Subcutaneous Nodules and Pruritus Years After Short Trips in Sub-Saharan Africa
| العنوان: | Subcutaneous Nodules and Pruritus Years After Short Trips in Sub-Saharan Africa |
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| المؤلفون: | Gentiane Monsel, Marc Thellier, Roman Hossein Khonsari, Eric Caumes |
| المصدر: | The American Journal of Tropical Medicine and Hygiene |
| بيانات النشر: | American Society of Tropical Medicine and Hygiene, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Adult, 0301 basic medicine, medicine.medical_specialty, Images in Clinical Tropical Medicine, Onchocerciasis, Skin Diseases, 03 medical and health sciences, Ivermectin, Virology, parasitic diseases, medicine, Humans, Eosinophilia, Africa South of the Sahara, Gnathostomiasis, Travel, biology, business.industry, Pruritus, Nodule (medicine), medicine.disease, biology.organism_classification, Onchocerca volvulus, Surgery, 030104 developmental biology, Infectious Diseases, medicine.anatomical_structure, Subcutaneous nodule, Abdomen, Female, Parasitology, medicine.symptom, business, medicine.drug |
| الوصف: | A 42-year old French woman presented in March 2015 with a 2-week history of subcutaneous inflammatory nodule of the right arm and diffuse pruritus. Peripheral blood eosinophilia was 3,840/mm3 (38%). A parasitic disease such as gnathostomiasis was suspected. The only at-risk countries where she had traveled during the last decade were Togo and Burkina-Faso, where she undertook day trips outside capital cities in 2004 and 2010, respectively. Single dose ivermectin 200 μg/kg led to the disappearance of pruritus but was followed by fever that spontaneously resolved within 24 hours. Blood eosinophilia decreased to 1,930/mm3 (23%) within a week and normalized within 2 weeks. However two additional subcutaneous nodules appeared on the right arm, and abdomen (Figure 1A ) within the following 3 weeks. Nodulectomy released entangled roundworms identified as Onchocerca volvulus (Figure 1B). Doxycycline was prescribed for 6 weeks and single-dose ivermectin 200 μg/kg was repeated after 3 months. All symptoms resolved after 6 months of follow-up. |
| تدمد: | 1476-1645 0002-9637 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::35c2f732084234ed5c4e7491f6ed0874Test https://doi.org/10.4269/ajtmh.16-0039Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....35c2f732084234ed5c4e7491f6ed0874 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14761645 00029637 |
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