ABSTRACT
Introducción Análisis epidemiológico de la fiebre entérica en Madrid en las últimas décadas. Material y métodos Revisión retrospectiva de casos de fiebre tifoidea y paratifoidea estudiados en la Fundación Jiménez Díaz (Madrid) entre los años 1980 y 2010, comparando 2 periodos similares en el tiempo (P1: 1980-1993; P2: 1994-2010).Resultados Se confirmaron 61 casos de fiebre entérica: 51 (84%) fueron fiebre tifoidea y 10 paratifoidea. Cuarenta y cinco pacientes eran autóctonos (40 pertenecientes al P1) y 16 importados (15 pacientes en el P2; 11 de ellos del subcontinente indio).Conclusión La fiebre entérica debe estar presente en el diagnóstico diferencial de la fiebre persistente sin foco claro en inmigrantes, principalmente del subcontinente indio, y viajeros provenientes de zonas endémicas (AU)
Background Our aim is analyze the epidemiological factors of enteric fever in Madrid (Spain) over the last 30 years. Material and methods A retrospective review was conducted on cases of typhoid and paratyphoid fever studied in the Fundación Jiménez Díaz (Madrid) between 1980 and 2010. Two similar periods in time were studied (P1: 1980-1993; P2: 1994-2010).Results There was a total of 61 confirmed cases of enteric fever: 51 (84%) were typhoid and 10 were paratyphoid: 45 patients were native Spanish (40 belonging to P1) and 16 were immigrants (15 in P2, with 11 of them coming from the Indian sub-continent).Conclusion Enteric fever must be present in the differential diagnosis of persistent fever without clear focus in immigrants, mainly from the Indian subcontinent, and travelers from endemic areas (AU)
Subject(s)
Humans , Typhoid Fever/epidemiology , Paratyphoid Fever/epidemiology , Retrospective Studies , Diagnosis, Differential , Salmonella paratyphi A/pathogenicity , Salmonella typhi/pathogenicity , Salmonella enterica/pathogenicity , Emigrants and ImmigrantsABSTRACT
BACKGROUND: Our aim is analyze the epidemiological factors of enteric fever in Madrid (Spain) over the last 30 years. MATERIAL AND METHODS: A retrospective review was conducted on cases of typhoid and paratyphoid fever studied in the Fundación Jiménez Díaz (Madrid) between 1980 and 2010. Two similar periods in time were studied (P1: 1980-1993; P2: 1994-2010). RESULTS: There was a total of 61 confirmed cases of enteric fever: 51 (84%) were typhoid and 10 were paratyphoid: 45 patients were native Spanish (40 belonging to P1) and 16 were immigrants (15 in P2, with 11 of them coming from the Indian sub-continent). CONCLUSION: Enteric fever must be present in the differential diagnosis of persistent fever without clear focus in immigrants, mainly from the Indian subcontinent, and travelers from endemic areas.
