Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 390
Filtrar
1.
G Ital Nefrol ; 37(2)2020 Apr 09.
Artigo em Italiano | MEDLINE | ID: mdl-32281758

RESUMO

Rhabdomyolysis (R) is a complex condition involving the rapid dissolution of damaged or injured skeletal muscle. This leads to the direct release of intracellular components, including myoglobin, creatine kinase, aldolase, and lactate dehydrogenase, as well as electrolytes, into the bloodstream and extracellular space. Clinically, R shows a triad of symptoms: myalgia, limb weakness, and myoglobinuria without hematuria, while myoglobin has been recognized as playing a part in the development of acute kidney injury. Coturnism is a relatively rare disease, mostly found in the European countries bordering the Mediterranean Sea, characterized by acute R. It follows the consumption of Coturnix coturnix, a species of quails common in Europe, that have ingested the toxic substances (and especially coniine) present in the herbaceous plant called hemlock (Conium maculatum). Coniine may be lethal at a dose of 150 mg but it has neurotoxic effects at smaller doses, with acute R and acute kidney injury. Freezing and cooking the meat does not inactivate the alkaloids present in the birds' flesh and digestive tract. The clinical course of coturnism includes neurotoxicosis, tremor, vomiting, muscle paralysis, respiratory paralysis/failure, R and acute kidney injury. In appropriate geographical and temporal settings, it should be considered when diagnosing patients with acute R. The genetic, biochemical and epidemiological characteristics of coturnism are not yet fully known, while we wait reliable data from experimental studies.


Assuntos
Alcaloides/envenenamento , Doenças Transmitidas por Alimentos/complicações , Piperidinas/envenenamento , Codorniz , Rabdomiólise/etiologia , Lesão Renal Aguda/diagnóstico , Lesão Renal Aguda/etiologia , Animais , Doenças Transmitidas por Alimentos/diagnóstico , Humanos , Músculo Esquelético/lesões , Intoxicação por Plantas , Codorniz/metabolismo , Rabdomiólise/diagnóstico
2.
Gac. sanit. (Barc., Ed. impr.) ; 33(3): 249-254, mayo-jun. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-183744

RESUMO

Objetivo: Describir y analizar desde el punto de vista clínico y epidemiológico un brote de toxiinfección alimentaria en una institución de enfermos psiquiátricos de Granada, en 2015, y examinar si el tratamiento con psicofármacos constituye un factor de riesgo para desarrollar una toxiinfección alimentaria, analizando los grados de susceptibilidad según el grupo terapéutico consumido. Método: Estudio ambispectivo de cohortes. La unidad de análisis fueron los residentes. Se realizó búsqueda activa de casos, encuesta alimentaria y búsqueda de otros riesgos, e inspección alimentaria. Se estudiaron variables de persona, lugar y tiempo. Análisis descriptivo (frecuencias absolutas y relativas), cálculo de las tasas de ataque por pabellón y por menú. Análisis bivariado (ji al cuadrado, t de Student) y riesgo relativo como medida de la fuerza de asociación. Análisis multivariado mediante regresión logística para el análisis de riesgos de la medicación. Resultados: Se contabilizaron 18 casos con diarrea sin fiebre (periodo de incubación de 6-16 horas), de carácter leve y autolimitado. Las manifestaciones clínicas, la agrupación temporal de casos y las características de los alimentos ingeridos centraron la sospecha en una toxina bacteriana. A igualdad en el resto de variables, los grupos terapéuticos N03AF y N03AG confirieron mayor riesgo de enfermar (odds ratio [OR]: 8,626; intervalo de confianza del 95% [IC95%]: 2,050-36,308; p=0,003; y OR: 14,516; IC95%: 3,155-66,784; p=0,001, respectivamente). Conclusión: La disminución del tránsito intestinal causada por la administración de antiepilépticos puede aumentar el tiempo de exposición de la mucosa intestinal a la toxina, aumentando el riesgo de enfermar y de padecer complicaciones. Debe realizarse un esfuerzo higiénico suplementario en este tipo de instituciones para prevenir estas afecciones


