title: Tropical diseases screening in immigrant patients with human immunodeficiency virus infection in Spain.
abstract: Latent parasitic infections can reactivate because of immunosuppression. We conducted a prospective observational study of all human immunodeficiency virus (HIV)-infected immigrants who visited the Infectious Diseases Department of the Hospital Universitari Vall d'Hebron, Barcelona, Spain, during June 2010-May 2011. Screening of the most prevalent tropical diseases (intestinal parasitosis, Chagas disease, leishmaniasis, malaria, schistosomiasis, and strongyloidiasis) was performed according to geographic origin. A total of 190 patients were included: 141 (74.2%) from Latin America, 41 (21.6%) from sub-Saharan Africa, and 8 (4.2%) from northern Africa. Overall, 36.8% (70 of 190) of the patients had at least one positive result for any parasitic disease: 5 patients with positive Trypanosoma cruzi serology, 11 patients with positive Schistosoma mansoni serology, 35 patients with positive Strongyloides stercoralis serology, 7 patients with positive Leishmania infantum serology, intestinal parasitosis were detected in 37 patients, malaria was diagnosed in one symptomatic patient. We propose a screening and management strategy of latent parasitic infections in immigrant patients infected with HIV.
authors.affiliation: Infectious Diseases Department, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Spain. fmsalvad@vhebron.net
authors.forename: Fernando
authors.initials: F
authors.lastname: Salvador
authors.forename: Israel
authors.initials: I
authors.lastname: Molina
authors.forename: Elena
authors.initials: E
authors.lastname: Sulleiro
authors.forename: Joaquín
authors.initials: J
authors.lastname: Burgos
authors.forename: Adrián
authors.initials: A
authors.lastname: Curran
authors.forename: Eva
authors.initials: E
authors.lastname: Van den Eynde
authors.forename: Sara
authors.initials: S
authors.lastname: Villar del Saz
authors.forename: Jordi
authors.initials: J
authors.lastname: Navarro
authors.forename: Manuel
authors.initials: M
authors.lastname: Crespo
authors.forename: Inma
authors.initials: I
authors.lastname: Ocaña
authors.forename: Esteve
authors.initials: E
authors.lastname: Ribera
authors.forename: Vicenç
authors.initials: V
authors.lastname: Falcó
authors.forename: Albert
authors.initials: A
authors.lastname: Pahissa
mesh_terms: D000328:Adult; D017954:Africa South of the Sahara; D000352:Africa, Northern; D000818:Animals; D058070:Asymptomatic Diseases; D014355:Chagas Disease / Q000175:diagnosis* / Q000208:ethnology; D054242:Emigrants and Immigrants; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000208:ethnology*; D006801:Humans; D007843:Latin America; D018314:Leishmania infantum / Q000302:isolation & purification; D007896:Leishmaniasis / Q000175:diagnosis* / Q000208:ethnology; D008288:Malaria / Q000175:diagnosis* / Q000208:ethnology; D008297:Male; D015999:Multivariate Analysis; D015995:Prevalence; D012550:Schistosoma mansoni / Q000302:isolation & purification; D012552:Schistosomiasis / Q000175:diagnosis* / Q000208:ethnology; D013030:Spain / Q000453:epidemiology; D017171:Strongyloides stercoralis / Q000302:isolation & purification; D013322:Strongyloidiasis / Q000175:diagnosis* / Q000208:ethnology; D014349:Trypanosoma cruzi / Q000302:isolation & purification