02017nas a2200361 4500000000100000008004100001653002200042653001100064653001000075653003000085653001500115653002300130653000900153653002000162653001100182653001100193653001100204653003100215653002600246653002100272653001000293653001600303653001000319100002000329700001300349700001900362245009700381856005600478300001100534490000700545520108900552022001401641 2003 d10aTropical Medicine10aTravel10aSpain10aReferral and Consultation10aPrevalence10aParasitic Diseases10aMale10aInfant, Newborn10aInfant10aHumans10aFemale10aEmigration and Immigration10aCommunicable Diseases10aChild, Preschool10aChild10aAge Factors10aAdult1 aLópez-Vélez R1 aHuerga H1 aTurrientes M C00aInfectious diseases in immigrants from the perspective of a tropical medicine referral unit. uhttp://www.ajtmh.org/content/69/1/115.full.pdf+html a115-210 v693 a

Immigrants from less developed countries to Europe are growing in number and could contribute to the emergence of some infectious diseases. To address this issue, we conducted a descriptive study of 988 immigrants, of whom 79.9% were sub-Saharan Africans and 72% were of undocumented origin. Fever, pruritus, eosinophilia, visceromegaly, and anemia were more frequent in Africans, while a cough was more common Latin Americans (P < 0.005). The most frequent diagnoses were previous hepatitis B (46.5%), latent tuberculosis (44.2%), filariasis (24.8%), infection with intestinal helminths (15.4%), malaria (15.1%), infection with intestinal protozoa (10%), hepatitis C (8.8%), other non-parasitic infections (7.8%), active hepatitis B (7.6%), sexually transmitted diseases (7.5%), active tuberculosis (5.8%), and infection with human immunodeficiency virus (HIV) (5.2%). Past and active hepatitis B and C, active tuberculosis, infection with HIV, malaria, and filariasis were more frequent in Africans (P < 0.005). Thirty-two other tropical diseases were also diagnosed.

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