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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 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.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title anais brasileiros de dermatologia
Publication Year Start




PMID- 29723377
OWN - NLM
STAT- MEDLINE
DCOM- 20180529
LR  - 20180529
IS  - 1806-4841 (Electronic)
IS  - 0365-0596 (Linking)
VI  - 93
IP  - 2
DP  - 2018 Mar
TI  - Gnathostomiasis: an emerging infectious disease relevant to all dermatologists.
PG  - 172-180
LID - S0365-05962018000200172 [pii]
LID - 10.1590/abd1806-4841.20187498 [doi]
AB  - 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.
FAU - Bravo, Francisco
AU  - Bravo F
AD  - Universidad Peruana Cayetano Heredia, Lima, Peru.
FAU - Gontijo, Bernardo
AU  - Gontijo B
AD  - Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, 
      Brazil.
LA  - eng
PT  - Journal Article
PL  - Brazil
TA  - An Bras Dermatol
JT  - Anais brasileiros de dermatologia
JID - 0067662
SB  - IM
MH  - Animals
MH  - Biopsy
MH  - Brazil
MH  - Dermatologists
MH  - Food Parasitology
MH  - Gnathostoma
MH  - Gnathostomiasis/diagnosis/*pathology
MH  - Humans
MH  - Peru
MH  - Skin/*parasitology/pathology
MH  - Skin Diseases, Parasitic/diagnosis/*pathology
PMC - PMC5916386
EDAT- 2018/05/04 06:00
MHDA- 2018/05/04 06:00
CRDT- 2018/05/04 06:00
PHST- 2017/08/03 00:00 [received]
PHST- 2017/09/27 00:00 [accepted]
PHST- 2018/05/04 06:00 [entrez]
PHST- 2018/05/04 06:00 [pubmed]
PHST- 2018/05/04 06:00 [medline]
AID - S0365-05962018000200172 [pii]
AID - 10.1590/abd1806-4841.20187498 [doi]
PST - ppublish
SO  - An Bras Dermatol. 2018 Mar;93(2):172-180. doi: 10.1590/abd1806-4841.20187498.