RESUMO
According to published data, prevalence of imported eosinophilia among travellers and immigrants is set between 8% and 28.5%. Etiological diagnosis is often troublesome, and depending on the depth of the study and on the population analyzed, a parasitic cause is identified in 17% to 75.9% of the individuals. Among the difficulties encountered to compare studies are the heterogeneity of the studied populations, the type of data collection (prospective/retrospective) and different diagnostic protocols. In this document the recommendations of the expert group of the Spanish Society of Tropical Medicine and International Health (SEMTSI) for the diagnosis and treatment of imported eosinophilia are detailed.
Assuntos
Emigrantes e Imigrantes , Eosinofilia/diagnóstico , Eosinofilia/terapia , Viagem , Medicina Tropical , Consenso , Eosinofilia/parasitologia , Helmintíase/sangue , Helmintíase/tratamento farmacológico , Helmintíase/parasitologia , Humanos , Sociedades Médicas , EspanhaRESUMO
Intravascular lymphomatosis (IL), previously called "malignant angioendotheliomatosis", is a rare neoplastic disease in which mononuclear cells, of demonstrated lymphoid origin, proliferate in small blood vessels lumen. Any organ may be involved, standing out general status affectation, skin and central nervous system (CNS) because their frequency. A case of this disease is reported, who presented general impairment with prolonged fever, abdominal pain and cutaneous arborescent telangiectasias as the most significant clinical data. It become fatal in a short time. It was clinically considered to be a sepsis and diagnosis was only obtained in post-mortem study. This study revealed multiple organ infiltration by this neoplasm, with the notable exception of CNS. Immunohistochemical study confirmed the lymphoid origin of neoplastic cells. The main characteristics of IL are reviewed.