Brote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de Medicina Geográfica

Eight Chilean teenagers traveled to Ecuador in January 1999, where they were bitten by mosquitoes, had contact with parakeets and lodged in poorly hygienic places; 6/8 visited for 5-10 minutes the interior of a bat cave. About a week later these 6 began with headache, myalgia and fever that lasted 2...

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Autor principal:	Wolff R,Marcelo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 1999
Materias:	Histoplasmin Histoplasmosis Tropical medicine
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001100010
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spelling	oai:scielo:S0034-988719990011000102005-11-23Brote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de Medicina GeográficaWolff R,Marcelo Histoplasmin Histoplasmosis Tropical medicine Eight Chilean teenagers traveled to Ecuador in January 1999, where they were bitten by mosquitoes, had contact with parakeets and lodged in poorly hygienic places; 6/8 visited for 5-10 minutes the interior of a bat cave. About a week later these 6 began with headache, myalgia and fever that lasted 2-3 weeks. 5/6 had dry cough with no respiratory distress. The index case was seen in the 2nd week of symptoms. A chest x-ray showed multiple nodular infiltrates as in the other five. Two had histoplasma serology, one was negative and the other positive at a low titer; histoplasmine skin test showed induration of 17-27 mm in all six. An acute histoplasmosis with massive exposure was diagnosed and treated with itraconazole for 3 weeks. All became asymptomatic and chest x-rays returned to normal. Histoplasmosis (non existent endogenously in Chile) is, among other geographic and tropical diseases, a risk for Chilean travelers. Awareness of this in the general population and development of expertise in these diseases by local health care providers is required.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.127 n.11 19991999-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001100010es10.4067/S0034-98871999001100010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Histoplasmin Histoplasmosis Tropical medicine
spellingShingle	Histoplasmin Histoplasmosis Tropical medicine Wolff R,Marcelo Brote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de Medicina Geográfica
description	Eight Chilean teenagers traveled to Ecuador in January 1999, where they were bitten by mosquitoes, had contact with parakeets and lodged in poorly hygienic places; 6/8 visited for 5-10 minutes the interior of a bat cave. About a week later these 6 began with headache, myalgia and fever that lasted 2-3 weeks. 5/6 had dry cough with no respiratory distress. The index case was seen in the 2nd week of symptoms. A chest x-ray showed multiple nodular infiltrates as in the other five. Two had histoplasma serology, one was negative and the other positive at a low titer; histoplasmine skin test showed induration of 17-27 mm in all six. An acute histoplasmosis with massive exposure was diagnosed and treated with itraconazole for 3 weeks. All became asymptomatic and chest x-rays returned to normal. Histoplasmosis (non existent endogenously in Chile) is, among other geographic and tropical diseases, a risk for Chilean travelers. Awareness of this in the general population and development of expertise in these diseases by local health care providers is required.
author	Wolff R,Marcelo
author_facet	Wolff R,Marcelo
author_sort	Wolff R,Marcelo
title	Brote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de Medicina Geográfica
title_short	Brote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de Medicina Geográfica
title_full	Brote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de Medicina Geográfica
title_fullStr	Brote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de Medicina Geográfica
title_full_unstemmed	Brote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de Medicina Geográfica
title_sort	brote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de medicina geográfica
publisher	Sociedad Médica de Santiago
publishDate	1999
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001100010
work_keys_str_mv	AT wolffrmarcelo brotedehistoplasmosisagudaenviajeroschilenosalaselvaecuatorianaunejemplodemedicinageografica
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Brote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de Medicina Geográfica

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