RESUMO
Gnathostomiasis is a rare nematode disease acquired by travelers to endemic areas. The most common clinical presentations are cutaneous forms; however, neurologic involvement can also occur. We present two cases of gnathostomiasis, one of them with severe neurologic complications, in Spanish travelers to Thailand and Mexico, who consumed local food and became infected.
Assuntos
Gnathostoma , Doenças do Sistema Nervoso/etiologia , Dermatopatias Parasitárias/etiologia , Infecções por Spirurida/complicações , Viagem , Adulto , Albendazol/uso terapêutico , Animais , Anti-Helmínticos/uso terapêutico , Feminino , Gnathostoma/isolamento & purificação , Humanos , Masculino , México , Doenças do Sistema Nervoso/diagnóstico , Dermatopatias Parasitárias/diagnóstico , Espanha , Infecções por Spirurida/diagnóstico , Infecções por Spirurida/tratamento farmacológico , Infecções por Spirurida/microbiologia , Tailândia , Resultado do TratamentoRESUMO
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.