Espiroquetosis intestinal humana: serie clínica y revisión de la literatura / Human intestinal spirochetosis: clinical series and literature review
Rev. chil. infectol
; 29(4): 449-452, ago. 2012. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-649831
Responsible library:
CL1.1
ABSTRACT
Introduction:
Human intestinal spirochetosis (HIE) is defined as colonization by spirochetes of the large intestine. Is associated with chronic diarrhea. The incidence and prevalence ranges from 0.4% to 12%.Objective:
To determine the prevalence of HIE in the Salvador's Hospital, between 2003 and 2008 in patients with a history of chronic diarrhea and without abnormalities in colonoscopy, in 2 separate groups patients with and without a history of HIV infection. Material andMethods:
Retrospective morphology evaluation of the large bowel endoscopic biopsies to the selected groups.Results:
We reviewed 115 biopsies, 98 were from HIV-negative and 17 HIV from positive patients. Two cases of intestinal spirochetosis were detected, both HIV negative, with a prevalence of 1.7%.Comment:
The prevalence of HIE is similar to that reported in Western countries. Population studies are needed to determine the real epidemiological impact in our environment.RESUMEN
Introducción:
La espiroquetosis intestinal humana (EIH) se define como la colonización del intestino grueso por espiroquetas. Se asocia a diarrea crónica. Su incidencia y prevalencia van desde 0,4 a 12%Objetivo:
Determinar la prevalencia de EIH en el Hospital Del Salvador, de Santiago, Chile, entre los años 2003 y 2008, en pacientes con antecedentes clínicos de diarrea crónica y colonoscopia sin hallazgos patológicos, separados en dos grupos pacientes con y sin antecedentes de infección por VIH. Material yMétodo:
Evaluación morfológica retrospectiva de las biopsias endoscópicas de intestino grueso de los grupos seleccionados.Resultados:
Se revisaron 115 biopsias, 98 correspondieron a pacientes sin infección por VIH y 17 a pacientes seropositivos para VIH. Se detectaron dos casos de espiroquetosis intestinal, ambos en pacientes sin infección por VIH, con una prevalencia de 1,7 %.Comentario:
La prevalencia de EIH es similar a la publicada en países occidentales. Se requieren estudios poblacionales para determinar el real impacto epidemiológico en nuestro medio.
Full text:
Available
Collection:
International databases
Health context:
Neglected Diseases
Health problem:
Diarrhea
/
Neglected Diseases
Database:
LILACS
Main subject:
Gram-Negative Bacterial Infections
/
Brachyspira
/
Intestinal Diseases
Type of study:
Prevalence study
/
Risk factors
Limits:
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. chil. infectol
Journal subject:
Communicable Diseases
Year:
2012
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital del Salvador/CL