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May 10, 2018

ESPID 2018

MICROORGANISMS WITHOUT BORDERS

;

Reis E Melo, A.;

Rosário, M.;

Tavares Ferreira, J.;

Castro, C.;

Tavares, M.

chagas diseases

virus zika infection

ocular toxoplasmosis

tropical diseases

Abstract

Abstract

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Keywords

chagas diseases

virus zika infection

ocular toxoplasmosis

tropical diseases

Abstract

Background Portugal has an important relationship with ancient colonies. We report 5 cases of exposure/infection due to tropical microorganisms. Case Presentation Summary An asymptomatic 10-month boy in clinical surveillance since birth in Portugal, because his mother was diagnosed with zika virus infection in 1st trimester in Brazil with positive IgM and IgG and no circulating virus. During pregnancy, seroconversion was observed. A newborn, clinically well, is being followed up due to perinatal exposure to Tripanossoma cruzi. His mother from Brasil had Chagas disease and died 7days after delivery. A 17-years-old adolescent natural from Guiné presented at the emergency department with right ocular pain, hyperemia and hypovision. Ophthalmologic evaluation showed granumolatous iritis, vitritis, and chorioretinitis. Etiologic study showed positive IgG to toxoplasma. Ocular toxoplasmosis was assumed, he was treated with trimethoprim-sulfamethoxazole and prednisolone, with clinical improvement. A 15-years-old Portuguese girl presented with a small hypopigmented lesion in the right forearm with 2 years of evolution. After delayed diagnosis of multibacillary lepromatous leprosy in her mother from Brazil and living in Portugal since several years, the girl underwent a skin biopsy which revealed paucibacillary Hansen's disease. She was treated with dapsone and rifampicin. A 7-years-old girl from Guiné, was evaluated due to nodular cutaneous lesions and chronic osteomyelitis since 2 years old. The suspicion was confirmed when Histoplasma duboisii was observed in bone and ganglionar tissues. She started treatment with amphotericin B with slightly improvement. At the same time pulmonar tuberculosis was diagnosed. Learning Points/Discussion Currently, with increasing migration of people, diseases considered tropical can be seen in industrialized countries. Pediatricians must be aware of them in order to better diagnose and treat. Also a proper surveillance in cases of exposure must be guaranteed.

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All rights reserved.