Objective: To describe and analyse from a clinical and epidemiological point of view, a food borne outbreak in a psychiatric institution in Granada, in 2015, and to examine whether treatment with psychoactive drugs constitutes a risk factor for the development of a food borne disease, analysing the degree of susceptibility according to the therapeutic group consumed. Method: Ambispective cohort study. Residents were the unit of analysis. Our group carried out an active case search and a food survey. A search for other risks was developed as well as a food inspection. Location, time and individual variables were studied. A descriptive analysis was conducted (absolute and relative frequencies). Calculation of attack rates by building and by menu was made. Bi-variant analysis (Chi-square test, t-Student test) and relative risk were used as a measure of strength of association. For risk analysis of medication, a multivariate analysis using logistic regression was carried out. Results: 18 cases with diarrhoea without fever were found (incubation period from 6 to 16hours). Cases were mild and self-limiting. The clinical manifestations, the temporal grouping of cases and the characteristics of the ingested foods, focussed suspicion on a bacterial toxin. Being equal in the rest of variables, the N03AF, and N03AG therapeutic groups confer greater risk of disease (odds ratio [OR]: 8.626; 95% confidence interval [95%CI]: 2.050-36.308; p=0.003; and OR: 14.516; 95%CI: 3.155-66.784; p=0.001, respectively). Conclusion: Decreased intestinal transit, caused by the administration of anticonvulsants, may increase exposure time of the intestinal mucosa to the toxin, increasing the risk of disease and suffering from complications. An additional hygienic effort should be made in this type of institution to prevent these pathologies


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Psicotrópicos/uso terapêutico , Transtornos Mentais/complicações , Doenças Transmitidas por Alimentos/complicações , Infecções por Clostridium/complicações , Anticonvulsivantes/uso terapêutico , Transtornos Mentais/tratamento farmacológico , Contaminação de Alimentos/análise , Hospitais Psiquiátricos/estatística & dados numéricos , Clostridium perfringens/isolamento & purificação , Fatores de Risco
3.
J Med Virol ; 91(6): 986-996, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30698827

RESUMO

A prospective matched case-control study was conducted to evaluate associations between dietary histories, including consumption of bivalves, diarrhea, and norovirus positive diarrhea in adult ambulatory patients at an outpatient clinic of a hospital in Tokyo, Japan. Ambulatory cases with diarrhea were matched with nondiarrheal control patients, who visited the same clinic. A standardized questionnaire was used to obtain patients' information, including histories of food consumption and clinical information. Norovirus infection was confirmed using real-time reverse transcription polymerase chain reaction. A total of 207 patients, including 69 diarrheal cases and 138 nondiarrheal cases were included in the analysis. Among them, 60 (29.0%) participants reported consuming bivalves. Norovirus was detected in 35% (24/69) of diarrheal cases. Of those, 10 (41.7%) reported consumption of bivalves and of those, 6 (60.0%) consumed raw bivalves. The proportion of those who consumed raw bivalves was significantly higher in norovirus-positive diarrheal cases than in norovirus-negative diarrheal cases (25.0% vs 6.7%; odds ratio [OR], 4.67; 95% confidence interval [CI], 1.1-20.7) and matched nondiarrheal controls (25.0% vs 6.3%, OR: 5.00; 95% CI, 1.1-22.2). The attributable fraction of consuming raw bivalves for norovirus-associated diarrhea to matched nondiarrheal controls was 20.0%. Consuming raw bivalves was substantially attributed to norovirus-associated diarrhea in adult ambulatory patients and preventive measures for reducing the risk associated with consumption of raw bivalves could decrease the incidence of norovirus-associated diarrhea.


Assuntos
Bivalves/virologia , Infecções por Caliciviridae/etiologia , Diarreia/virologia , Doenças Transmitidas por Alimentos/complicações , Gastroenterite/virologia , Alimentos Marinhos/virologia , Doença Aguda/epidemiologia , Adulto , Animais , Infecções por Caliciviridae/epidemiologia , Estudos de Casos e Controles , Diarreia/epidemiologia , Dieta/efeitos adversos , Fezes/virologia , Feminino , Doenças Transmitidas por Alimentos/epidemiologia , Gastroenterite/epidemiologia , Humanos , Incidência , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Norovirus/isolamento & purificação , Razão de Chances , Estudos Prospectivos , Inquéritos e Questionários , Tóquio/epidemiologia
4.
Brain Dev ; 41(3): 292-295, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30366747

RESUMO

A 2-year-old girl required medical attention for a sudden onset of repetitive tonic-clonic convulsions after ingesting 20-30 ginkgo seeds. Concentrations of the major forms of circulating vitamin B6, pyridoxal-5'-phosphate (PLP), pyridoxal (PL), and 4-pyridoxic acid, as well as the known ginkgo seed toxin 4'-O-methylpyridoxine (MPN) were measured in the serum and cerebrospinal fluid (CSF). PLP is an active form of vitamin B6 and necessary for γ-aminobutyric acid (GABA) production. High MPN concentrations were observed in both the serum and CSF. As the PLP to PL ratio was markedly decreased in serum and CSF examinations, we suspected the ratio to be important in GABA production. This case report provides novel information on the metabolism of vitamin B6 in humans as a result of ginkgo seed poisoning.


