{"title":"Absceso hepático amebiano tras las inundaciones ocasionadas por la DANA de octubre de 2024 en Valencia, España: un caso centinela de riesgo parasitario emergente en entornos no endémicos","authors":"Javier García-Abellán, Mar Masiá, Félix Gutiérrez","doi":"10.1016/j.eimc.2025.503034","DOIUrl":"10.1016/j.eimc.2025.503034","url":null,"abstract":"","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"44 1","pages":"Article 503034"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lucía Cayuela , Clara Peiró Villalba , Beatriz Valle Borrego , Aurelio Cayuela
{"title":"Regional and sex differences in infective endocarditis mortality in Spain","authors":"Lucía Cayuela , Clara Peiró Villalba , Beatriz Valle Borrego , Aurelio Cayuela","doi":"10.1016/j.eimc.2025.503057","DOIUrl":"10.1016/j.eimc.2025.503057","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to describe national and regional trends in infective endocarditis (IE) mortality in Spain.</div></div><div><h3>Methods</h3><div>This ecological study analyzed IE mortality trends in Spain from 1999 to 2023 using data from the Spanish National Institute of Statistics. Age-standardized mortality rates (ASMRs) were calculated using direct standardization to the 2013 European Standard Population. Joinpoint regression analysis identified significant shifts in trend trajectories, calculating Annual Percentage Change (APC) and Average Annual Percent Change (AAPC). Regional disparities were assessed using Standardized Mortality Ratios (SMRs) for 2023.</div></div><div><h3>Results</h3><div>Between 1999 and 2023, 29,766 IE deaths occurred in Spain; 58.0% were women, and 89.0% were aged ≥65 years. Men's ASMR increased from 2.46 to 2.95 per 100,000 (AAPC: +1.2%), showing significant rise from 1999 to 2010 (APC: +2.1%) followed by stabilization. Conversely, women's ASMR declined from 2.60 to 2.00 per 100,000 (AAPC: −0.5%), with initial increase (1999–2017, APC: +0.9%) followed by marked decline (2017–2023, APC: −4.9%).</div><div>Regional variations were notable. Among men, Galicia (AAPC: +3.7%) and Asturias (+3.4%) showed steepest increases, while Castile and León declined (−3.0%). In 2023, Navarre (SMR: 2.01) and Galicia (SMR: 1.93) had nearly double national IE mortality risk. For women, Galicia had most pronounced increase (AAPC: 4.1%), while significant declines occurred in Castile and León (AAPC: −4.1%). In 2023, Navarre (SMR: 2.46) and Galicia (SMR: 2.00) exhibited significantly elevated mortality.</div></div><div><h3>Conclusions</h3><div>IE mortality in Spain exhibits complex sex-specific trends and persistent regional disparities, underscoring the need for targeted, equitable public health interventions.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"44 1","pages":"Article 503057"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valeria Ferrando-Mérida , Marina Machado , Carmen Cuenca , Rubén Alonso , Patricia Muñoz , Emilio Bouza
{"title":"Prostatic abscesses as a cause of persistent Staphylococcus aureus bacteremia","authors":"Valeria Ferrando-Mérida , Marina Machado , Carmen Cuenca , Rubén Alonso , Patricia Muñoz , Emilio Bouza","doi":"10.1016/j.eimc.2025.503032","DOIUrl":"10.1016/j.eimc.2025.503032","url":null,"abstract":"<div><h3>Introduction</h3><div>Persistent <em>Staphylococcus aureus</em> bacteremia (SAB) is associated with high mortality and requires prompt identification and control of the infectious source. Prostatic abscesses, though rare, are an underrecognized cause of persistent SAB, especially in patients with urinary symptoms and comorbidities.</div></div><div><h3>Methods</h3><div>We present two cases of persistent methicillin-susceptible <em>Staphylococcus aureus</em> (MSSA) bacteremia in which no initial focus was identified despite extensive evaluation. Further investigation led to the diagnosis of prostatic abscesses as the underlying source.</div></div><div><h3>Results</h3><div>Both patients underwent transurethral drainage of the abscesses in combination with prolonged antibiotic therapy. This combined approach resulted in resolution of the bacteremia and favorable clinical outcomes.</div></div><div><h3>Conclusions</h3><div>Prostatic abscesses should be considered in the differential diagnosis of persistent SAB, particularly in patients with suggestive urinary symptoms or risk factors. Timely recognition and appropriate source control through surgical drainage and antibiotics are essential for achieving clinical cure.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"44 1","pages":"Article 503032"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mario Fernández-Ruiz , Rafael San-Juan , María Milagro Montero , José Ramón Paño-Pardo , Jordi Carratalà , Jesús Fortún , Miguel Salavert , Julián Torre-Cisneros , José María Aguado , en representación de los miembros del Grupo OPENIN («Optimización de procesos clínicos para el diagnóstico y tratamiento de infecciones»)
