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Carrion's disease: an eradicable illness?

Cláudia Gomes1, Maria J Pons2, Juana Del Valle Mendoza3

  • 1ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.

Infectious Diseases of Poverty
|December 2, 2016
PubMed
Summary

Carrion's disease, a severe neglected tropical illness caused by Bartonella bacilliformis, has a high fatality rate in its acute phase. The expanding vector distribution necessitates urgent elimination strategies for this vector-borne disease.

Keywords:
Bartonella bacilliformisCarrion’s diseaseColombiaEcuadorEradicationNeglected tropical diseasesOroya feverPeruSouth America

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Area of Science:

  • Infectious Diseases
  • Tropical Medicine
  • Epidemiology

Background:

  • Carrion's disease is a neglected tropical disease caused by Bartonella bacilliformis.
  • It is endemic to the Andean valleys of Peru, Ecuador, and Colombia.
  • The disease presents a biphasic illness with a high fatality rate in the acute phase due to high parasitemia and secondary infections.

Purpose of the Study:

  • To highlight the current situation of Carrion's disease.
  • To emphasize the threat posed by asymptomatic carriers.
  • To advocate for the urgent development of elimination strategies.

Main Methods:

  • Review of existing literature on Bartonella bacilliformis and Carrion's disease.
  • Analysis of epidemiological trends and vector distribution.
  • Assessment of the impact of asymptomatic carriers on disease transmission.

Main Results:

  • Carrion's disease exhibits a high case-fatality rate (up to 88%) in the acute phase.
  • Asymptomatic carriers act as reservoirs and perpetuators of the disease.
  • Vector distribution is expanding, introducing the disease to new areas.

Conclusions:

  • Carrion's disease is a significant public health concern in endemic regions.
  • The expanding range of the disease vector necessitates immediate action.
  • A focused elimination strategy is crucial to control and eradicate Carrion's disease.