Assuntos
Doenças Transmitidas por Alimentos , Extratos Vegetais/envenenamento , Sementes/envenenamento , Pré-Escolar , Deficiências do Desenvolvimento/etiologia , Feminino , Doenças Transmitidas por Alimentos/sangue , Doenças Transmitidas por Alimentos/líquido cefalorraquidiano , Doenças Transmitidas por Alimentos/complicações , Doenças Transmitidas por Alimentos/etiologia , Ácido Glutâmico/metabolismo , Humanos , Ácido Piridóxico/metabolismo , Piridoxina/análogos & derivados , Piridoxina/líquido cefalorraquidiano , Piridoxina/metabolismo , Vitamina B 6 , Ácido gama-Aminobutírico/metabolismo
7.
Ann Clin Lab Sci ; 48(2): 146-151, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29678839

RESUMO

CONTEXT: Haff disease is a rare syndrome of myalgia and rhabdomyolysis occurring within 24h of consumption of certain types of cooked freshwater fish or crustacean. OBJECTIVE: The white blood cell count (WBC), plasma creatine kinase (CK), creatine kinase isoenzyme (CK-MB), CK-MB/CK, troponin T (cTnT) and creatinine (Cr) were analyzed as diagnostic markers for crayfish (Procambarus clarkii)-associated rhabdomyolysis (Haff disease). The significance of these laboratory markers in differentiating myocardial injury disease and Haff disease was explored. METHODS: 138 patients with symptoms of acute onset (such as chest pain, muscle pain) and high myocardial enzymes were assigned as the Haff disease group and myocardial injury group, respectively. In parallel, 80 healthy individuals were selected as healthy control. Plasma Cr, CK, and CK-MB levels were detected by the Johnson & Johnson DT60II dry biochemistry analyzer; cTnT level was detected by Roche Elecsys 2010; WBC was detected by Sysmex 5300. RESULTS: The WBC levels in the Haff disease group and myocardial injury diseases group were higher than the healthy control group (P<0.05). The plasma CK, CK-MB levels in Haff disease group were the highest, following by the myocardial injury disease group, and the lowest were in the normal control group. There were also statistically significant differences between two groups (P<0.05): the CK-MB/CK and cTnT's levels in the myocardial injury disease group were higher than those in the Haff disease group and healthy control group (P<0.05); the plasma Cr level in the Haff disease group was lower than that in the myocardial injury disease group and normal control group (P<0.05). CONCLUSION: Our results indicated that WBC, plasma CK, and CK-MB increase significantly, whereas Cr decreases significantly in Haff disease. These laboratory markers may be used for the diagnosis of crayfish-associated rhabdomyolysis. CK may be used as a biomarker to evaluate the severity of Haff disease, while cTnT and CK-MB/CK may be used to differentiate myocardial injury disease and Haff disease.


Assuntos
Astacoidea , Biomarcadores/sangue , Diagnóstico Diferencial , Doenças Transmitidas por Alimentos/complicações , Rabdomiólise/diagnóstico , Rabdomiólise/etiologia , Adolescente , Adulto , Idoso , Animais , Creatina Quinase/sangue , Creatinina/sangue , Feminino , Humanos , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade , Rabdomiólise/sangue , Troponina T/sangue , Adulto Jovem
8.
Appl Health Econ Health Policy ; 16(2): 243-257, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29313242

