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Published on: March 10, 2020
[Imported infectious diseases in fever of unknown origin in migrant children: 2 cases]
M Ruiz Goikoetxea1, R Urabayen, M Herranz
1Servicio de Pediatría, Complejo Hospitalario de Navarra, Pamplona, Spain. maite.ruiz.goikoetxea@navarra.es
Abstract:
The increase in migratory movements has increased the incidence of infectious diseases that were infrequent in our setting. In the presence of fever in children from endemic areas, imported infectious diseases must be ruled out in the first place. We present two cases of typhoid fever in immigrant children, recently diagnosed in our centre. Both from countries with a high prevalence of the disease were admitted for study of fever of unknown origin. The two patients had been living in our country for less than one month. Isolation of the gram-negative bacillus in the blood cultures provided the key for reaching the etiological diagnosis. In both cases endovenous antibiotherapy was established and both the blood cultures and stools became negative before discharge. At present the two children are free of the disease.
Insights
Increased migration has led to a rise in infectious diseases. Two immigrant children with fever were diagnosed with typhoid fever, highlighting the need to consider imported infections in children from endemic areas.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Global migration patterns are increasing the incidence of infectious diseases previously uncommon in many regions.
- Fever in children recently arrived from endemic areas necessitates the investigation of potential imported infectious diseases.
Observation:
- Two cases of typhoid fever were diagnosed in immigrant children recently arrived from high-prevalence countries.
- Both children presented with fever of unknown origin and had been in the country for less than one month.
Findings:
- Blood cultures identified the causative gram-negative bacillus, confirming the etiological diagnosis of typhoid fever.
- Intravenous antibiotic therapy was administered, leading to negative blood and stool cultures before patient discharge.
Implications:
- These cases underscore the importance of considering imported infectious diseases, such as typhoid fever, in the differential diagnosis of febrile illnesses in immigrant children.
- Prompt diagnosis and appropriate antibiotic treatment are crucial for successful management and resolution of these imported infections.
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