Multi-parasite infection in an immigrant from Ghana: potential for new epidemic foci
Introduction: Imported parasitosis, which do not require an invertebrate vector, are extremely dangerous and can lead to the occurrence of disease in currently parasite free areas. In the present study we report a case of multi-parasitic infection in a young immigrant from Ghana to Italy caused by...
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The Journal of Infection in Developing Countries
2020-11-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/13151 |
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| author | Maura Fiamma Silvia S Longoni Emmanuel E Siddig Sonia Attene Vito Astone Antonio Nicoletti Bianca Paglietti Antonella Santona Angela Fele Riccardo Ivaldi Francesco Logias |
| author_facet | Maura Fiamma Silvia S Longoni Emmanuel E Siddig Sonia Attene Vito Astone Antonio Nicoletti Bianca Paglietti Antonella Santona Angela Fele Riccardo Ivaldi Francesco Logias |
| author_sort | Maura Fiamma |
| collection | DOAJ |
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Introduction: Imported parasitosis, which do not require an invertebrate vector, are extremely dangerous and can lead to the occurrence of disease in currently parasite free areas. In the present study we report a case of multi-parasitic infection in a young immigrant from Ghana to Italy caused by filaria, Schistosoma sp. and Strongyloides sp.
Case presentation: A 27-year-old Ghanaian man attended the Hospital of Nuoro (Sardinia), Italy, at the end of August 2015, claiming pain to the kidney and hypertensive crisis; the patient presented with dyspnea and epistaxis, chronic itchy skin of the back, shoulders, arms and legs, anuria and high creatinine, metabolic acidosis and hypereosinophilic syndrome. Serological test for parasitic infections were done, and showed a marked positivity for filaria, Schistosoma sp. and Strongyloides sp. The patient started the treatment immediately with two doses per day of Bassado Antibiotic (tetracycline) for twenty days and then with a single dose of 3 mg of ivermectin that was repeated after 3 months.
Conclusions: Immigrant patients from endemic areas who show clinical signs, such as a general itching on the back, shoulders and arms and legs, should have a thorough history in order to make early diagnosis and prevent further complications. Therefore, general practitioners and doctors in Europe and in other parasitosis non-endemic countries, should consider to test for parasites in any immigrant from endemic countries to aid in establishing the final diagnosis and prevent further complications.
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| format | Article |
| id | doaj-art-a0a52035d05d407aa9d0c48f1e6ee4f7 |
| institution | OA Journals |
| issn | 1972-2680 |
| language | English |
| publishDate | 2020-11-01 |
| publisher | The Journal of Infection in Developing Countries |
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| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-a0a52035d05d407aa9d0c48f1e6ee4f72025-08-20T02:14:07ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802020-11-01141110.3855/jidc.13151Multi-parasite infection in an immigrant from Ghana: potential for new epidemic fociMaura Fiamma0Silvia S Longoni1Emmanuel E Siddig2Sonia Attene3Vito Astone4Antonio Nicoletti 5Bianca Paglietti 6Antonella Santona7Angela Fele8Riccardo Ivaldi9Francesco Logias10Dipartimento di Scienze Biomediche, Università di Sassari, ItalyDipartimento di Malattie Infettive - Tropicali e Microbiologia , IRCCS Ospedale Sacro Cuore Don Calabria Hospital, Negrar, Verona, ItalyCentro di Ricerca sul Micetoma, Università di Khartoum, Khartoum, SudanU.O.C. Laboratorio Analisi, P.O. San Francesco, ATS Sardegna, ASSL Nuoro, Nuoro, ItalyU.O.C. Laboratorio Analisi, P.O. San Francesco, ATS Sardegna, ASSL Nuoro, Nuoro, ItalyU.O.S. Nefrologia e Dialisi, P.O. Ospedale Civile, AST Cosenza, Cosenza, ItalyDipartimento di Scienze Biomediche, Università di Sassari, ItalyDipartimento di Scienze Biomediche, Università di Sassari, ItalyU.O.S. Nefrologia e Dialisi, P.O. Ospedale Civile, AST Cosenza, Cosenza, ItalyNefrologia e Dialisi, Casa di Cura Madonna del Rimedio , Oristano, ItalyU.O.C. Nefrologia e Dialisi, P.O. San Francesco, ATS Sardegna, ASSL Nuoro, Nuoro, Italy Introduction: Imported parasitosis, which do not require an invertebrate vector, are extremely dangerous and can lead to the occurrence of disease in currently parasite free areas. In the present study we report a case of multi-parasitic infection in a young immigrant from Ghana to Italy caused by filaria, Schistosoma sp. and Strongyloides sp. Case presentation: A 27-year-old Ghanaian man attended the Hospital of Nuoro (Sardinia), Italy, at the end of August 2015, claiming pain to the kidney and hypertensive crisis; the patient presented with dyspnea and epistaxis, chronic itchy skin of the back, shoulders, arms and legs, anuria and high creatinine, metabolic acidosis and hypereosinophilic syndrome. Serological test for parasitic infections were done, and showed a marked positivity for filaria, Schistosoma sp. and Strongyloides sp. The patient started the treatment immediately with two doses per day of Bassado Antibiotic (tetracycline) for twenty days and then with a single dose of 3 mg of ivermectin that was repeated after 3 months. Conclusions: Immigrant patients from endemic areas who show clinical signs, such as a general itching on the back, shoulders and arms and legs, should have a thorough history in order to make early diagnosis and prevent further complications. Therefore, general practitioners and doctors in Europe and in other parasitosis non-endemic countries, should consider to test for parasites in any immigrant from endemic countries to aid in establishing the final diagnosis and prevent further complications. https://jidc.org/index.php/journal/article/view/13151HelminthiasismicrofilariasisGhanaItalyRefugee camp |
| spellingShingle | Maura Fiamma Silvia S Longoni Emmanuel E Siddig Sonia Attene Vito Astone Antonio Nicoletti Bianca Paglietti Antonella Santona Angela Fele Riccardo Ivaldi Francesco Logias Multi-parasite infection in an immigrant from Ghana: potential for new epidemic foci Journal of Infection in Developing Countries Helminthiasis microfilariasis Ghana Italy Refugee camp |
| title | Multi-parasite infection in an immigrant from Ghana: potential for new epidemic foci |
| title_full | Multi-parasite infection in an immigrant from Ghana: potential for new epidemic foci |
| title_fullStr | Multi-parasite infection in an immigrant from Ghana: potential for new epidemic foci |
| title_full_unstemmed | Multi-parasite infection in an immigrant from Ghana: potential for new epidemic foci |
| title_short | Multi-parasite infection in an immigrant from Ghana: potential for new epidemic foci |
| title_sort | multi parasite infection in an immigrant from ghana potential for new epidemic foci |
| topic | Helminthiasis microfilariasis Ghana Italy Refugee camp |
| url | https://jidc.org/index.php/journal/article/view/13151 |
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