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Presumptive Gnathostoma binucleatum-infection in a Belgian traveler returning from South America.
journal contribution
posted on 2018-09-13, 00:00 authored by C Theunissen, E Bottieau, A Van Gompel, V Siozopoulou, Richard BradburyRichard BradburyGnathostomiasis, caused by third stage larvae of Gnathostoma
spp., a zoonotic nematode found in tropical and
subtropical regions is an emerging parasitic infection in
humans. Once thought to be confined to South East Asia,
increasing numbers of cases originating in other regions are
being described, both in autochthonous populations and
travelers. Gnathostomiasis usually presents with cutaneous
manifestations and eosinophilia, appearing weeks to
months after consuming raw fish. Visceral and central
nervous system involvement may occur, causing substantial
morbidity. Although eosinophilia provides a clue to diagnosis,
it may be absent in up to 55% of the cases. We
describe a case of cutaneous gnathostomiasis in a Belgian
traveler returning from South America, with no evident
exposure and no blood eosinophilia, finally diagnosed by
surgical resection and histological examination of the
causative larva.
History
Volume
14Issue
2Start Page
170End Page
171Number of Pages
2eISSN
1873-0442ISSN
1477-8939Location
NetherlandsPublisher
Elsevier, USAPublisher DOI
Language
engPeer Reviewed
- Yes
Open Access
- No
External Author Affiliations
Institute of Tropical Medicine, Antwerp, Belgium, University Hospital, Antwerp, BelgiumEra Eligible
- No