title: [Missed infections in immigrant children].
abstract: Three African children who migrated to the Netherlands developed serious infections after they arrived. The first patient, a girl of 3 years adopted from the Zaire, was discovered to be a chronic hepatitis B carrier. Advice to vaccinate her whole adoption family was not followed. Her adoptive mother became infected with hepatitis B. The second patient, an Ethiopian girl of 13 years, was not adequately screened for infections on arrival. She was a chronic hepatitis B carrier and infected her adoptive mother. Seven years later she developed pulmonary tuberculosis with cavity formation and infected four contacts. The third patient, a 15-year-old political refugee from Zaire, who developed paediatric aids and later died of it, was not screened according to the screening protocol advised for immigrating children. All immigrating children should be fully and adequately screened for infectious diseases upon arrival in the Netherlands.
authors.affiliation: Wilhelmina Kinderziekenhuis, Utrecht.
authors.forename: C C
authors.initials: CC
authors.lastname: Obihara
authors.forename: C
authors.initials: C
authors.lastname: Blok
authors.forename: T W
authors.initials: TW
authors.lastname: Schulpen
authors.forename: K
authors.initials: K
authors.lastname: de Meer
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis*; D000293:Adolescent; D000300:Adoption; D002353:Carrier State; D002675:Child, Preschool; D003140:Communicable Disease Control; D004641:Emigration and Immigration; D005260:Female; D019983:Guideline Adherence; D006509:Hepatitis B / Q000175:diagnosis* / Q000635:transmission; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000592:standards; D009426:Netherlands; D010372:Pediatrics / Q000592:standards; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000635:transmission
vernacular_title: Gemiste pathogenen bij immigrerende kinderen.