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dc.creatorWolff R,Marcelo
dc.date1999-11-01
dc.date.accessioned2019-05-02T21:10:39Z
dc.date.available2019-05-02T21:10:39Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001100010
dc.identifier.urihttp://revistaschilenas.uchile.cl/handle/2250/81012
dc.descriptionEight Chilean teenagers traveled to Ecuador in January 1999, where they were bitten by mosquitoes, had contact with parakeets and lodged in poorly hygienic places; 6/8 visited for 5-10 minutes the interior of a bat cave. About a week later these 6 began with headache, myalgia and fever that lasted 2-3 weeks. 5/6 had dry cough with no respiratory distress. The index case was seen in the 2nd week of symptoms. A chest x-ray showed multiple nodular infiltrates as in the other five. Two had histoplasma serology, one was negative and the other positive at a low titer; histoplasmine skin test showed induration of 17-27 mm in all six. An acute histoplasmosis with massive exposure was diagnosed and treated with itraconazole for 3 weeks. All became asymptomatic and chest x-rays returned to normal. Histoplasmosis (non existent endogenously in Chile) is, among other geographic and tropical diseases, a risk for Chilean travelers. Awareness of this in the general population and development of expertise in these diseases by local health care providers is required.
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dc.languagees
dc.publisherSociedad Médica de Santiago
dc.relation10.4067/S0034-98871999001100010
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista médica de Chile v.127 n.11 1999
dc.subjectHistoplasmin
dc.subjectHistoplasmosis
dc.subjectTropical medicine
dc.titleBrote de histoplasmosis aguda en viajeros chilenos a la selva ecuatoriana: un ejemplo de Medicina Geográfica


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