Información del artículo
Las enfermedades infecciosas constituyen la principal causa de mortalidad en los países en vías de desarrollo, muchos de los cuales están localizados en regiones tropicales. Algunas de estas enfermedades tienen características particulares que pueden dificultar su diagnóstico, si no se está familiarizado con ellas. En este artículo se describen los patrones clínicos de las enfermedades pulmonares, dermatológicas y genitourinarias en el trópico y los principios básicos de su diagnóstico, haciendo hincapié en la distribución geográfica y la influencia de la infección por el virus de la inmunodeficiencia humana.
Palabras clave:
Inmigración
VIH
Síndromes clínicos
Eosinofilia
Infectious diseases are the leading cause of mortality in less developed countries, many of which are located in tropical areas. These diseases have particular features than can hamper diagnosis unless clinicians are familiar with their characteristics. The present article describes the clinical pattern of pulmonary, cutaneous and genitourinary tropical diseases and the main principles of their diagnosis. Emphasis is placed on their geographical distribution and the influence of HIV infection.
Key words:
Immigration
HIV
Clinical syndrome
Eosinophilia
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Bibliografía
[1.]
Instituto Nacional de Estadística. Avance del Padrón Municipal a 1 de enero de 2007. Disponible en: www.ine.es
[2.]
International Travel and Health. World Health Organization. Ginebra, Año 2007.
[3.]
R. López-Vélez, H. Huerga, M.C. Turrientes.
Infectious diseases in immigrants from the perspective of a tropical medicine referral unit.
Am J Trop Med Hyg, 69 (2003), pp. 115-121
[4.]
S. Ansart, L. Pérez, O. Vergely, M. Danis, F. Bricaire, E. Caumes.
Illnesses in travelers returning from the tropics: a prospective study of 622 patients.
J Travel Med, 12 (2005), pp. 312-318
[5.]
M. Ezzati, D.M. Kammem.
Indoor air pollution from biomass combustion and acute respiratory infection in Kenya. An exposure-response study.
Lancet, 358 (2001), pp. 619
[6.]
CDC. Reported Tuberculosis in the United States, 2002. Atlanta. GA, US. Department of Health and Human Services, CDC; 2003.
[7.]
S. Antinori, C. Magni, M. Nebuloni, C. Parravicini, M. Corbellino, S. Sollima, et al.
Histoplasmosis among human immunodeficiency virus-infected people in Europe: report of 4 cases and review of the literature.
Medicine (Baltimore), 85 (2006), pp. 22-36
[8.]
M.J. Buitrago, A. Gómez-López, A. Monzón, J.L. Rodríguez-Tudela, M. Cuenca-Estrella.
Evaluación de una técnica de PCR cuantitativa para el diagnóstico clínico de la histoplasmosis importada.
Enferm Infecc Microbiol Clin, 25 (2007), pp. 16-22
[9.]
N.M. Ampel, C.L. Dols, J.N. Galgiani.
Coccidioidomycosis during human immunodeficiency virus infection: results of a prospective study in a coccidioidal endemic area.
Am J Med, 94 (1993), pp. 235-240
[10.]
N.M. Ampel.
Coccidioidomycosis in persons infected with HIV type 1.
Clin Infect Dis, 41 (2005), pp. 1174-1178
[11.]
D.O. Freedman, L.H. Weld, P.E. Kozarsky, T. Fisk, R. Robins, F. Von Sonnenburg, GeoSentinel Surveillance Network, et al.
Spectrum of disease and relation to place of exposure among ill returned travelers.
N Engl J Med, 354 (2006), pp. 119-130
[12.]
S. Ansart, L. Pérez, S. Jaureguiberry, M. Danis, F. Bricaire, E. Caumes.
Spectrum of dermatoses in 165 travelers returning from the tropics with skin diseases.
Am J Trop Med Hyg, 76 (2007), pp. 184-186
[13.]
B. Naafs.
Tropical holiday memories.
Eur J Dermatol, 9 (1999), pp. 500-505
[14.]
E. Caumes, J. Carriere, G. Guermonprez, F. Bricaire, M. Danis, M. Gentilini.
Dermatoses associated with travel to tropical countries: a prospective study of the diagnosis and management of 269 patients presenting to a tropical disease unit.
