Subject(s)
Larva Migrans/diagnosis , Pruritus/diagnosis , Pruritus/etiology , Travel , Adolescent , Anthelmintics/therapeutic use , Brazil , Female , France , Humans , Larva Migrans/etiology , Larva Migrans/therapy , Pruritus/therapyABSTRACT
Tropical regions receive a significant part of the traveling population. It is very important that health professionals are familiar with the main tropical skin diseases and able to advice patients appropriately. This article reviews the main tropical diseases of travelers, with an emphasis on diagnosis, management, and prevention. Among others, cutaneous larva migrans, myiasis, tungiasis, Chagas disease, Dengue fever, African trypanosomiasis, filariasis, and leishmaniasis are discussed. Increasing awareness among travelers and health care professionals can help reduce morbidity and mortality. Continued research on new drugs and vaccines is needed to reduce the risks of tropical diseases.
Subject(s)
Skin Diseases/therapy , Travel , Chagas Disease/diagnosis , Chagas Disease/prevention & control , Chagas Disease/therapy , Exanthema/diagnosis , Exanthema/prevention & control , Exanthema/therapy , Humans , Larva Migrans/diagnosis , Larva Migrans/prevention & control , Larva Migrans/therapy , Leishmaniasis/diagnosis , Leishmaniasis/prevention & control , Leishmaniasis/therapy , Myiasis/diagnosis , Myiasis/prevention & control , Myiasis/therapy , Scabies/diagnosis , Scabies/prevention & control , Scabies/therapy , Skin Diseases/diagnosis , Skin Diseases/prevention & control , Trypanosomiasis, African/diagnosis , Trypanosomiasis, African/prevention & control , Trypanosomiasis, African/therapy , Tungiasis/diagnosis , Tungiasis/prevention & control , Tungiasis/therapy , Yellow Fever/diagnosis , Yellow Fever/prevention & control , Yellow Fever/therapyABSTRACT
Introducción: la larva migrans cutánea es una parasitosis que constituye una zoonosis frecuente en zonas tropicales, producida por la penetración y desplazamiento a través de la piel de larvas de nemátodos, como Ancylostoma brazilensis y Ancylostoma caninum. El cuadro clínico es característico y se diagnostica mediante la observación macroscópica de las lesiones serpiginosas debajo de la piel. Los antecedentes están dados por contacto con tierra o arena contaminadas como ocurre en niños que juegan en esos lugares.Objetivo: reportar los hallazgos de esta parasitosis en infantes pertenecientes a dos áreas de salud del municipio Camagüey, durante el período 2010 - 2013.Caso Clínico: en el laboratorio de Microbiología de la policlínica de especialidades pediátricas, se diagnosticaron cuatro niños con larva migrans cutánea de 1, 2, 7 y 11 años de edad, el primero con localización perineal, el segundo, en la espalda, el tercero en glúteos, miembros inferiores y superiores y el cuarto en región glútea y vulvar. En los cuatro casos las lesiones fueron características y se observó el trayecto ondulado del parásito a través de la piel. Los cuatros pacientes evolucionaron satisfactoriamente con tratamiento antiparásito.Conclusiones: dada la molestia, e irritabilidad que ocasiona esta parasitosis, así como la posible evolución tórpida de la misma es importante que en las áreas de salud se tenga en cuenta para su oportuno diagnóstico y tratamiento satisfactorio en bien de los pacientes afectados(AU)
Background: cutaneous larva migrans is a parasitosis that constitutes a frequent zoonosis in tropical areas. It is produced by the penetration and movement through the skin of larvae of nematodes, like Ancylostoma brazilensis and Ancylostoma caninum. It shows characteristic clinical manifestations and is diagnosed through macroscopic observation of serpiginous lesions under the skin. Causes are given by the contact with contaminated earth or sand, as it happens with the children who play in places like those.Objective: to report the findings of this parasitosis in children that belonged to two health areas in the municipality of Camagüey, during the period 2010-2013. Clinical case: in the microbiology laboratory of the policlinic of pediatric specialties, four children aged 1, 2, 7, and 11 were diagnosed with cutaneous larva migrans. The first one presented lesions with perineal location, the second one in the back, the third one in the lower and upper extremities, and the fourth one in the gluteal and vulvar regions. In the four cases the lesions were characteristic and the undulating trajectory of the parasite through the skin could be observed. The four patients progressed satisfactorily with the antiparasitic treatment.Conclusions: because of the discomfort and irritability that this parasitosis may cause, as well as its possible torpid evolution, it is important that the health areas take it into consideration in order to obtain a timely diagnosis and satisfactory treatment for the good of patients(AU)
Subject(s)
Humans , Child, Preschool , Child , Larva Migrans/microbiology , Larva Migrans/therapy , Skin Diseases, Parasitic , Case ReportsABSTRACT
Larva migrans cutánea es el resultado de una infección por nematodos y muestra una erupción serpiginosa característica. Con el aumento de los viajes a zonas tropicales, muchos pacientes pueden volver con ésta infección, que es a menudo, mal diagnosticada o tratada incorrectamente. Esta enfermedad cutánea parasitaria es causada por la migración de larvas provenientes de animales en la epidermis humana.
