Urinary schistosomiasis in migrant population: a case series from a single centre in southern Italy

Infection
Volume 47, Issue 3, 2019, Pages 395-398

Urinary schistosomiasis in migrant population: a case series from a single centre in southern Italy (Article)

Milesi M.* , Indovina C. , Dino O. , Di Bella F. , Di Lorenzo F. , Sanfilippo A. , Di Bernardo F. , Sodano C. , Prestileo T. , Yodit A. , Pierfrancesco B. , Renato D.N.E. , Antonino D.A. , Di Andrea L. , Di Lorenza M. , Gabriella G. , Ficalora A. , Anna G. , Maria I. , Claudia I. , La Rosa A. , Cosimo M. , Patrizia M. , Maurizio M. , Sonia O. , Giuseppina O. , Gaetano P. , Emma P. , Federico P. , Concetta S. , Filippo S. , Zacaria T. , Fulvio V.P. , on behalf of the Immigrant Take Care Advocacy (I.Ta.C.A.) team Palermo

^a Unit of Infectious Diseases, Department of Medical Sciences, University of Torino, Corso Svizzera 164, Turin, 10164, Italy
^b Immigrant Take Care Advocacy (I.Ta.C.A.), Piazza Nicola Leotta 4, Palermo, 90127, Italy
^c Migrant Healthcare Outpatient Clinic, Presidio Aiuto Materno, Via Lancia di Brolo, 10 bis, Palermo, 90145, Italy
^d Migrant Healthcare Outpatient Clinic, Presidio Aiuto Materno, Via Lancia di Brolo, 10 bis, Palermo, 90145, Italy
^e Unit of Infectious Diseases and Centre for Migration and Health, ARNAS, Ospedale Civico Benfratelli, Piazza Nicola Leotta 4, Palermo, 90127, Italy
^f Unit of Infectious Diseases and Centre for Migration and Health, ARNAS, Ospedale Civico Benfratelli, Piazza Nicola Leotta 4, Palermo, 90127, Italy
^g Unit of Clinical Microbiology, ARNAS, Ospedale Civico Benfratelli, Piazza Nicola Leotta 4, Palermo, 90127, Italy
^h Unit of Clinical Microbiology, ARNAS, Ospedale Civico Benfratelli, Piazza Nicola Leotta 4, Palermo, 90127, Italy
ⁱ Unit of Infectious Diseases and Centre for Migration and Health, ARNAS, Ospedale Civico Benfratelli, Piazza Nicola Leotta 4, Palermo, 90127, Italy
^j [Affiliation not available]
^k [Affiliation not available]
^l [Affiliation not available]
^m [Affiliation not available]
ⁿ [Affiliation not available]
^o [Affiliation not available]
^p [Affiliation not available]
^q [Affiliation not available]
^r [Affiliation not available]
^s [Affiliation not available]
^t [Affiliation not available]
^u [Affiliation not available]
^v [Affiliation not available]
^w [Affiliation not available]
^x [Affiliation not available]
^y [Affiliation not available]
^z [Affiliation not available]
^a [Affiliation not available]
^b [Affiliation not available]
^c [Affiliation not available]
^d ;
^e [Affiliation not available]
^f [Affiliation not available]
^g [Affiliation not available]
^h [Affiliation not available]

Abstract

Purpose: To understand the frequency of urinary schistosomiasis, in migrants in clinical follow-up at the infectious disease outpatient clinic of ARNAS Civico Hospital in Palermo Italy, to raise awareness on this neglected tropical disease. Methods: A retrospective analysis of migrant patients in clinical care in our centre during the triennium 2015–2017. Results: 2639 migrants have been in clinical care during the triennium 2015–2017, 72% are male and 28% are female. 214 patients were tested for the presence of Schistosoma eggs in urine, these patients are all male. All the patients tested, reported macroscopic haematuria and the 54% had an increase in the peripheral blood eosinophil count. Ninety subjects had a positive microscopic examination for Schistosoma haematobium eggs. Patients were treated with a standard dose of praziquantel (40 mg/kg), and tested for Schistosoma 1 month after the end of therapy. All the subjects fully recovered. Conclusions: Considering the migration phenomenon, the observation of these tropical diseases in European hospitals is becoming more and more common and an increasing number of health care professionals will be dealing with migrants. Searching for haematuria and eosinophilia and then testing for Schistosoma in this specific population will increase the number of diagnosis and correct treatment of urinary schistosomiasis, improving the patients’ quality of life and preventing severe complications of the disease. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.

Author Keywords

Schistosomiasis Migrants Urinary Case Series

Index Keywords

parasitology Eosinophilia urinary tract infection Anthelmintics follow up human eosinophil count anthelmintic agent statistics and numerical data Animals animal quality of life Young Adult urine culture migrant ovum Humans Adolescent male female tropical disease hematuria outpatient department isolation and purification Schistosoma haematobium Article Retrospective Studies major clinical study adult Schistosomiasis haematobia schistosomiasis migration praziquantel Italy single drug dose Transients and Migrants retrospective study urine

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055962765&doi=10.1007%2fs15010-018-1244-z&partnerID=40&md5=c73fb123d13d92d6f847dad2cb3ec7f1

DOI: 10.1007/s15010-018-1244-z

ISSN: 03008126

Original Language: English