RESUMO
Reported here are two new cases of imported cutaneous gnathostomiasis that occurred in two Spanish women. The first patient acquired the helminth infection while travelling in Southeast Asia and the second in Mexico. Although the highest prevalence of gnathostomiasis infection is in Southeast Asia, the disease is now an emerging public health problem in some countries of Latin America. The cases reported here demonstrate the increasing frequency with which human gnathostomiasis is being diagnosed in nonendemic countries as a result of more extensive international travel and migration.
Assuntos
Gnathostoma/isolamento & purificação , Infecções por Spirurida/etiologia , Viagem , Adulto , Albendazol/uso terapêutico , Animais , Anticorpos Anti-Helmínticos/isolamento & purificação , Antinematódeos/uso terapêutico , Sudeste Asiático , Emigração e Imigração , Feminino , Microbiologia de Alimentos , Humanos , Mebendazol/uso terapêutico , México , Pessoa de Meia-Idade , Espanha , Infecções por Spirurida/diagnóstico , Infecções por Spirurida/tratamento farmacológico , Infecções por Spirurida/microbiologiaRESUMO
Between 1993 and 1997, 98 gnathostomosis cases were clinically identified in Acapulco, Mexico. Intermittent cutaneous migratory swellings were the commonest manifestation. Larvae were identified in 26 cases, while in 72, final diagnosis was made on the basis of epidemiologic data, food habits, and positive enzyme-linked immunosorbent assay and Western blot results.
Assuntos
Parasitologia de Alimentos , Gnathostoma/isolamento & purificação , Infecções por Spirurida/etiologia , Zoonoses/etiologia , Adulto , Animais , Western Blotting , Criança , Pré-Escolar , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Gnathostomiasis is an important food-borne parasitic zoonosis that is endemic mainly in Asian countries where some people prefer to eat raw freshwater fish. In North America, the first recorded case of gnathostomiasis was in Mexico in 1970, and the numbers of gnathostomiasis patients in Mexico seems to be increasing dramatically with time. However, the epidemiology of this disease in Mexico has never been described in detail. Here we review the current status of gnathostomiasis in Mexico.