Cutaneous larva migrans is a result of a nematode infection and shows a characteristic creeping eruption. As travel to the tropics zone increases, many patients may be returning with this infection, which is often misdiagnosed or treated incorrectly. This parasitic skin disease is caused by the migration of animal hookworm larvae in the human epidermis.
Subject(s)
Humans , Male , Adult , Eczema, Dyshidrotic/complications , Larva Migrans/complications , Larva Migrans/diagnosis , Diagnosis, Differential , Larva Migrans/therapy , PrognosisSubject(s)
Humans , Male , Adult , Larva Migrans/therapy , Nitrogen/therapeutic use , Combined Modality Therapy , Cryosurgery , Loratadine/therapeutic use , Treatment OutcomeABSTRACT
La larva migrans cutánea es una parasitosis frecuente en zonas tropicales producida por la penetración y migración a través de la piel de larvas de nemátodos. Presentamos el caso de un varón adulto con larva migrans cutánea simulando herpes zoster sin antecedente epidemiológico de viaje a áreas endémicas que recibió tratamiento con ivermectina y albendazol con cura completa a los 30 días de tratamiento.
The cutaneous larva migrans is a frequent parasitoses in tropical areas, due to the penetration and migration, of nematode larvaes that cross the skin. We presentthe case of a male adult with cutaneous larva migrans simulating herpes zoster without any epidemiological past history of trips to endemic areas that receivetreatment with ivemectin and albendazole with a complete cure after 30 days of treatment.
Subject(s)
Humans , Male , Adult , Albendazole/therapeutic use , Ivermectin/therapeutic use , Larva Migrans/therapyABSTRACT
Ectoparasitosis are skin disorders caused by animal parasites living on the body surface. Scabies, pediculosis capitis, phthiriasis and demodecidosis are common skin infections in Chile. Worldwide, they are among the most frequent dermatoses, particularly in infancy and childhood. At present, effective treatments are available, however, some of the present drugsare toxic and some parasites are becoming resistant to common antiparasitic treatment. Loxoscelism, on the other hand, is caused by the bite of Loxosceles spiders, world-widedistributed, affects individuals of all ages, it may present two clinical forms cutaneous loxoscelism (CL) and viscerocutaneous loxoscelism (VCL). The cutaneous surface of limbs and face are the most frequently affected areas by CL. Local clinical manifestations are pain, edema and livedoid plaque, most of wich evolve into a necrotic scar in CL, whereas hematuria, hemoglobinuria, jaundice, fever and sensorial involvement characterise VCL. Spider bite continues to be a controversial subject worldwide and its treatment may be controversial. Physicians should be aware of this disease entity and its complications. This article summarises the therapeutically approach against these infections.
