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Tropical Diseases Screening in Immigrant Patients with Human Immunodeficiency Virus Infection in Spain
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.
Author Notes
Financial support: This study was partially supported by Red Temática de Investigación en SIDA (RIS G03/173-RETIC RD06/0006/0039).
Disclosure: The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Authors' addresses: Fernando Salvador, Israel Molina, Elena Sulleiro, Joaquín Burgos, Adrián Curran, Eva Van den Eynde, Sara Villar del Saz, Jordi Navarro, Manuel Crespo, Inma Ocaña, Esteve Ribera, Vicenç Falcó, and Albert Pahissa, Infectious Diseases Department, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Spain, E-mails: fmsalvad@vhebron.net, imolina@vhebron.net, esulleiro@vhebron.net, jburgos@vhebron.net, acurran@vhebron.net, evdeyne@vhebron.net, svillar@vhebron.net, jnavarro@vhebron.net, mcrespo@vhebron.net, iocana@vhebron.net, eribera@vhebron.net, vfalco@vhebron.net, and apahissa@vhebron.net.