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Laynez-Roldán P, Gómez Álvarez MP, Pérez Hernández O, García Martínez de Artola D, Almuedo-Riera A, Rodríguez-Valero N. Necrotizing soft tissue infection by Vibrio furnissii after a migratory journey by sea to the Canary Islands (Spain). Travel Med Infect Dis 2024; 57:102678. [PMID: 38101761 DOI: 10.1016/j.tmaid.2023.102678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Revised: 11/12/2023] [Accepted: 12/02/2023] [Indexed: 12/17/2023]
Affiliation(s)
- Pedro Laynez-Roldán
- ISGlobal, Hospital Clínic - Universitat de Barcelona, 08036, Barcelona, Spain.
| | | | - Onán Pérez Hernández
- Hospital Universitario Nuestra Señora de Candelaria, 38010, Santa Cruz de Tenerife, Spain.
| | | | - Alex Almuedo-Riera
- ISGlobal, Hospital Clínic - Universitat de Barcelona, 08036, Barcelona, Spain.
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Laynez-Roldán P, Losada-Galván I, Posada E, de la Torre Ávila L, Casellas A, Sanz S, Subirà C, Rodriguez-Valero N, Camprubí-Ferrer D, Vera I, Roldán M, Aldasoro E, Oliveira-Souto I, Calvo-Cano A, Valls ME, Álvarez-Martínez MJ, Gállego M, Abras A, Ballart C, Muñoz J, Gascón J, Pinazo MJ. Characterization of Latin American migrants at risk for Trypanosoma cruzi infection in a non-endemic setting. Insights into initial evaluation of cardiac and digestive involvement. PLoS Negl Trop Dis 2023; 17:e0011330. [PMID: 37440480 DOI: 10.1371/journal.pntd.0011330] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 04/24/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND Trypanosoma cruzi causes Chagas disease (CD), a potentially fatal disease characterized by cardiac disorders and digestive, neurological or mixed alterations. T. cruzi is transmitted to humans by the bite of triatomine vectors; both the parasite and disease are endemic in Latin America and the United States. In the last decades, population migration has changed the classic epidemiology of T. cruzi, contributing to its global spread to traditionally non-endemic countries. Screening is recommended for Latin American populations residing in non-endemic countries. METHODS The present study analyzes the epidemiological characteristics of 2,820 Latin American individuals who attended the International Health Service (IHS) of the Hospital Clinic de Barcelona between 2002 and 2019. The initial assessment of organ damage among positive cases of T. cruzi infection was analyzed, including the results of electrocardiogram (ECG), echocardiogram, barium enema and esophagogram. RESULTS Among all the screened individuals attending the clinic, 2,441 (86.6%) were born in Bolivia and 1,993 (70.7%) were female. Of individuals, 1,517 (81.5%) reported previous exposure to the vector, which is a strong risk factor associated with T. cruzi infection; 1,382 individuals were positive for T. cruzi infection. The first evaluation of individuals with confirmed T. cruzi infection, showed 148 (17.1%) individuals with Chagasic cardiomyopathy, the main diagnostic method being an ECG and the right bundle branch block (RBBB) for the most frequent disorder; 16 (10.8%) individuals had a normal ECG and were diagnosed of Chagasic cardiomyopathy by echocardiogram. CONCLUSIONS We still observe many Latin American individuals who were at risk of T. cruzi infection in highly endemic areas in their countries of origin, and who have not been previously tested for T. cruzi infection. In fact, even in Spain, a country with one of the highest proportion of diagnosis of Latin American populations, T. cruzi infection remains underdiagnosed. The screening of Latin American populations presenting with a similar profile as reported here should be promoted. ECG is considered necessary to assess Chagasic cardiomyopathy in positive individuals, but echocardiograms should also be considered as a diagnostic approach given that it can detect cardiac abnormalities when the ECG is normal.
