Neglected Tropical Diseases key aspects for the rheumatologist
Main Article Content
Abstract
Neglected tropical diseases (NTDs) are a group of 20 infectious diseases that are no longer restricted to tropical regions and that will be increasingly encountered by physicians of the Northern hemisphere.
In this article, we review key aspects of tropical medicine relevant for rheumatologists or doctors working with autoimmune diseases or immunosuppressive drugs in order to be aware of NTDs, look out for them and prevent their complications.
The article addresses four main topics:
- eosinophilia workup,
- rheumatic presentations of NTDs, such as myositis or arthritis
- lupus, granulomatosis with polyangiitis or vasculitis mimickers, such Leishmaniasis, Leprosy or Human African Trypanosomiasis and
- screening before starting immunosuppression, including Strongyloidiasis and Chagas disease
With this review, we intend to raise awareness for NTDs amongst rheumatologists and internists working in the Northern hemisphere. NTDs should be considered and excluded in patients with relevant travelhistory or exposure in following situations:
- during the differential diagnosis of a suspected new autoimmune condition,
- in case of poor response or flare of symptoms on initiating immunosuppressive therapy,
- during systematic screening prior to starting immunosuppressive medication, along with blood born viruses and tuberculosis.
Article Details
How to Cite
LE GOUEFF, Anouk et al.
Neglected Tropical Diseases key aspects for the rheumatologist.
Medical Research Archives, [S.l.], v. 11, n. 12, jan. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/4512>. Date accessed: 22 dec. 2024.
doi: https://doi.org/10.18103/mra.v11i12.4512.
Section
Review Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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2. Holmes P. Neglected tropical diseases in the post-2015 health agenda. Lancet 2014;383(9925):1803.
3. O'Connell EM, Nutman TB. Eosinophilia in Infectious Diseases. Immunol Allergy Clin North Am 2015;35(3):493–522.
4. Neglected tropical diseases: no longer someone else's problem. Lancet Infect Dis. 2014;14(10):899.
5. Seventh Meeting of the Working Group on Health in Climat Change (HIC) of the European Environment and Health Task Force. Bonn: World Health Organization; 2019 (https://www.euro.who.int/__data/assets/pdf_file/0004/440338/7th-meeting-Health-in-Climate-Change-HIC.pdf).
6. Fabiani S, Bruschi F. Rheumatological patients undergoing immunosuppressive treatments and parasitic diseases: A review of the literature of clinical cases and perspectives to screen and follow-up active and latent chronic infections. Clin Exp Rheumatol 2014;32 :587-596.
7. Zammarchi L, Gobbi F, Bartoloni A et al. Schistosomiasis, strongyloidiasis and Chagas disease: the leading imported neglected tropical diseases in Italy. J Travel Med 2020;27(1):taz100
8. Public health and climate change adaptation policies in the European Union – final report. Geneva: World Health Organization; 2018 (https://www.euro.who.int/__data/assets/pdf_file/0010/386965/Pagoda-REPORT-final-published-2.pdf).
9. Climate change data and statistics. Geneva: World Health Organization (http://www.euro.who.int/en/health-topics/environment-and-health/Climate-change/data-and-statistics, accessed 09 August 2020)
10. Climate change and health. Geneva: World Health Organization; 2017 (https://www.who.int/mediacentre/factsheets/fs266/en/, accessed 09 August 2020).
11. Manual on management and surveillance of the leishmaniases in the WHO European Region. Geneva: World Health Organization; 2017 (https://www.who.int/leishmaniasis/resources/EURO_WHO_Leish_manual_on_case_management_and_surveillance_9789289052511_2017.pdf?ua=1).
12. Romero Alegría A, Hernández Cabrera, Pérez Arellano JL, et al. Fake imported tropical diseases: A retrospective study. Rev Esp Quimioter 2018;31(6):528-531.
13. Statistics Canada. Table 17-10-0008-01 Estimates of the components of demographic growth, annual ; 2021 (https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=1710000801, accessed 13 September 2021).
14. U.S. Department of Homeland Security. Table 20. Petitions for Naturalization Filed, Persons Naturalized, and Petitions for Naturalization Denied: Fiscal Years 1908 to 2019; 2020 (https://www.dhs.gov/immigration-statistics/yearbook/2019/table20, accessed 13 September 2021).
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16. Keystone JS. Chapter 9 - Visiting Friends & Relatives. Centers for Disease Control and Prevention; 2020 (https://wwwnc.cdc.gov/travel/yellowbook/2020/travel-for-work-other-reasons/visiting-friends-and-relatives-vfr-travel, accessed 09 August 2020)
17. Migration Data Portal. (https://migrationdataportal.org/?i=stock_abs_&t=2019, accessed 09 August 2020).
18. Seedat F, Hargreaves S, Friedland JS, et al. How effective are approaches to migrant screening for infectious diseases in Europe? A systematic review. Lancet Infect Dis 2018;18:259–271.
19. Cinardo P, Farrant O, Gunn K, Ward A, Eisen S, Longley N. Screening for neglected tropical diseases and other infections in refugee and asylum-seeker populations in the United Kingdom. Ther Adv Infect Dis 2022 ;9:20499361221116680.
20. Leishmaniasis. Geneva: World Health Organization; 2020 (https://www.who.int/health-topics/leishmaniasis, accessed 09 August 2020).
21. Leprosy (Hansen’s disease. Geneva: World Health Organization; 2020 (https://www.who.int/health-topics/leprosy, accessed 09 august 2020).
22. Chagas disease (also known as American trypanosomiasis. Geneva: World Health Organization; 2020 (https://www.who.int/en/news-room/fact-sheets/detail/chagas-disease-(american-trypanosomiasis), accessed 09 august 2020).
23. Salvador F, Sánchez-Montalvá A, Valerio L, Molina I, et al. Immunosuppression and Chagas disease; experience from a non-endemic country. Clin Microbiol Infect 2015;21(9):854-860.
24. Salas-Coronas J, Ramírez-Olivencia G, Muñoz J, et al. Diagnosis and treatment of imported eosinophilia in travellers and immigrants: Recommendations of the Spanish Society of Tropical Medicine and International Health (SEMTSI). Rev Esp Quimioter 2016; 30(1):62-78.
25. Valent P, Klion AD, Gleich GJ, et al. Contemporary consensus proposal on criteria and classification of eosinophilic disorders and related syndromes. J Allergy Clin Immunol 2012;130(3):607-612.
26. Barrett J, Warrell CE, Whitty CJM, et al. The changing aetiology of eosinophilia in migrants and returning travellers in the Hospital for Tropical Diseases, London 2002-2015: An observational study. J Infect 2017;75(4):301-308.
27. Bartalesi F, Scirè C, Requena-Méndez A, et al. Recommendations for infectious disease screening in migrants to Western Europe with inflammatory arthropathies before starting biologic agents. Results from a multidisciplinary task force of four European societies (SIR, SER, SIMET, SEMTSI) facing the largest impact of the flow of migrants today. Clin Exp Rheumatol. 2017;35(5):752-765.
28. Fairley JK. Chapter 11 – General approach to the returned traveller. Centers for Disease Control and Prevention; 2020 (https://wwwnc.cdc.gov/travel/yellowbook/2020/posttravel-evaluation/general-approach-to-the-returned-traveler, accessed 09 August 2020).
29. Misra DP, Sharma A, Agarwal V. Rheumatology science and practice in India. Rheumatol Int. 2018;38(9):1587-1600.
30. Alpay-Kanıtez N, Çelik S, Bes C. Polyarthritis and its differential diagnosis. Eur J Rheumatol 2018;6(4):167-173.
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