Confecci車n por dos filarias (Loa loa y Mansonella perstans) en una paciente proveniente de Guinea Loa Loa and Mansonella perstans coinfection in a patient from Guinea

作者：A Gil Setas; M Perez Salazar; A Navascues; F Rodriguez Eleta

来源：Anales del Sistema Sanitario de Navarra, 2010.

• Loa loa
• Mansonella perstans
• Filaria
• Loa loa
• Mansonella perstans
• Filaria

Presentamos un caso de una infecci車n mixta por 2 filarias (Loa loa y Mansonella perstans). La infecci車n se sospech車, al aparecer, una marcada eosinofilia en una anal赤tica de rutina. En la extensi車n de sangre perif谷rica se observaban microfilarias envainadas y sin envainar, con lo que se estableci車 un diagn車stico de infecci車n mixta por filarias. El diagn車stico definitivo de especie se realiz車 en el Centro Nacional de Microbiolog赤a de Majadahonda. Se instaur車 un tratamiento con dietilcarbamicina y mebendazol que conllev車 la curaci車n de los s赤ntomas de la paciente y la eliminaci車n de las microfilarias en sangre. La filariasis es todav赤a end谷mica en muchos pa赤ses. Debido al aumento de viajeros a dichas zonas y a los movimientos migratorios desde dichas 芍reas, no es infrecuente enfrentarnos a su diagn車stico. La implantaci車n de tratamientos masivos contra las filarias en zonas end谷micas por parte de la Organizaci車n Mundial de la Salud est芍 disminuyendo su transmisi車n, consiguiendo la eliminaci車n de la enfermedad en algunas 芍reas. We present a case of mixed infection by two filariae (Loa loa and Mansonella perstans). It seems that the infection was suspected due to a pronounced eosinophilia in a routine analysis. Sheathed and unsheathed microfilariae were observed in the spread of peripheral blood, which enabled a diagnosis to be established of mixed infection by filariae. The definitive diagnosis of the species was carried out at the National Centre of Microbiolgy of Majadahonda. A treatment was initiated with dietilcarbamazina and mebendazole which resulted in the patient＊s being cured and in the elimination of the microfilariae in the patient＊s blood. Filariasis is still endemic in many countries. Due to the increase of travellers to such zones and the migratory movements from such areas it is not unusual for us to come across such a diagnosis. The implantation of massive treatments against filariae in endemic zones by the World Health Organisation is reducing their transmission and is managing to eliminate the disease in some areas.