{"id":8252,"date":"2020-04-27T21:45:21","date_gmt":"2020-04-28T00:45:21","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/gnatostomiasis\/"},"modified":"2020-04-27T21:45:21","modified_gmt":"2020-04-28T00:45:21","slug":"gnatostomiasis","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/gnatostomiasis\/","title":{"rendered":"Gnatostomiasis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/gnatostomiasis\/#%C2%BFQue-es-la-gnatostomiasis\" >What is gnatostomiasis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/gnatostomiasis\/#%C2%BFQuien-contrae-gnatostomiasis\" >Who gets gnatostomiasis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/gnatostomiasis\/#%C2%BFQue-causa-la-gnatostomiasis\" >What causes gnatostomiasis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/gnatostomiasis\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-gnatostomiasis\" >What are the clinical characteristics of gnatostomiasis?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/gnatostomiasis\/#Gnatostomiasis-cutanea\" >Cutaneous gnatostomiasis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/gnatostomiasis\/#Visceral-gnatostomiasis\" >Visceral gnatostomiasis<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/gnatostomiasis\/#%C2%BFComo-se-diagnostica-la-gnatostomiasis\" >How is gnatostomiasis diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/gnatostomiasis\/#%C2%BFCual-es-el-tratamiento-para-la-gnatostomiasis\" >What is the treatment for gnatostomiasis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/gnatostomiasis\/#%C2%BFCual-es-el-resultado-de-la-gnatostomiasis\" >What is the result of gnatostomiasis?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-gnatostomiasis\"><\/span>What is gnatostomiasis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Gnatostomiasis is a zoonosis (a <span class=\"term\" data-term-id=\"145\">infection<\/span> transmitted from animals) caused by larvae of a nematode (unsegmented roundworm). The most common cause is <em>Gnathostoma spinigerum<\/em>. Other species include <em>G. hispidum<\/em>.<\/p>\n<p><span class=\"term\" data-term-id=\"47\">Cutaneous<\/span> Gnatostomiasis is known by several names around the world, including:<\/p>\n<ul>\n<li>Yangtze River <span class=\"term\" data-term-id=\"201\">edema<\/span>\n<\/li>\n<li>Shanghai Rheumatism<\/li>\n<li>Tuao Chid<\/li>\n<li>\n<span class=\"term\" data-term-id=\"213\">Panniculitis<\/span> <span class=\"term\" data-term-id=\"733\">nodular<\/span> Immigration law.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-gnatostomiasis\"><\/span>Who gets gnatostomiasis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Gnatostomiasis is <span class=\"term\" data-term-id=\"814\">endemic<\/span> in countries where food is eaten raw or undercooked. Affected regions include Southeast Asia, Japan, Latin America, China, India, and Africa. The first Australian case was confirmed in 2011 in Western Australia. <\/p>\n<p>Gnatostomiasis is rare. However, the diagnosis should be considered in people with skin lesions and <span class=\"term\" data-term-id=\"83\">eosinophilia<\/span> who have recently traveled in endemic countries.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-gnatostomiasis\"><\/span>What causes gnatostomiasis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Gnatostomiasis is caused by ingesting larvae in poorly cooked food, such as fish, chicken, snakes, and frogs. Sushi generally does not pose a risk of gnathostomiasis, as more expensive saltwater fish do not carry larvae.<\/p>\n<p>In humans, intermittent symptoms appear when late third stage larvae migrate through the tissues. Larvae cannot reach sexual maturity in a human being. <span class=\"term\" data-term-id=\"1313\">host<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-gnatostomiasis\"><\/span>What are the clinical characteristics of gnatostomiasis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"308\">Generalized<\/span> Symptoms can develop within 24-48 hours after consuming the larvae. Such symptoms include:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1176\">Fever<\/span> and <span class=\"term\" data-term-id=\"1211\">discomfort<\/span>\n<\/li>\n<li><span class=\"term\" data-term-id=\"1646\">Urticaria<\/span><\/li>\n<li>Gastrointestinal symptoms: diarrhea, nausea, vomiting, anorexia, and right upper quadrant (epigastric or pain) abdominal pain \/ epigastric<\/li>\n<li>These symptoms can last 2 to 3 weeks as the larva migrates through the stomach wall, intestines, or liver.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Gnatostomiasis-cutanea\"><\/span>Cutaneous gnatostomiasis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Cutaneous gnatostomiasis appears as <span class=\"term\" data-term-id=\"321\">linear<\/span> no-<span class=\"term\" data-term-id=\"233\">bites<\/span> edema.<\/p>\n<ul>\n<li>Can be <span class=\"term\" data-term-id=\"967\">erythematous<\/span>, <span class=\"term\" data-term-id=\"244\">pruritus<\/span> or painful<\/li>\n<li>It is usually lonely. However, multiple injuries have been reported.<\/li>\n<li>The most common sites are the trunk or upper extremities.