期刊
TRAVEL MEDICINE AND INFECTIOUS DISEASE
卷 47, 期 -, 页码 -出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.tmaid.2022.102286
关键词
Fascioliasis; Fasciola; Imported diseases; Imported infections; Spain
资金
- Spanish Network on Tropical Diseases (RICET) [RD16/0027/0020]
- Plan Nacional R + D + I
- ISCIII-Subdireccion General de Evaluacion y el Fondo Europeo de Desarrollo Regional (FEDER)
This study investigated the characteristics of imported fascioliasis cases in Spain and found that fascioliasis is a rare imported parasitic disease in the country. Eosinophilia and geographical origin are the main clues for diagnosis.
Background: There are few reports of imported fascioliasis in Spain. This study aimed to describe the characteristics of cases registered in +REDIVI network. Methods: Observational, retrospective, descriptive study of imported fascioliasis cases registered in the +REDIVI, a multicenter collaborative network collecting information on imported infectious diseases in Spain, from October 2009 to May 2019. Results: Of 25,203 cases of imported disease registered over the study period, 16 (0.063%) were fascioliasis, acquired mainly in Pakistan, Morocco, Bolivia, and Peru. Clinical, analytical, and therapeutic data were available for 12 cases (6 immigrants, 4 people visiting friends and relatives, 2 travelers). Eleven (91.6%) had eosinophilia. The most frequent symptoms were abdominal pain (n = 5) and cough (n = 5). Two cases (16.66%) were acute and 10 (83.33%) chronic. Two patients presented lung involvement, and four had other parasitic co-infections. Twelve cases (100%) were seropositive for Fasciola hepatica. Ten patients underwent a coproparasitological study, none of which detected Fasciola spp. eggs. The probable food origin (watercress) was confirmed in 3 cases (25%). Nine of the 10 patients treated with triclabendazole (90%) and one patient treated with praziquantel were considered to meet the criteria for cure. One patient was lost to follow-up. Conclusions: Fascioliasis is a rare imported parasitosis in Spain. Eosinophilia, along with geographical origin, is the main clue for diagnosis.
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