RESUMO

OBJECTIVES: The main objective of this study was to derive cost estimates of five major foodborne illnesses (campylobacteriosis, salmonellosis, enterohemorrhagic Escherichia coli (EHEC), yersiniosis and shigellosis) in Sweden. These estimates provide a necessary contribution to perform future cost-benefit analyses aimed at reducing the burden of foodborne disease. A secondary aim was to obtain estimates of the true number of cases that occur in the community, thus providing necessary ground for calculating costs. METHODS: The true number of cases for each foodborne illness was simulated by multiplying the reported number of cases by sequential multipliers, one for each potential source of information loss about a case. This assessment of the true number of cases was then used to estimate the number of cases of sequelae for each illness. An incidence-based analysis was then used to calculate direct medical and non-medical costs, as well as indirect costs. Data for estimating the true number of cases for each illness were primarily based on an expert panel, while the derivation of costs mainly utilized national registries, databases and published literature. RESULTS: The estimated number of cases was between 7- and 11-fold higher than the reported number of cases, indicating the importance of taking information loss into account when calculating costs. By far the most common pathogen of the five was campylobacter, with an estimated 101,719 (90% credibility interval [CI] 59,640-158,025) human cases occurring annually. For salmonella, 19,678 (90% CI 8394-40,456) cases were estimated to occur each year, while the other three pathogens were less common, with a yearly incidence of approximately 2500-5500 cases each. The total cost for the five pathogens (including sequelae) amounted to €142 million annually. Campylobacter was the most costly pathogen, representing 69% of the total costs. Salmonellosis and EHEC constituted 18 and 9% of these costs, respectively, while yersiniosis and shigellosis represented approximately 2% each. Costs for sequelae were significant and accounted for approximately 50% of the total costs. CONCLUSIONS: Our simulations indicated that campylobacter infection was more common and more costly than salmonella, EHEC, yersinia and shigella combined. Estimated costs for all illnesses were highly influenced by (1) considering potential information losses about cases in the population (which increased costs 7- to 11-fold), and (2) taking account of post-infection sequelae (which doubled the costs).


Assuntos
Efeitos Psicossociais da Doença , Doenças Transmitidas por Alimentos/economia , Infecções por Campylobacter/complicações , Infecções por Campylobacter/economia , Infecções por Campylobacter/epidemiologia , Disenteria Bacilar/complicações , Disenteria Bacilar/economia , Disenteria Bacilar/epidemiologia , Infecções por Escherichia coli/complicações , Infecções por Escherichia coli/economia , Infecções por Escherichia coli/epidemiologia , Feminino , Doenças Transmitidas por Alimentos/complicações , Doenças Transmitidas por Alimentos/epidemiologia , Custos de Cuidados de Saúde/estatística & dados numéricos , Humanos , Incidência , Masculino , Modelos Econômicos , Intoxicação Alimentar por Salmonella/complicações , Intoxicação Alimentar por Salmonella/economia , Intoxicação Alimentar por Salmonella/epidemiologia , Suécia/epidemiologia , Yersiniose/complicações , Yersiniose/economia , Yersiniose/epidemiologia
9.
Forensic Sci Med Pathol ; 14(3): 395-401, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-28710688

RESUMO

Although death from food is not an uncommon finding in forensic facilities worldwide, the range of underlying lethal mechanisms and associated conditions that should be sought at the time of autopsy is quite disparate. Deaths may occur from i) infectious agents including bacteria, viruses, protozoa, cestodes, nematodes and prions; ii) natural toxins including amanita toxins, tetrodotoxin, ciguatera and scombroid; iii) anaphylaxis; iv) poisoning; v) mechanical issues around airway and gut obstruction and/or perforation; and vi) miscellaneous causes. Food-related deaths are important in terms of global mortality, and thus autopsies need to be comprehensive with full ancillary testing. Medicolegal matters may involve issues concerning likely exposure to infectious agents, possible foods ingested, the declared content and possible components of food, the significance of toxicological analyses, and aspects of duty of care in cases of café coronary syndrome and gastroenteritis while in care.


Assuntos
Hipersensibilidade Alimentar/complicações , Alimentos/efeitos adversos , Doenças Transmitidas por Alimentos/complicações , Obstrução das Vias Respiratórias/etiologia , Anafilaxia/etiologia , Perfuração Esofágica/complicações , Microbiologia de Alimentos , Medicina Legal , Humanos , Doenças do Mediastino/complicações , Obesidade/complicações , Pica/complicações , Síndrome de Prader-Willi/complicações
12.
J Travel Med ; 24(1)2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28077608