{"title":"¿Cómo podemos optimizar el abordaje diagnóstico y terapéutico de la infección de tracto urinario? Una opinión de expertos","authors":"Mario Fernández-Ruiz , Rafael San-Juan , María Milagro Montero , José Ramón Paño-Pardo , Jordi Carratalà , Jesús Fortún , Miguel Salavert , Julián Torre-Cisneros , José María Aguado , en representación de los miembros del Grupo OPENIN («Optimización de procesos clínicos para el diagnóstico y tratamiento de infecciones»)","doi":"10.1016/j.eimc.2025.503027","DOIUrl":"10.1016/j.eimc.2025.503027","url":null,"abstract":"<div><div>Due to its high incidence, urinary tract infection (UTI) is a common cause of health resources utilization and antibiotic prescription in both outpatient and inpatient settings. The OPENIN («Optimización de procesos clínicos para el diagnóstico y tratamiento de infecciones») Group is composed of Infectious Diseases specialists and Microbiologists and aims at generating recommendations that can contribute to improve the approach to processes with high impact on the health system based on a review of the best available evidence. The second Group meeting (held in October 2024) sought to answer the following questions: Can we optimize the syndromic and microbiological diagnosis of UTI? Is it possible to improve antibiotic treatment practices? And finally, are the different interventions (non-pharmacological measures, antibiotic prophylaxis, bacterial vaccines or probiotics, among others) effective in reducing the risk of recurrences? The present review summarizes the literature scrutinized for that meeting and offers a series of expert recommendations.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"44 1","pages":"Article 503027"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carmen Frías Ruiz , Gema García de la Rosa , Noelia Hernando Parreño , Francisco Martínez Bugallo
{"title":"Desenmascarando al patógeno oculto: hemólisis masiva y sepsis fulminante","authors":"Carmen Frías Ruiz , Gema García de la Rosa , Noelia Hernando Parreño , Francisco Martínez Bugallo","doi":"10.1016/j.eimc.2025.503043","DOIUrl":"10.1016/j.eimc.2025.503043","url":null,"abstract":"","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"44 1","pages":"Article 503043"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Aznar , Mariana G. López , María José Torres , Eduardo Briones , Juan Francisco Medina , Verónica González-Galán
{"title":"Identificación de linajes y sublinajes del complejo Mycobacterium tuberculosis mediante estrategias moleculares avanzadas y secuenciación en Sevilla, España (2015-2022)","authors":"María Aznar , Mariana G. López , María José Torres , Eduardo Briones , Juan Francisco Medina , Verónica González-Galán","doi":"10.1016/j.eimc.2025.503038","DOIUrl":"10.1016/j.eimc.2025.503038","url":null,"abstract":"<div><h3>Introduction</h3><div>Tuberculosis (TB) in the Virgen del Rocío university hospital health area, included in the Seville Health District, Spain, exceeds the rate of 17 cases/100,000 inhabitants. Within the <em>Mycobacterium tuberculosis</em> complex (MTBC), <em>M.</em> <em>tuberculosis sensu stricto</em> comprises seven phylogenetic lineages (L1-L4 and L7-L9). The objective of this work is to know the circulating lineages in the area.</div></div><div><h3>Methods</h3><div>Molecular typing and sequencing were performed to identify circulating lineages from 2015 to 2022.</div></div><div><h3>Results</h3><div>From 2015 to 2019, the following were identified: L4 (95.95%, n<!--> <!-->=<!--> <!-->355), L2 (1.62%, n<!--> <!-->=<!--> <!-->6), and L6 (1.08%, n<!--> <!-->=<!--> <!-->4). From 2020-2022: L4 94.62% (n<!--> <!-->=<!--> <!-->123); L1 1.5% (n<!--> <!-->=<!--> <!-->2); L3 1.5% (n<!--> <!-->=<!--> <!-->2) and L2 0.76% (n<!--> <!-->=<!--> <!-->1).</div></div><div><h3>Conclusions</h3><div>The emergence of different lineages in our area and their recognition are key to contributing to disease control. These findings demonstrate the need to continue surveillance and apply sequencing to understand and control the dynamics of TB transmission.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"44 1","pages":"Article 503038"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mario Villarreal-Lopez de Munain , Mikel del Álamo Martínez de Lagos , Alejandro Fonollosa , Josune Goikoetxea Aguirre
{"title":"Pérdida de agudeza visual en paciente con antecedentes de infección ocular: un desafío diagnóstico y terapéutico","authors":"Mario Villarreal-Lopez de Munain , Mikel del Álamo Martínez de Lagos , Alejandro Fonollosa , Josune Goikoetxea Aguirre","doi":"10.1016/j.eimc.2025.503048","DOIUrl":"10.1016/j.eimc.2025.503048","url":null,"abstract":"","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"44 1","pages":"Article 503048"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francisco Carmona-Torre, Maialen Ibarguren Pinilla, Miguel Ángel Goenaga
{"title":"Acute Q fever in Spain: Aligning diagnosis and one health surveillance","authors":"Francisco Carmona-Torre, Maialen Ibarguren Pinilla, Miguel Ángel Goenaga","doi":"10.1016/j.eimc.2025.08.001","DOIUrl":"10.1016/j.eimc.2025.08.001","url":null,"abstract":"","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 10","pages":"Pages 629-631"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sergio Fuente-García , Laura Martínez-García , Ana Moreno , Juan Carlos Galán
{"title":"The current challenge of accurately diagnosing new HIV infections","authors":"Sergio Fuente-García , Laura Martínez-García , Ana Moreno , Juan Carlos Galán","doi":"10.1016/j.eimc.2025.07.005","DOIUrl":"10.1016/j.eimc.2025.07.005","url":null,"abstract":"","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 10","pages":"Pages 636-638"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}