Clin Infect Dis, 20 (1995), pp. 542-548
[15.]
Z. Zubero Sulibarria, J.M. Santamaría Jáuregui, J. Muñoz Sánchez, R. Teira Cobo, J. Baraia-Etxaburu Arteche, R. Cisterna Cancer.
Enfermedades importadas «tropicales»: experiencia de una consulta especializada en un hospital general.
Rev Clin Esp, 200 (2000), pp. 533-537
[16.]
Z.A. Memish, A.O. Osoba.
Sexually transmitted diseases and travel.
Int J Antimicrob Agents, 21 (2003), pp. 131-134
[17.]
Committee to Advise on Tropical Medicine and Travel (CATMAT). Statement on travellers and sexually transmitted infections. An Advisory Committee Statement (ACS). Can Commun Dis Rep. 2006;32(ACS-5):1-24.
[18.]
World Health Organization. Global prevalence and incidence of selected curable sexually transmitted infections: Overview and estimates. Geneva: WHO. WHO/CDS/CSR/EDC/2001.10; 2001. p. 1-54.
[19.]
E. Van Dyck, F. Crabbe, N. Nzila, J. Bogaerts, J.P. Munyabikali, P. Ghys, et al.
Increasing resistance of Neisseria gonorrhoeae in west and central Africa.
Sex Transm Dis, 24 (1997), pp. 32-37
[20.]
N. O’Farrell.
Increasing prevalence of genital herpes in developing countries: implications for heterosexual HIV transmission and STI control programmes.
Sex Transm Infect, 75 (1999), pp. 377-384
[21.]
W. Lai, C.Y. Chen, S.A. Morse, Y. Htun, H.G. Fehler, H. Liu, et al.
Increasing relative prevalence of HSV-2 infection among men with genital ulcers from a mining community in South Africa.
Sex Transm Infect, 79 (2003), pp. 202-207
[22.]
J. Richens.
Genital manifestations of tropical diseases.
Sex Transm Infect, 80 (2004), pp. 12-17
[23.]
G. Dreyer, J. Noroes, J. Figueredo-Silva, W.F. Piessens.
Pathogenesis of lymphatic disease in bancroftian filariasis: a clinical perspective.
Parasitol Today, 16 (2000), pp. 544-548
[24.]
K. Fonck, N. Kidula, W. Jaoko, B. Estambale, P. Claeys, J. Ndinya-Achola, et al.
Validity of the vaginal discharge algorithm among pregnant and non-pregnant women in Nairobi, Kenya.
Sex Transm Infect, 76 (2000), pp. 33-38
[25.]
S. Naicker.
End-stage renal disease in sub-Saharan and South Africa.
Kidney Int, 83 (2003), pp. S119-S122
[26.]
C.H. King, C.E. Keating, J.F. Muruka, J.H. Ouma, H. Houser, T.K. Siongok, et al.
Urinary tract morbidity in schistosomiasis haematobia: associations with age and intensity of infection in an endemic area of Coast Province, Kenya.
Am J Trop Med Hyg, 39 (1988), pp. 361
[27.]
J. Whetham, J.N. Day, M. Armstrong, P.L. Chiodini, C.J. Whitty.
Investigation of tropical eosinophilia; assessing a strategy based on geographical area.
J Infect, 46 (2003), pp. 180-185
[28.]
M.L. Brigden.
A practical workup for eosinophilia. You can investigate the most likely causes right in your office.
Postgrad Med, 105 (1999), pp. 193-194
[29.]
J. Pardo, C. Carranza, A. Muro, A. Ángel-Moreno, A.M. Martin, T. Martin, et al.
Helminth-related Eosinophilia in African immigrants, Gran Canaria.
Emerg Infect Dis, 12 (2006), pp. 1587-1589
[30.]
A.J. Cohen, R.T. Steigbigel.
Eosinophilia in patients infected with human immunodeficiency virus.
J Infect Dis, 174 (1996), pp. 615-618
[31.]
A. Tietz, L. Sponagel, P. Erb, H. Bucher, M. Battegay, W. Zimmerli.
Eosinophilia in patients infected with the human immunodeficiency virus.
Eur J Clin Microbiol Infect Dis, 16 (1997), pp. 675-677
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