RESUMO

AIMS: To ascertain any predictors of potential food poisoning pathogens and development of post-infective irritable bowel syndrome (IBS) in UK travellers. An analysis was undertaken on prospectively collected data on 527 patients reporting symptoms of suspected food poisoning between June 2012 and June 2015. MAIN OUTCOME MEASURES: Positive stool sample indicative of food poisoning pathogens and diagnosis of post-infective IBS. RESULTS: Data on 527 patients were examined. The large majority of patients did not provide a stool sample on return from holiday (n = 430, 81.6%) as few visited a Doctor locally or in the UK. Only 18 patients (18.6%, 95% confidence interval [CI] 11.4-27.7) who provided a stool sample were positive for microbiological food poisoning pathogens. Univariate analysis indicated a significant relationship between a positive stool sample and whether the individual sought any medical assistance at the resort (odds ratio [OR] 0.24, 95% CI 0.08-0.70) and whether they took any treatment (including self-medicated), (OR 0.21, 95% CI 0.06-0.67). Of the 527 patients only 30 (5.7%, 95% CI 3.9-8.1) experienced post-infective IBS. Univariate regression indicated a significant relationship between experiencing Per Rectal (PR) bleeding and a diagnosis of post-infective IBS (OR 3.64, 95% CI 1.00-10.49). Univariate regression also indicated an increase in the risk of developing post-infective IBS with increasing duration of symptoms (OR 1.04, 95% CI 1.02-1.05). No significant relationship was found between a positive stool sample and developing post-infective IBS (P = 0.307). CONCLUSIONS: Very few patients provide a stool sample after experiencing holiday sickness abroad. Of those that do, only a small proportion have a positive stool sample indicative of a food poisoning microorganism. Around 6% of individuals were diagnosed with post-infective IBS. Those individuals with PR bleeding and symptoms persisting for longer durations were significantly more at risk of developing post-infective IBS, whilst medical aid and treatment abroad was found to reduce the odds of a positive stool sample.


Assuntos
Diarreia/epidemiologia , Fezes/microbiologia , Doenças Transmitidas por Alimentos/complicações , Síndrome do Intestino Irritável/epidemiologia , Viagem , Adulto , Feminino , Férias e Feriados , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Reino Unido
15.
BMJ Case Rep ; 20162016 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-27793875

RESUMO

Adult necrotising enterocolitis secondary Clostridium perfringens type C-pig-bel disease-is rarely seen outside of Pacific populations, with the highest incidence being in Papau New Guinea. We present the first reported case of pig-bel disease in a previously well patient without diabetes following food poisoning since 1996. In this case, the enterotoxin-induced disease necessitated emergency laparotomy and bowel resection following the failure of medical treatment and worsening septic shock. We hypothesise that obstruction secondary to a sigmoid diverticular stricture complicated by infection-related oedema led to colonic stasis and rapid progression of disease and bowel loss. Following bowel resection, several parenteral antibiotic agents and prolonged intensive care, this patient survived this severe infective process and was discharged home.


Assuntos
Infecções por Clostridium/complicações , Clostridium perfringens , Enterocolite Necrosante/microbiologia , Enterocolite Necrosante/terapia , Doenças Transmitidas por Alimentos/complicações , Humanos , Londres , Masculino , Pessoa de Meia-Idade
16.
Actas dermo-sifiliogr. (Ed. impr.) ; 107(7): 567-571, sept. 2016. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-155535

RESUMO

La escombroidosis es una causa frecuente de intoxicación alimentaria a nivel mundial que se debe a la ingesta de pescado azul contaminado con bacterias que inducen la formación de grandes cantidades de histamina. Clínicamente se manifiesta sobre todo a nivel cutáneo, en forma de flushing descendente y/o rash eritemato-urticariforme facial y en el tronco superior. Aunque habitualmente tiene un curso autolimitado y benigno, pueden existir casos de compromiso vascular, broncoespasmo y arritmias. Es importante hacer un correcto diagnóstico diferencial, entre otros con la alergia al pescado. El tratamiento se basa en la administración de antihistamínicos orales. Lo más importante es su prevención mediante una correcta refrigeración del pescado. Este trabajo es una revisión práctica de la escombroidosis orientada para su uso por el dermatólogo (AU)


