Imported Loiasis at a Clinical Reference Center in Germany: A Retrospective Case Series.

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tamara Nordmann, Julia Ruge, Dennis Tappe, Michael Ramharter
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引用次数: 0

Abstract

Loiasis is a rarely imported infectious disease that is often difficult to diagnose and treat. Here we describe clinical features and treatment outcomes of 11 patients with imported loiasis seen at a German reference center between 2013 and 2023. Clinical presentations varied by patient origin, with eye-worm migration and ophthalmological symptoms being more common among patients from endemic areas and Calabar swelling, subcutaneous swelling, and pruritus more prevalent among returning travelers from nonendemic regions. Eosinophil counts were higher in returning travelers. Diethylcarbamazine was most commonly used for treatment either as monotherapy in combination with ivermectin or with albendazole and ivermectin, respectively. In one patient, long-term follow-up indicated treatment failure after the first course of treatment. Another traveler was prescribed chemoprophylaxis with diethylcarbamazine after experiencing repeated infections due to long-term residence in a high-risk region in Cameroon.

德国一家临床参考资料中心的输入性 Loiasis:回顾性病例系列。
丝虫病是一种罕见的输入性传染病,通常难以诊断和治疗。在此,我们描述了2013年至2023年期间在德国一家参考中心就诊的11名输入性龙线虫病患者的临床特征和治疗结果。不同患者的临床表现各不相同,眼虫移行和眼科症状在来自流行地区的患者中更为常见,而卡拉巴尔肿胀、皮下肿胀和瘙痒则在来自非流行地区的回国旅行者中更为普遍。回国旅行者的嗜酸性粒细胞计数更高。最常用的治疗方法是二乙基卡巴嗪与伊维菌素联合单药治疗,或与阿苯达唑和伊维菌素联合单药治疗。一名患者的长期随访结果表明,第一个疗程后治疗失败。另一名旅行者由于长期居住在喀麦隆的高风险地区,反复受到感染,因此被处方使用乙胺嗪进行化学预防。
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来源期刊
American Journal of Tropical Medicine and Hygiene
American Journal of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.20
自引率
3.00%
发文量
508
审稿时长
3 months
期刊介绍: The American Journal of Tropical Medicine and Hygiene, established in 1921, is published monthly by the American Society of Tropical Medicine and Hygiene. It is among the top-ranked tropical medicine journals in the world publishing original scientific articles and the latest science covering new research with an emphasis on population, clinical and laboratory science and the application of technology in the fields of tropical medicine, parasitology, immunology, infectious diseases, epidemiology, basic and molecular biology, virology and international medicine. The Journal publishes unsolicited peer-reviewed manuscripts, review articles, short reports, images in Clinical Tropical Medicine, case studies, reports on the efficacy of new drugs and methods of treatment, prevention and control methodologies,new testing methods and equipment, book reports and Letters to the Editor. Topics range from applied epidemiology in such relevant areas as AIDS to the molecular biology of vaccine development. The Journal is of interest to epidemiologists, parasitologists, virologists, clinicians, entomologists and public health officials who are concerned with health issues of the tropics, developing nations and emerging infectious diseases. Major granting institutions including philanthropic and governmental institutions active in the public health field, and medical and scientific libraries throughout the world purchase the Journal. Two or more supplements to the Journal on topics of special interest are published annually. These supplements represent comprehensive and multidisciplinary discussions of issues of concern to tropical disease specialists and health issues of developing countries
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