<\/li>\n<li>The larvae leave tracking marks (known as deep larva migrans) and <span class=\"term\" data-term-id=\"900\">subcutaneous<\/span> hemorrhages<\/li>\n<\/ul>\n<p>Injuries seen on the face are associated with spread to the central nervous system or eyes.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Visceral-gnatostomiasis\"><\/span>\n<span class=\"term\" data-term-id=\"772\">Visceral<\/span> gnatostomiasis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Visceral disease is due to the migration of gnatostomiasis larvae within the body.<\/p>\n<p><span class=\"term\" data-term-id=\"1009\">Pulmonary<\/span> symptoms<\/p>\n<ul>\n<li>Cough<\/li>\n<li>Pleuritic pain in the chest<\/li>\n<li>Haemoptysis<\/li>\n<li>Pneumothorax<\/li>\n<li>Lobar consolidation or collapse<\/li>\n<\/ul>\n<p>Gastrointestinal symptoms<\/p>\n<ul>\n<li>Sharp pains<\/li>\n<li>May be confused with appendicitis or intestinal obstruction<\/li>\n<\/ul>\n<p>Genitourinary symptoms<\/p>\n<ul>\n<li>Rare<\/li>\n<li>Hematuria<\/li>\n<li>Passage of larvae in the urine.<\/li>\n<li>Hematospermia<\/li>\n<li>Vaginal bleeding<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"981\">Ocular<\/span> symptoms<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"505\">Uveitis<\/span><\/li>\n<li>Iritis<\/li>\n<li><span class=\"term\" data-term-id=\"975\">Glaucoma<\/span><\/li>\n<li>Retinal scars<\/li>\n<li>Retinal detachment<\/li>\n<\/ul>\n<p> Atrial symptoms<\/p>\n<ul>\n<li>Mastoiditis<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1042\">Sensorineural<\/span> hearing loss<\/li>\n<\/ul>\n<p> The central nervous system (<span class=\"term\" data-term-id=\"1115\">CNS<\/span>)<\/p>\n<ul>\n<li>Potentially life threatening<\/li>\n<li>Subarachnoid <span class=\"term\" data-term-id=\"120\">hemorrhage<\/span>\n<\/li>\n<li>Eat<\/li>\n<li>Brain stem involvement: respiratory failure<\/li>\n<li>\n<span class=\"term\" data-term-id=\"449\">Eosinophilic<\/span> <span class=\"term\" data-term-id=\"1053\">meningitis<\/span>.<\/li>\n<\/ul>\n<p> CNS disease can present as a disease that gets progressively worse over several days. Symptoms include:<\/p>\n<ul>\n<li>Incontinence<\/li>\n<li>Loss of sensation<\/li>\n<li>Headaches<\/li>\n<li>Root pain in the extremities.<\/li>\n<li>Weakness or partial <span class=\"term\" data-term-id=\"1923\">paralysis<\/span> limb<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-gnatostomiasis\"><\/span>How is gnatostomiasis diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Gnatostomiasis is diagnosed by <span class=\"term\" data-term-id=\"621\">serology<\/span> in blood or cerebrospinal fluid (CSF) when the CNS is involved.<\/p>\n<p>It can be suspected in the presence of significant blood or CSF eosinophilia (up to 50% of total white blood cell count). Note that eosinophilia disappears in <span class=\"term\" data-term-id=\"319\">chronic<\/span> disease when larvae enter subcutaneous tissues.<\/p>\n<p><span class=\"term\" data-term-id=\"1410\">Magnetic resonance imaging<\/span> (<span class=\"term\" data-term-id=\"1116\">Magnetic resonance<\/span>) shows <span class=\"term\" data-term-id=\"1769\">diffuse<\/span> spinal <span class=\"term\" data-term-id=\"1762\">cable<\/span> magnification and areas of higher signal strength.<\/p>\n<p>A skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span> can show characteristic features. See also gnatostomiasis. <span class=\"term\" data-term-id=\"223\">pathology<\/span>.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-gnatostomiasis\"><\/span>What is the treatment for gnatostomiasis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Gnatostomiasis larvae on the skin are removed surgically.<\/p>\n<p>Medical treatment may include ivermectin or albendazole.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-resultado-de-la-gnatostomiasis\"><\/span>What is the result of gnatostomiasis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If cutaneous or visceral gnatostomiasis is not treated, the larvae can continue to cause intermittent symptoms until they die, which can last up to 12 years. The patient is considered disease free if <span class=\"term\" data-term-id=\"731\">asymptomatic<\/span> for 12 months after treatment, eosinophilia resolved and ELISA levels decreased.<\/p>\n<p><span class=\"term\" data-term-id=\"1500\">Relapse<\/span> it can occur up to 7 months after treatment, requiring retreatment and close follow-up. There is a high mortality rate for patients with CNS involvement. <\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la gnatostomiasis? La gnatostomiasis es una zoonosis (un infecci\u00f3n transmitido de animales) causado por larvas de un nematodo (gusano redondo no segmentado). La causa m\u00e1s com\u00fan es Gnathostoma&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-8252","wiki","type-wiki","status-publish","format-standard"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8252","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8252"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8252\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8252"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8252"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8252"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}