2026-04-14T02:16:13Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/118652025-10-24T10:26:01Zcom_2072_378070com_2072_378040col_2072_378092

00925njm 22002777a 4500 dc Salvador, Fernando author Bocanegra García, Maria Cristina author Goterris Bonet, Lidia author Martínez-Vallejo, Patricia author Treviño Maruri, Begoña author Sulleiro, Elena author SÁNCHEZ-MONTALVÁ, ADRIÁN author Serre Delcor, Núria author Bosch-Nicolau, Pau author Aznar, María Luisa author Pou Ciruelo, Diana author Espiau, María author Martínez-Campreciós, Joan author Espinosa-Pereiro, Juan author Oliveira Souto, Inés author Zarzuela Serrat, Francesc author Molina Romero, Israel author 2024-08-26T06:44:00Z 2024-08-26T06:44:00Z 2024-07 Katayama; Travelers; Schistosomiasis Katayama; Viajeros; Esquistosomiasis Katayama; Viatgers; Esquistosomiasi Background Acute schistosomiasis occurs most often in travelers to endemic regions. The aim of the study is to describe the epidemiological, clinical and parasitological characteristics of patients with schistosomiasis acquired during an international travel. Methods Observational retrospective study including all travel-related schistosomiasis cases seen at the International Health Unit Vall d’Hebron-Drassanes (Barcelona, Spain) from 2009 to 2022. Diagnosis of schistosomiasis was defined by the presence of Schistosoma eggs in stools or urine or the positivity of a serological test. We collected demographic, epidemiological, clinical, parasitological, and therapeutic information. Results 917 cases of schistosomiasis were diagnosed, from whom 96 (10.5 %) were travel-related. Mean age of the patients was 34.9 years, and 53.1 % were women. Median duration of the travel was 72 days, and geographical areas where travelers had contact with fresh water were Africa (82.3 %), Asia (12.5 %), and South America (5.2 %). Twenty (20.8 %) patients reported having had some clinical symptom, being gastrointestinal symptoms the most frequent. Two patients developed the classical Katayama syndrome. In eleven (11.5 %) cases eggs were observed in urine or feces samples, and 85 (88.5 %) cases were diagnosed by a positive serology. Ninety-one (94.8 %) patients received treatment with praziquantel with different therapeutic schemes. The two patients with Katayama syndrome received concomitant treatment with corticosteroids. Conclusions Schistosomiasis in travelers represented 10 % of the overall schistosomiasis cases in our center. Increasing the awareness in the pre-travel advice and implementing specific screening in those travelers at risk (long travelers, contact with fresh water) could reduce the incidence and associated morbidity in this group. http://hdl.handle.net/11351/11865 Esquistosomiasi - Diagnòstic Esquistosomiasi - Tractament Malalties transmissibles Viatge Agents antiparasitaris - Ús terapèutic DISEASES::Bacterial Infections and Mycoses::Infection::Communicable Diseases::Communicable Diseases, Imported ANTHROPOLOGY, EDUCATION, SOCIOLOGY, AND SOCIAL PHENOMENA::Human Activities::Travel CHEMICALS AND DRUGS::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Anti-Infective Agents::Antiparasitic Agents::Anthelmintics DISEASES::Parasitic Diseases::Helminthiasis::Trematode Infections::Schistosomiasis Other subheadings::Other subheadings::/diagnosis ENFERMEDADES::enfermedades parasitarias::helmintiasis::infecciones por trematodos::esquistosomiasis Otros calificadores::Otros calificadores::/diagnóstico ENFERMEDADES::infecciones bacterianas y micosis::infección::enfermedades transmisibles::enfermedades transmisibles importadas ANTROPOLOGÍA, EDUCACIÓN, SOCIOLOGÍA Y FENÓMENOS SOCIALES::actividades humanas::viaje COMPUESTOS QUÍMICOS Y DROGAS::acciones y usos químicos::acciones farmacológicas::usos terapéuticos::antiinfecciosos::antiparasitarios::antihelmínticos Imported schistosomiasis in travelers: Experience from a referral tropical medicine unit in Barcelona, Spain