Strongyloides stercoralis infection: A systematic review of endemic cases in Spain.
BACKGROUND:Strongyloides stercoralis infection, a neglected tropical disease, is widely distributed. Autochthonous cases have been described in Spain, probably infected long time ago. In recent years the number of diagnosed cases has increased due to the growing number of immigrants, travelers and r...
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ftdoajarticles:oai:doaj.org/article:a2b7b63b53ab40faa786ac2a091eb021 2023-05-15T15:11:50+02:00 Strongyloides stercoralis infection: A systematic review of endemic cases in Spain. Maria Barroso Fernando Salvador Adrián Sánchez-Montalvá Pau Bosch-Nicolau Israel Molina 2019-03-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0007230 https://doaj.org/article/a2b7b63b53ab40faa786ac2a091eb021 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC6413904?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0007230 https://doaj.org/article/a2b7b63b53ab40faa786ac2a091eb021 PLoS Neglected Tropical Diseases, Vol 13, Iss 3, p e0007230 (2019) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2019 ftdoajarticles https://doi.org/10.1371/journal.pntd.0007230 2022-12-31T12:03:17Z BACKGROUND:Strongyloides stercoralis infection, a neglected tropical disease, is widely distributed. Autochthonous cases have been described in Spain, probably infected long time ago. In recent years the number of diagnosed cases has increased due to the growing number of immigrants, travelers and refugees, but endemically acquired cases in Spain remains undetermined. METHODOLOGY:We systematically searched the literature for references on endemic strongyloidiasis cases in Spain. The articles were required to describe Strongyloides stercoralis infection in at least one Spanish-born person without a history of travel to endemic areas and be published before 31st May 2018. Epidemiological data from patients was collected and described individually as well as risk factors to acquisition of the infection, diagnostic technique that lead to the diagnosis, presence of eosinophilia and clinical symptoms at diagnosis. FINDINGS:Thirty-six studies were included, describing a total of 1083 patients with an average age of 68.3 years diagnosed with endemic strongyloidiasis in Spain. The vast majority of the cases were described in the province of Valencia (n = 1049). Two hundred and eight of the 251 (82.9%) patients in whom gender was reported were male, and most of them had current or past dedication to agriculture. Seventy percent had some kind of comorbidity. A decreasing trend in the diagnosed cases per year is observed from the end of last decade. However, there are still nefigw diagnoses of autochthonous cases of strongyloidiasis in Spain every year. CONCLUSIONS:With the data provided by this review it is likely that in Spain strongyloidiasis might have been underestimated. It is highly probable that the infection remains undiagnosed in many cases due to low clinical suspicion among Spanish population without recent travel history in which the contagion probably took place decades ago. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 13 3 e0007230 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Maria Barroso Fernando Salvador Adrián Sánchez-Montalvá Pau Bosch-Nicolau Israel Molina Strongyloides stercoralis infection: A systematic review of endemic cases in Spain. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND:Strongyloides stercoralis infection, a neglected tropical disease, is widely distributed. Autochthonous cases have been described in Spain, probably infected long time ago. In recent years the number of diagnosed cases has increased due to the growing number of immigrants, travelers and refugees, but endemically acquired cases in Spain remains undetermined. METHODOLOGY:We systematically searched the literature for references on endemic strongyloidiasis cases in Spain. The articles were required to describe Strongyloides stercoralis infection in at least one Spanish-born person without a history of travel to endemic areas and be published before 31st May 2018. Epidemiological data from patients was collected and described individually as well as risk factors to acquisition of the infection, diagnostic technique that lead to the diagnosis, presence of eosinophilia and clinical symptoms at diagnosis. FINDINGS:Thirty-six studies were included, describing a total of 1083 patients with an average age of 68.3 years diagnosed with endemic strongyloidiasis in Spain. The vast majority of the cases were described in the province of Valencia (n = 1049). Two hundred and eight of the 251 (82.9%) patients in whom gender was reported were male, and most of them had current or past dedication to agriculture. Seventy percent had some kind of comorbidity. A decreasing trend in the diagnosed cases per year is observed from the end of last decade. However, there are still nefigw diagnoses of autochthonous cases of strongyloidiasis in Spain every year. CONCLUSIONS:With the data provided by this review it is likely that in Spain strongyloidiasis might have been underestimated. It is highly probable that the infection remains undiagnosed in many cases due to low clinical suspicion among Spanish population without recent travel history in which the contagion probably took place decades ago. |
format |
Article in Journal/Newspaper |
author |
Maria Barroso Fernando Salvador Adrián Sánchez-Montalvá Pau Bosch-Nicolau Israel Molina |
author_facet |
Maria Barroso Fernando Salvador Adrián Sánchez-Montalvá Pau Bosch-Nicolau Israel Molina |
author_sort |
Maria Barroso |
title |
Strongyloides stercoralis infection: A systematic review of endemic cases in Spain. |
title_short |
Strongyloides stercoralis infection: A systematic review of endemic cases in Spain. |
title_full |
Strongyloides stercoralis infection: A systematic review of endemic cases in Spain. |
title_fullStr |
Strongyloides stercoralis infection: A systematic review of endemic cases in Spain. |
title_full_unstemmed |
Strongyloides stercoralis infection: A systematic review of endemic cases in Spain. |
title_sort |
strongyloides stercoralis infection: a systematic review of endemic cases in spain. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2019 |
url |
https://doi.org/10.1371/journal.pntd.0007230 https://doaj.org/article/a2b7b63b53ab40faa786ac2a091eb021 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 13, Iss 3, p e0007230 (2019) |
op_relation |
http://europepmc.org/articles/PMC6413904?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0007230 https://doaj.org/article/a2b7b63b53ab40faa786ac2a091eb021 |
op_doi |
https://doi.org/10.1371/journal.pntd.0007230 |
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PLOS Neglected Tropical Diseases |
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13 |
container_issue |
3 |
container_start_page |
e0007230 |
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1766342624835272704 |