Gnathostomiasis: an emerging infectious disease relevant to all dermatologists

Abstract: Gnathostomiasis is a parasitic infection caused by the third larval stage of nematodes of the genus Gnathostoma. The disease is endemic in some countries around the world. In the American continent, the majority of cases is concentrated in Mexico, Ecuador, and Peru. However, due to increas...

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Main Authors: Francisco Bravo, Bernardo Gontijo
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2018-03-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962018000200172&tlng=en
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author Francisco Bravo
Bernardo Gontijo
author_facet Francisco Bravo
Bernardo Gontijo
author_sort Francisco Bravo
collection DOAJ
description Abstract: Gnathostomiasis is a parasitic infection caused by the third larval stage of nematodes of the genus Gnathostoma. The disease is endemic in some countries around the world. In the American continent, the majority of cases is concentrated in Mexico, Ecuador, and Peru. However, due to increasing traveling either at the intercontinental or intracontinental level, the disease is seen each time more frequently in tourists. Furthermore, countries, such as Brazil, that have never been considered endemic are reporting autochthonous cases. The disease usually presents as a deep-seated or slightly superficial migratory nodule in patients with history of eating raw fish, in the form of ceviche, sushi, or sashimi. Along with the clinical presentation, diagnostic criteria include either blood or tissue eosinophilia. In most instances, these criteria are enough for the attending physician to institute therapy. Chances of finding the parasite are low, unless the biopsy is taken from a very specific area that develops after antiparasitic treatment is started. The potential of other organ involvement with more serious consequences should always be kept in mind.
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spelling doaj.art-da2ae37a69b445e9b017a1a3efa9f8132022-12-22T04:13:31ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962018-03-0193217218010.1590/abd1806-4841.20187498Gnathostomiasis: an emerging infectious disease relevant to all dermatologistsFrancisco BravoBernardo GontijoAbstract: Gnathostomiasis is a parasitic infection caused by the third larval stage of nematodes of the genus Gnathostoma. The disease is endemic in some countries around the world. In the American continent, the majority of cases is concentrated in Mexico, Ecuador, and Peru. However, due to increasing traveling either at the intercontinental or intracontinental level, the disease is seen each time more frequently in tourists. Furthermore, countries, such as Brazil, that have never been considered endemic are reporting autochthonous cases. The disease usually presents as a deep-seated or slightly superficial migratory nodule in patients with history of eating raw fish, in the form of ceviche, sushi, or sashimi. Along with the clinical presentation, diagnostic criteria include either blood or tissue eosinophilia. In most instances, these criteria are enough for the attending physician to institute therapy. Chances of finding the parasite are low, unless the biopsy is taken from a very specific area that develops after antiparasitic treatment is started. The potential of other organ involvement with more serious consequences should always be kept in mind.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962018000200172&tlng=enCommunicable diseases, emergingGnathostomaGnathostomiasisHelminthiasisNematode infectionsTravelers' health
spellingShingle Francisco Bravo
Bernardo Gontijo
Gnathostomiasis: an emerging infectious disease relevant to all dermatologists
Anais Brasileiros de Dermatologia
Communicable diseases, emerging
Gnathostoma
Gnathostomiasis
Helminthiasis
Nematode infections
Travelers' health
title Gnathostomiasis: an emerging infectious disease relevant to all dermatologists
title_full Gnathostomiasis: an emerging infectious disease relevant to all dermatologists
title_fullStr Gnathostomiasis: an emerging infectious disease relevant to all dermatologists
title_full_unstemmed Gnathostomiasis: an emerging infectious disease relevant to all dermatologists
title_short Gnathostomiasis: an emerging infectious disease relevant to all dermatologists
title_sort gnathostomiasis an emerging infectious disease relevant to all dermatologists
topic Communicable diseases, emerging
Gnathostoma
Gnathostomiasis
Helminthiasis
Nematode infections
Travelers' health
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962018000200172&tlng=en
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