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 Detalle_Publicacion

Fake imported tropical diseases: a retrospective study

Abstract: Background. When we evaluate a patient with a suspected imported disease we cannot forget to include any autochthonous causes that may mimic imported pathologies to avoid misdiagnosis and therapeutic delay. Methods. A descriptive longitudinal retrospective study was designed with patients in whom an imported disease was suspected but who were finally diagnosed with autochthonous processes. The patients were selected from two internal medicine practices specializing in tropical diseases between 2008-2017 in Spain. Results. We report 16 patients, 11 (68.7%) were males, and the mean age was 43.4 ± 13.7 years old. Thirteen patients (81.2%) were travellers. Half of the patients were from Latin America, 7 (43.5%) were from Africa, and 1 (6.2%) was from Asia. The time from trip to evaluation ranged between 1 week and 20 years (me-dian, 4 weeks), and the mean time from evaluation to diagnosis was 58.4 ± 100.9 days. There were 5 (31.2%) cases of autochthonous infection, 5 (31.2%) cases of cancer, 2 (12.5%) cases of inflammatory disease, and 2 (12.5%) cases of vascular disease. Conclusions. Travel or migration by a patient can sometimes be a confusing factor if an imported disease is suspected and may cause delays in the diagnosis and treatment of an autochthonous disease. We highlight that 1/3 of the patients with autochthonous diseases in this study had cancer. The evaluation of imported diseases requires a comprehensive approach by the internist, especially if he specializes in infectious and/or tropical diseases and is, therefore, the best qualified to make an accurate diagnosis.

Otras publicaciones de la misma revista o congreso con autores/as de la Universidad de Cantabria

 Fuente: Revista Española de Quimioterapia, 2018, 31(6), 528 - 531

Editorial: Sociedad española de quimioterapia

 Año de publicación: 2018

Nº de páginas: 4

Tipo de publicación: Artículo de Revista

ISSN: 0214-3429,1988-9518

Autoría

ROMERO-ALEGRÍA, ÁNGELA

HERNÁNDEZ CABRERA, MICHELE

VELASCO-TIRADO, VIRGINIA

PISOS ÁLAMO, ELENA

JAÉN SÁNCHEZ, NIEVES

BELHASSEN-GARCÍA, MONCEF

PÉREZ ARELLANO, JOSÉ LUIS