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Calcified helminthiasis in a sub-Saharan immigrant patient
Helmintiasis calcificada en paciente inmigrante subsahariano
Jose Ángel Cuenca-Gómez
, Manuel Jesús Soriano-Pérez, Joaquín Salas-Coronas
Corresponding author
Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Spain
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Increased uptake in the thyroid bed, compatible with multinodular goitre, and physiological uptake in the salivary glands can also be observed.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Álvaro Vidal-Suárez, María del Mar Roca-Rodríguez, Isabel Torres-Barea" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Álvaro" "apellidos" => "Vidal-Suárez" ] 1 => array:2 [ "nombre" => "María del Mar" "apellidos" => "Roca-Rodríguez" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "Torres-Barea" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S002577532030110X" "doi" => "10.1016/j.medcli.2020.01.015" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S002577532030110X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621000929?idApp=UINPBA00004N" "url" => "/23870206/0000015600000007/v1_202104020834/S2387020621000929/v1_202104020834/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Calcified helminthiasis in a sub-Saharan immigrant patient" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "367" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jose Ángel Cuenca-Gómez, Manuel Jesús Soriano-Pérez, Joaquín Salas-Coronas" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Jose Ángel" "apellidos" => "Cuenca-Gómez" "email" => array:1 [ 0 => "jacuencag@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Manuel Jesús" "apellidos" => "Soriano-Pérez" ] 2 => array:2 [ "nombre" => "Joaquín" "apellidos" => "Salas-Coronas" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Helmintiasis calcificada en paciente inmigrante subsahariano" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 563 "Ancho" => 750 "Tamanyo" => 38784 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 22-year-old patient from Mauritania who has lived in Spain since November 2009. The patient had a history pulmonary tuberculosis and tuberculous lymphadenitis successfully treated in 2010. Under the immigrant care protocol, an abdominal X-ray was performed, showing an image compatible with a calcified helminth (red arrow) in the right iliac wing. Laboratory tests revealed microcytic anaemia and hypochromia with haemoglobin of 11.7<span class="elsevierStyleHsp" style=""></span>g/dl, without leukocytosis (total eosinophils of 81/μL), 272,000 platelets/μL and IgE of 1,153.52 IU/mL, with normal kidney and liver function. The urine parasite test was positive for <span class="elsevierStyleItalic">Schistosoma haematobium</span>, with no evidence of genitourinary involvement in the ultrasound study, after which the patient was treated with praziquantel. The rest of the parasitological studies (lymphatic filariasis serology, Knott test and parasites in stools) were negative (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Different helminths can cause calcified soft tissue lesions, which may be detected incidentally. Filariae such as <span class="elsevierStyleItalic">Wuchereria bancrofti</span>, <span class="elsevierStyleItalic">Loa loa</span> or <span class="elsevierStyleItalic">Onchocerca volvulus</span>, cysticercosis (<span class="elsevierStyleItalic">Taenia solium</span>) that produces typical “rice grain” calcifications and dracunculiasis are the most common. What is more, <span class="elsevierStyleItalic">Schistosoma haematobium</span> can lead to lesions due to genitourinary calcifications (mainly in the bladder). The calcification present in our patient has a typical <span class="elsevierStyleItalic">chain mail</span> pattern, which is highly suggestive of dracunculiasis. The diagnosis of this disease is clinical and in our patient no evidence of active infection was detected, so no treatment was required.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Cuenca-Gómez JÁ, Soriano-Pérez MJ, Salas-Coronas J. Helmintiasis calcificada en paciente inmigrante subsahariano. Med Clin (Barc). 2021;156:367–367.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 563 "Ancho" => 750 "Tamanyo" => 38784 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015600000007/v1_202104020834/S2387020621000978/v1_202104020834/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015600000007/v1_202104020834/S2387020621000978/v1_202104020834/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621000978?idApp=UINPBA00004N" ]
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