Scombroid poisoning is a common cause of food poisoning worldwide. It is caused by ingestion of oily fish contaminated with bacteria that trigger the formation of high concentrations of histamine. Scombroid poisoning manifests mainly as a skin complaint (flushing that spreads downward and/or an erythematous urticarial rash affecting the face and upper trunk). Although the clinical course is usually self-limiting and benign, vascular compromise, bronchospasm, and arrhythmias have been described. It is important to establish a differential diagnosis that includes conditions such as fish allergy. Oral antihistamines are the mainstay of treatment. Scombroid poisoning is best prevented by refrigerating fish properly. The practical review of scombroid poisoning provided here is intended for dermatologists (AU)


Assuntos
Humanos , Masculino , Feminino , Hipersensibilidade Alimentar , Hipersensibilidade Alimentar/diagnóstico , Hipersensibilidade Alimentar/tratamento farmacológico , Doenças Transmitidas por Alimentos/complicações , Doenças Transmitidas por Alimentos/diagnóstico , Doenças Transmitidas por Alimentos/tratamento farmacológico , Antagonistas dos Receptores Histamínicos/uso terapêutico , Histamina/toxicidade , Exantema/complicações , Exantema/tratamento farmacológico , Exantema/epidemiologia , Diagnóstico Diferencial , Prognóstico
19.
Obstet Gynecol Surv ; 71(4): 253-9, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27065071

RESUMO

Intestinal parasitic worms affect more than 2 billion people worldwide according to the World Health Organization. Fish-borne parasitic infections are becoming more common with the increasing popularity of sushi, sashimi, Carpaccio, tartare, gefilte, and ceviche. The ingestion of these parasites can cause serve anemia, malabsorption, severe abdominal pain, nausea, vomiting, strong allergic reactions, and gastric ulcers. Knowledge about fish parasites and pregnancy is limited. A literature search on PubMed and Web of Science used the search terms "fish parasites" OR "diphyllobothrium" OR "anisakiasis" OR "pseudoterranova" OR ("food borne parasites" AND "fish") AND "pregnancy" OR "maternal" OR "fetus" OR "fetal" OR "newborn" OR "neonatal" OR "childbirth." No limit was put on the number of years searched. There were 281 publications identified. The abstracts of all of these publications were read. After exclusion of the articles that were not relevant to pregnancy, pregnancy outcome, and fish parasites, there were 24 articles that became the basis of this review. The pathophysiology, altered maternal immunity related to the infection, limited information about fish-borne parasitic infections and pregnancy, and treatments are discussed. The main impact of a fish-borne parasitic infection on pregnant women is anemia and altered immunity, which may increase the risk of a maternal infection. The primary fetal effects include intrauterine growth restriction and preterm delivery.


Assuntos
Produtos Pesqueiros/efeitos adversos , Doenças Transmitidas por Alimentos/complicações , Complicações Parasitárias na Gravidez/etiologia , Feminino , Retardo do Crescimento Fetal/parasitologia , Produtos Pesqueiros/parasitologia , Doenças Transmitidas por Alimentos/parasitologia , Humanos , Recém-Nascido , Enteropatias Parasitárias/complicações , Enteropatias Parasitárias/parasitologia , Complicações do Trabalho de Parto/parasitologia , Gravidez , Resultado da Gravidez , Nascimento Prematuro/parasitologia
20.
Med Clin North Am ; 100(2): 317-30, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26900116

RESUMO

Traveler's diarrhea (TD) is the most common travel-related illness, and it can have a significant impact on the traveler. Pretravel consultation provides an excellent opportunity for the clinician to counsel the traveler and discuss strategies such as food and water hygiene, vaccinations, and medications for prophylaxis or self-treatment that may decrease the incidence and impact of TD. Postinfectious sequelae, such as postinfectious irritable bowel syndrome, reactive arthritis, and Guillain-Barre syndrome, may develop weeks or months after return.


Assuntos
Diarreia/prevenção & controle , Medicina de Viagem , Viagem , Antibacterianos/uso terapêutico , Antibioticoprofilaxia , Antidiarreicos/uso terapêutico , Artrite Reativa/etiologia , Bismuto/uso terapêutico , Desidratação/prevenção & controle , Diarreia/etiologia , Feminino , Hidratação , Doenças Transmitidas por Alimentos/complicações , Síndrome de Guillain-Barré/etiologia , Humanos , Hospedeiro Imunocomprometido , Síndrome do Intestino Irritável/etiologia , Compostos Organometálicos/uso terapêutico , Gravidez , Probióticos/uso terapêutico , Fatores de Risco , Salicilatos/uso terapêutico , Vacinas , Doenças Transmitidas pela Água/complicações
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA