Eosinophilia among returning travelers: a practical approach.
Am J Trop Med Hyg
; 78(5): 702-9, 2008 May.
Article
en En
| MEDLINE
| ID: mdl-18458300
ABSTRACT
Eosinophilia is not uncommon among returning travelers; however, the optimal diagnostic and therapeutic approach in travelers, as opposed to immigrants and refugees, is not clearly established. This was a retrospective case series. All returning travelers from developing countries presenting at the post-travel clinic with eosinophilia (>or= 500 cells/mcl) during 1994-2006 were evaluated. Data were compared with other referrals to the post-travel clinic and with a random sample of a pre-travel clinic. Of the 955 returning travelers evaluated during the study period, 82 (8.6%) had eosinophilia, and 44 (4.4%) were diagnosed with schistosomiasis. Another 38 (4.2%) cases presented with non-schistosomal eosinophilia (NSE), among whom a definite parasitologic diagnosis was achieved in only 23.7%. However, an empiric course of albendazole led to a clinical improvement in 90% of NSE cases. Helminthic disease probably accounts for the majority of cases of post-travel eosinophilia. Empiric albendazole therapy should be offered to undiagnosed NSE patients.
Search on Google
Banco de datos:
MEDLINE
Asunto principal:
Paraquat
/
Esquistosomiasis
/
Viaje
/
Albendazol
/
Eosinofilia
Tipo de estudio:
Observational_studies
Límite:
Animals
/
Female
/
Humans
País como asunto:
Asia
Idioma:
En
Año:
2008
Tipo del documento:
Article