may eventually be eligible to receive a heart transplant, a universally accepted therapeutic strategy for the advanced stages of this disease. Therefore, it is necessary to establish protocols for disease management. This document is intended to establish the guidelines to be followed when a potential donor or a tissue or organ recipient is potentially affected by Chagas disease and summarizes the action criteria against the possibility of Chagas disease transmission through the donation of organs, tissues, or hematopoietic stem cells and aims to help professionals working in this field. A single registry of transplants in Trypanosoma cruzi infected donors and/or recipients will provide and disseminate experience in this area, which has shown a low recorded incidence to date.

Inmigración y VIH: síndromes pulmonar, cutáneo y genitourinario. Eosinofilia / Immigration and HIV: pulmonary, cutaneous and genitourinary syndromes. Eosinophilia

Las enfermedades infecciosas constituyen la principal causa de mortalidad en los países en vías de desarrollo, muchos de los cuales están localizados en regiones tropicales. Algunas de estas enfermedades tienen características particulares que pueden dificultar su diagnóstico, si no se está familiarizado con ellas. En este artículo se describen los patrones clínicos de las enfermedades pulmonares, dermatológicas y genitourinarias en el trópico y los principios básicos de su diagnóstico, haciendo hincapié en la distribución geográfica y la influencia de la infección por el virus de la inmunodeficiencia humana

Infectious diseases are the leading cause of mortality in less developed countries, many of which are located in tropical areas. These diseases have particular features than can hamper diagnosis unless clinicians are familiar with their characteristics. The present article describes the clinical pattern of pulmonary, cutaneous and genitourinary tropical diseases and the main principles of their diagnosis. Emphasis is placed on their geographical distribution and the influence of HIV infection

Falso positivo para dengue tras estancia en Ecuador / False-positive for dengue infection after a stay in Ecuador

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Recomendaciones al viajero en situaciones especiales / Travel advice for special travellers

El aumento de la esperanza y calidad de vida, junto con la mayor rapidez y comodidad de los distintos medios de transporte, ha posibilitado que viajeros con enfermedades crónicas, embarazadas o niños emprendan viajes turísticos a zonas tropicales o subtropicales. Por otra parte, el aumento de la cooperación internacional ha propiciado la aparición de viajeros de larga estancia que viven en condiciones similares a las de la población local. Estos viajeros presentan una serie de características especiales, debidas a sus condiciones físicas, tratamientos habituales o tipo de condiciones de vida durante el viaje, que les hacen más susceptibles de presentar algún tipo de problema de salud durante el viaje. Por este motivo, las recomendaciones habituales para viajeros son insuficientes en estos grupos y es preciso realizar un consejo al viajero individualizado que tenga en cuenta estos factores. En esta revisión se presentan de forma resumida las principales advertencias que deben realizarse en estos grupos de viajeros especiales

The increase in the hope and quality of life, along with the greater rapidity and comfort of the different means of transport have made possible that travellers with chronics diseases, pregnant and kids makes tourist trips to tropical or subtropical zones. On the other hand the increase of the international cooperation has caused the appearance of long stay travellers who live in conditions such as the local population. These travellers have special characteristics due to their physical training conditions, chronics treatments, or the way of life during the travel that them makes more susceptible to suffer problems of health during the travel. For this reason the usual recommendations for travellers are insufficient in these groups and is necessary to make an individualized travel advice that considers these factors. This revision shows the most important warnings that must be made in these groups of special travellers