Importation of visceral leishmaniasis in returning Romanian workers from Spain

Summary Background Over the past two decades visceral leishmaniasis cases and foci have increased in Romania, where the disease has also become a medical concern. The following study aimed to provide essential knowledge on early diagnosis and management of visceral leishmaniasis cases in Romania acq...

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Veröffentlicht in:Travel medicine and infectious disease 2009-01, Vol.7 (1), p.35-39
Hauptverfasser: Neghina, Raul, Neghina, Adriana-Maria, Merkler, Carmen, Marincu, Iosif, Moldovan, Roxana, Iacobiciu, Ioan
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container_issue 1
container_start_page 35
container_title Travel medicine and infectious disease
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creator Neghina, Raul
Neghina, Adriana-Maria
Merkler, Carmen
Marincu, Iosif
Moldovan, Roxana
Iacobiciu, Ioan
description Summary Background Over the past two decades visceral leishmaniasis cases and foci have increased in Romania, where the disease has also become a medical concern. The following study aimed to provide essential knowledge on early diagnosis and management of visceral leishmaniasis cases in Romania acquired especially by traveling and working in the Mediterranean countries. Method Retrospective analysis of the medical records of the patients diagnosed with imported visceral leishmaniasis in a western Romanian county. Results Three patients with visceral leishmaniasis imported from Spain were admitted to hospital in Timisoara in 2005. Detailed case histories along with clinical and laboratory features are presented. In all the patients the final laboratory confirmation of the disease was by Giemsa-stained blood smears obtained by bone marrow biopsy. Conclusions Since 2004, many Romanian citizens left their homeland looking for a better job in the Mediterranean region. Unaware of the risks of outdoor labor in warm climatic conditions, they accepted to live and work in improper sanitary conditions. Late identification of the disease resulted mainly from failure of the physicians to diagnose and associate the syndrome with travel.
doi_str_mv 10.1016/j.tmaid.2008.10.002
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The following study aimed to provide essential knowledge on early diagnosis and management of visceral leishmaniasis cases in Romania acquired especially by traveling and working in the Mediterranean countries. Method Retrospective analysis of the medical records of the patients diagnosed with imported visceral leishmaniasis in a western Romanian county. Results Three patients with visceral leishmaniasis imported from Spain were admitted to hospital in Timisoara in 2005. Detailed case histories along with clinical and laboratory features are presented. In all the patients the final laboratory confirmation of the disease was by Giemsa-stained blood smears obtained by bone marrow biopsy. Conclusions Since 2004, many Romanian citizens left their homeland looking for a better job in the Mediterranean region. Unaware of the risks of outdoor labor in warm climatic conditions, they accepted to live and work in improper sanitary conditions. Late identification of the disease resulted mainly from failure of the physicians to diagnose and associate the syndrome with travel.</description><identifier>ISSN: 1477-8939</identifier><identifier>EISSN: 1873-0442</identifier><identifier>DOI: 10.1016/j.tmaid.2008.10.002</identifier><identifier>PMID: 19174299</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Amphotericin B - therapeutic use ; Antiprotozoal Agents - therapeutic use ; Bone marrow ; Bone marrow biopsy ; Climatic conditions ; Diagnosis, Differential ; Fatal Outcome ; Female ; Giemsa-stained blood smears ; Hospitalization ; Humans ; Infectious Disease ; Leishmaniasis, Visceral - diagnosis ; Leishmaniasis, Visceral - drug therapy ; Leishmaniasis, Visceral - epidemiology ; Male ; Mediterranean countries ; Retrospective Studies ; Romania - epidemiology ; Spain ; Time Factors ; Travel ; Travel history ; Travel medicine ; Treatment Outcome ; Vector-borne diseases</subject><ispartof>Travel medicine and infectious disease, 2009-01, Vol.7 (1), p.35-39</ispartof><rights>Elsevier Ltd</rights><rights>2008 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-fc04a048c24ff1393c303facd025212006b0c3b8e79fdff4b74d9d385a018b1b3</citedby><cites>FETCH-LOGICAL-c440t-fc04a048c24ff1393c303facd025212006b0c3b8e79fdff4b74d9d385a018b1b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1027116270?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,64361,64363,64365,65309,72215</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19174299$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Neghina, Raul</creatorcontrib><creatorcontrib>Neghina, Adriana-Maria</creatorcontrib><creatorcontrib>Merkler, Carmen</creatorcontrib><creatorcontrib>Marincu, Iosif</creatorcontrib><creatorcontrib>Moldovan, Roxana</creatorcontrib><creatorcontrib>Iacobiciu, Ioan</creatorcontrib><title>Importation of visceral leishmaniasis in returning Romanian workers from Spain</title><title>Travel medicine and infectious disease</title><addtitle>Travel Med Infect Dis</addtitle><description>Summary Background Over the past two decades visceral leishmaniasis cases and foci have increased in Romania, where the disease has also become a medical concern. The following study aimed to provide essential knowledge on early diagnosis and management of visceral leishmaniasis cases in Romania acquired especially by traveling and working in the Mediterranean countries. Method Retrospective analysis of the medical records of the patients diagnosed with imported visceral leishmaniasis in a western Romanian county. Results Three patients with visceral leishmaniasis imported from Spain were admitted to hospital in Timisoara in 2005. Detailed case histories along with clinical and laboratory features are presented. In all the patients the final laboratory confirmation of the disease was by Giemsa-stained blood smears obtained by bone marrow biopsy. Conclusions Since 2004, many Romanian citizens left their homeland looking for a better job in the Mediterranean region. Unaware of the risks of outdoor labor in warm climatic conditions, they accepted to live and work in improper sanitary conditions. 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The following study aimed to provide essential knowledge on early diagnosis and management of visceral leishmaniasis cases in Romania acquired especially by traveling and working in the Mediterranean countries. Method Retrospective analysis of the medical records of the patients diagnosed with imported visceral leishmaniasis in a western Romanian county. Results Three patients with visceral leishmaniasis imported from Spain were admitted to hospital in Timisoara in 2005. Detailed case histories along with clinical and laboratory features are presented. In all the patients the final laboratory confirmation of the disease was by Giemsa-stained blood smears obtained by bone marrow biopsy. Conclusions Since 2004, many Romanian citizens left their homeland looking for a better job in the Mediterranean region. Unaware of the risks of outdoor labor in warm climatic conditions, they accepted to live and work in improper sanitary conditions. Late identification of the disease resulted mainly from failure of the physicians to diagnose and associate the syndrome with travel.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>19174299</pmid><doi>10.1016/j.tmaid.2008.10.002</doi><tpages>5</tpages></addata></record>
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subjects Adult
Amphotericin B - therapeutic use
Antiprotozoal Agents - therapeutic use
Bone marrow
Bone marrow biopsy
Climatic conditions
Diagnosis, Differential
Fatal Outcome
Female
Giemsa-stained blood smears
Hospitalization
Humans
Infectious Disease
Leishmaniasis, Visceral - diagnosis
Leishmaniasis, Visceral - drug therapy
Leishmaniasis, Visceral - epidemiology
Male
Mediterranean countries
Retrospective Studies
Romania - epidemiology
Spain
Time Factors
Travel
Travel history
Travel medicine
Treatment Outcome
Vector-borne diseases
title Importation of visceral leishmaniasis in returning Romanian workers from Spain
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