Subject(s)
Humans , Male , Animals , Female , Spider Bites/diagnosis , Spider Bites/therapy , Ectoparasitic Infestations/therapy , Spider Venoms/poisoning , Antiparasitic Agents/therapeutic use , Larva Migrans/therapyABSTRACT
La infección por larva migrans cutánea se presenta habitualmente como una erupción dérmica serpenginosa y pruriginosa debida a la penetración de la piel en túnel por larvas de nematelmintos. Esta parasitosis es endémica en zona tropicales, sin embargo se describen cada vez más casos en zonas urbanas. El diagnóstico de esta entidad es clínico, pero es frecuente que se confunda con enfermedades reumatológicas, infecciosas, vasculares o dermatológicas; especialmente cuando su presentación es como eritema migratorio. En este trabajo se revisa la presentación clínica y el tratamiento de 18 casos con infección por larva migrans cutánea
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Clinical Diagnosis , Skin Diseases, Parasitic/diagnosis , Skin Diseases, Parasitic/therapy , Larva Migrans/diagnosis , Larva Migrans/therapy , Albendazole/administration & dosage , Albendazole/therapeutic use , Ivermectin/administration & dosage , Ivermectin/therapeutic useSubject(s)
Humans , Child , Pediatrics , Skin Diseases, Viral , Dermatitis , Ectoparasitic Infestations , Skin Diseases, Parasitic , Scabies/diagnosis , Scabies/therapy , Acrodermatitis/therapy , Larva Migrans/etiology , Larva Migrans/therapy , Warts/therapy , Molluscum Contagiosum/therapy , Hand, Foot and Mouth Disease/diagnosis , Lice Infestations/etiology , Lice Infestations/therapy , Myiasis/therapyABSTRACT
Los pacientes presentan a una paciente portadora de una afección clínicamente compatible con Larva migrans localizada en región vulvar y glútea la cual respondió favorablemente al tratamiento con antihelmínticos. La localización atípica pero factible debe alertar al clínico práctico sobre esta patología
Subject(s)
Adult , Humans , Female , Genitalia, Female/pathology , Larva Migrans/therapyABSTRACT
Con el objeto de evaluar otras terapeuticas en Larva Migrans cutanea, se efectuo tratamiento controlado en 14 pacientes con ALBENDAZOL. Las edades variaron entre 5 a 41 años (Media: 16 años). Cada paciente presentaba una a multiples larvas y referian historia de la enfermedad entre 3 y 18 dias, 3 de ellos con infeccion agregada. En 10 pacientes (Grupo A), se administro 400 mgs. de Albendazol de una sola toma, durante 3 dias. Otros 4 pacientes (GrupoB), recibieron una sola dosis de 400 mg. En ambos grupos se obtuvo curacion completa con desaparicion del prurito a partir del tercer dia y sin reaparicion de molestias durante los 30 dias de control. Los controles se los realizaron a los 3,10 y 30 dias. En 2 pacientes se empleo Albendazol topicamente (10 por ciento ) no se observo mejoria hasta el quinto dia, por lo que paso al grupo A
Subject(s)
Humans , Male , Female , Adolescent , Adult , Albendazole/therapeutic use , Larva Migrans/drug therapy , Larva Migrans/therapy , Ancylostoma/parasitology , Anthelmintics/administration & dosage , Anthelmintics/therapeutic use , Bolivia/epidemiology , Pruritus/complications , Pruritus/physiopathologySubject(s)
Disease Outbreaks/epidemiology , Larva Migrans/epidemiology , Adolescent , Adult , Animals , Cats , Child , Child, Preschool , Combined Modality Therapy , Cuba , Dogs , Female , Humans , Infant , Infant, Newborn , Larva Migrans/therapy , Larva Migrans/transmission , Male , Play and Playthings , Schools, NurserySubject(s)
Enterobius , Enterobius/anatomy & histology , Enterobius/classification , Enterobius/physiology , Enterobius/parasitology , Enterobius/pathogenicity , Enterobius/chemistry , Helminths , Helminths/anatomy & histology , Helminths/classification , Helminths/physiology , Helminths/parasitology , Helminths/pathogenicity , Larva Migrans/classification , Larva Migrans/diagnosis , Larva Migrans/epidemiology , Larva Migrans/etiology , Larva Migrans/physiopathology , Larva Migrans/pathology , Larva Migrans/prevention & control , Larva Migrans/therapy , NematodaSubject(s)
Cryosurgery , Larva Migrans/therapy , Thiabendazole/therapeutic use , Child , Child, Preschool , Humans , MethodsSubject(s)
Humans , Child, Preschool , Child , Thiabendazole/therapeutic use , Larva Migrans/therapy , Cryosurgery , MethodsSubject(s)
Diathermy , Larva Migrans/therapy , Adolescent , Adult , Child , Child, Preschool , Female , Humans , Infant , Male , Middle AgedABSTRACT
A case of larva migranss is presented characterized by a fine tortuos course without inflammatory phenomena or pruritus. Thes causative agent could not be determined by cutaneous biopsy nor was it possible to detect it in samples of soil and sand from the chids usual playing places.The application of ointment containing chenopodium stopped the progression of the larval course.