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Affiliation(s)
- Pedro Laynez-Roldán
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Irene Losada-Galván
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
- Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Elizabeth Posada
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Leonardo de la Torre Ávila
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Aina Casellas
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Sergi Sanz
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Carme Subirà
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Natalia Rodriguez-Valero
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Daniel Camprubí-Ferrer
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Isabel Vera
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Montserrat Roldán
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Edelweiss Aldasoro
- The International Foundation for Integrated Care (IFIC), Schiphol, The Netherlands
| | - Inés Oliveira-Souto
- Department of Infectious Diseases, Tropical Medicine & International Health Unit Vall d'Hebron-Drassanes, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, PROSICS Barcelona, Barcelona, Spain
| | - Antonia Calvo-Cano
- Department of Infectious Pathology, Badajoz University Hospital, Badajoz, Spain
| | - Maria-Eugenia Valls
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
- Department of Microbiology, Hospital Clinic, Barcelona, Spain
| | - Míriam J Álvarez-Martínez
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
- Department of Microbiology, Hospital Clinic, Barcelona, Spain
| | - Montserrat Gállego
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
- Parasitology section, Departament of Biology, Health and Environment, Faculty of Pharmacy and Food Science, Universitat de Barcelona, Barcelona, Spain
- Center for Network Biothecnological Research in Infectious Diseases (CIBERISCIII), Madridy, Spain
| | - Alba Abras
- Genetic Area, Department of Biology, Universitat de Girona, Campus Montilivi, Girona, Spain
| | - Cristina Ballart
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
- Parasitology section, Departament of Biology, Health and Environment, Faculty of Pharmacy and Food Science, Universitat de Barcelona, Barcelona, Spain
| | - José Muñoz
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
| | - Joaquim Gascón
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
- Center for Network Biothecnological Research in Infectious Diseases (CIBERISCIII), Madridy, Spain
| | - Maria-Jesus Pinazo
- Barcelona Institute for Global Health, ISGlobal-Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
- Center for Network Biothecnological Research in Infectious Diseases (CIBERISCIII), Madridy, Spain
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Laynez-Roldán P, Fuertes I, Almuedo A, Losada I, Giavedoni P, Camprubí D, Muñoz J, Gállego M, Fernández-Arévalo A, Rodríguez-Valero N. Sporotrichoid dissemination of cutaneous leishmaniasis possibly triggered by a diagnostic puncture. J Travel Med 2019; 27:taz044. [PMID: 31184700 DOI: 10.1093/jtm/taz044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Revised: 06/04/2019] [Indexed: 11/15/2022]
Abstract
We present the images of a cutaneous leishmaniasis with sporotrichoid dissemination in a Spanish woman who was living in Bolivia for six months. A diagnostic puncture of the ulcer could have been the trigger for the lymphatic dissemination.
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Affiliation(s)
- Pedro Laynez-Roldán
- Tropical Medicine and International Health Department. ISGlobal, Hospital Clínic - Universitat de Barcelona. Barcelona. Spain. Roselló 132, 4º 2º, CP: 08036. Barcelona, Spain
| | - Irene Fuertes
- Hospital Clinic de Barcelona. Dermatology Department
| | - Alex Almuedo
- Tropical Medicine and International Health Department. ISGlobal, Hospital Clínic - Universitat de Barcelona. Barcelona. Spain. Roselló 132, 4º 2º, CP: 08036. Barcelona, Spain
- Hospital General de Granollers, Internal Medicine Department
| | - Irene Losada
- Tropical Medicine and International Health Department. ISGlobal, Hospital Clínic - Universitat de Barcelona. Barcelona. Spain. Roselló 132, 4º 2º, CP: 08036. Barcelona, Spain
| | | | - Daniel Camprubí
- Tropical Medicine and International Health Department. ISGlobal, Hospital Clínic - Universitat de Barcelona. Barcelona. Spain. Roselló 132, 4º 2º, CP: 08036. Barcelona, Spain
| | - José Muñoz
- Tropical Medicine and International Health Department. ISGlobal, Hospital Clínic - Universitat de Barcelona. Barcelona. Spain. Roselló 132, 4º 2º, CP: 08036. Barcelona, Spain
| | - Montserrat Gállego
- ISGlobal, Hospital Clinic - Universitat de Barcelona. Barcelona. Spain
- Secció de Parasitologia. Departament de Biología, Sanitat i Medi Ambient. Facultat de Farmàcia i Ciènces de l'Alimentació, Universitat de Barcelona. Barcelona. Spain
| | - Anna Fernández-Arévalo
- Secció de Parasitologia. Departament de Biología, Sanitat i Medi Ambient. Facultat de Farmàcia i Ciènces de l'Alimentació, Universitat de Barcelona. Barcelona. Spain
| | - Natalia Rodríguez-Valero
- Tropical Medicine and International Health Department. ISGlobal, Hospital Clínic - Universitat de Barcelona. Barcelona. Spain. Roselló 132, 4º 2º, CP: 08036. Barcelona, Spain
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