Publications by authors named "Lopez-Bernus A"

Background: Crimean-Congo haemorrhagic fever (CCHF) is a tick-borne viral disease. CCHF is an emerging infectious disease given the expanding distribution of its main vector. This study aimed to evaluate the importance of CCHFV infection in migrants from Africa who attended a tertiary health care centre in Spain.

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The early immune kinetics after SARS-CoV-2 vaccination remain poorly understood, particularly among individuals with low-count monoclonal B-cell lymphocytosis (MBL). We investigated the cellular and humoral kinetics in the blood of 50 non-MBL healthy donors (HD) vs. 16 MBL subjects after SARS-CoV-2 vaccination, who were subclassified according to their history of previous exposure to SARS-CoV-2 into SARS-CoV-2 naïve and previously infected subjects.

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Introduction: Crimean-Congo haemorrhagic fever (CCHF) is an emerging tick-borne viral disease. It has been described in Spain in both ticks and humans. Until July 2024 most cases have been described in the central-western part of the Iberian Peninsula.

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In the last 40 years, a significant increase in the incidence of lung infections by Aspergillus has been reported. The scarcity of studies that describe the costs of aspergillosis indicates that the economic impact of aspergillosis in the hospital environment is greater than that of other fungal infections. The objective of the study was to evaluate the direct healthcare costs associated with aspergillosis in the Spanish National Health System from 1997 to 2021.

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The pathogenesis of COVID-19 warrants unravelling. Genetic polymorphism analysis may help answer the variability in disease outcome. To determine the role of KIR and HLA polymorphisms in susceptibility, progression, and severity of SARS-CoV-2 infection, 458 patients and 667 controls enrolled in this retrospective observational study from April to December 2020.

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Article Synopsis
  • Low-count monoclonal B-cell lymphocytosis (MBL) is linked to a higher risk of severe COVID-19 and potential immunodeficiency.
  • A study involving 336 COVID-19 patients showed that MBL patients had increased counts of certain immune cells, especially plasma cells, but decreased counts of others like lymphocytes, particularly in the early stages of infection.
  • MBL patients also exhibited a delayed but stronger antibody response compared to non-MBL patients, indicating distinct immune responses in the context of COVID-19.
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  • - Babesiosis, caused by the protozoan Babesia and transmitted by Ixodes ticks, shows varying infection rates in European ticks and has a low incidence in Spain, with about 2.35 cases per 10 million people per year.
  • - A study reviewed Spanish NHS data from 1997-2019, identifying 29 inpatients with babesiosis, primarily affecting urban men around 46 years old, with a high readmission rate and an average hospital stay of about 20 days.
  • - While still rare, the incidence of human babesiosis in Spain is rising, with a reported mortality rate of up to 20% for transfusion-transmitted cases, underscoring the disease's growing impact on
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Crimean-Congo hemorrhagic fever (CCHF) is a viral infectious disease for which distribution of the main vector, Hyalomma spp. ticks, is expanding. We analyzed all 10 cases of CCHF diagnosed in Spain during 2013-2021; case-patient median age was 56.

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(1) Background: produces high morbidity and mortality, especially in at-risk populations. In Spain, the evolution of mortality in recent years due to this fungus is not well established. The aim of this study was to estimate the case fatality rate of aspergillosis in inpatients from 1997 to 2017 in Spain.

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Background: The evidence for the efficacy of glucocorticoids combined with tocilizumab (TCZ) in COVID-19 comes from observational studies or subgroup analysis. Our aim was to compare outcomes between hospitalized COVID-19 patients who received high-dose corticosteroid pulse therapy and TCZ and those who received TCZ.

Methods: A retrospective single-center study was performed on consecutive hospitalized patients with severe COVID-19 between 1 March and 23 April 2020.

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  • * In a study involving 300 patients at the Hospital of Salamanca, Spain, the N15-RT-LAMP test was used on urine from COVID-19 positive and negative patients, revealing a low positive detection rate of 4%.
  • * The findings indicate that SARS-CoV-2 RNA is rarely found in urine, suggesting that urine may not be a significant route for clearing the virus, especially in patients who have recovered.
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Schistosomiasis is a helminthic infection and one of the neglected tropical diseases (NTDs). It is caused by blood flukes of the genus Schistosoma. It is an important public health problem, particularly in poverty-stricken areas, especially those within the tropics and subtropics.

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  • Dexamethasone may cause severe complications in patients with Strongyloides stercoralis, highlighting a need to study its relationship with COVID-19 infections.
  • A study was conducted analyzing 2567 COVID-19 patients from March to December 2020, identifying 86 from endemic areas, with 7 diagnosed with strongyloidiasis, all showing satisfactory clinical outcomes.
  • The study recommends screening for strongyloidiasis in COVID-19 patients and suggests that dexamethasone did not negatively impact those with strongyloidiasis, but further research is needed.
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  • A study in Spain explored how different intensities of anticoagulation, specifically low-molecular-weight heparin (LMWH), impact survival rates in COVID-19 hospitalized patients.
  • The research included 690 patients, revealing that those who received any form of LMWH had significantly lower mortality rates compared to those who did not.
  • The findings suggest that intermediate-dose LMWH may offer the most benefit, highlighting the need for further randomized controlled trials to investigate optimal anticoagulation strategies for COVID-19 patients.
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Cystic echinococcosis (CE) is a parasitic disease caused by the larval forms of species of the tapeworm Echinococcus. The most common location is the liver. To assess the frequency and clinical characteristics of portal hypertension (PH) and the risk factors for PH development, we performed a retrospective observational study of inpatients diagnosed with hepatic CE and PH from January 1998 to December 2018, at Complejo Asistencial Universitario de Salamanca, Spain.

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Background And Objective: Urinary tract infections (UTIs) are frequently caused by Enterococcus spp. This work aims to define the risk factors associated with UTIs caused by Enterococci and to determine its overall mortality and predictive risk factors.

Materials And Methods: A retrospective study was conducted on bacteremic UTIs caused by Enterococcus spp.

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Brucellosis remains one of the main zoonoses worldwide. Epidemiological data on human brucellosis in Spain are scarce. The objective of this study was to assess the epidemiological characteristics of inpatient brucellosis in Spain between 1997 and 2015.

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Article Synopsis
  • The study developed a machine-learning model to predict which hospitalized Covid-19 patients are at higher risk for severe disease, using clinical and lab data from patient admissions.
  • The model was trained on 918 patients, validated internally, and then tested on 352 patients from a different hospital, achieving strong accuracy rates (AUC of 0.85 and 0.83, respectively).
  • Key predictive factors included blood oxygen levels, age, kidney function, and various inflammatory markers, and the model is now available as an open-source tool for risk assessment.
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Background: Crimean-Congo haemorrhagic fever (CCHF) is a widespread tick-borne viral disease caused by the Crimean-Congo haemorrhagic fever virus (CCHFV). CCHFV has been implicated in severe viral haemorrhagic fever outbreaks. During the summer of 2016, the first two cases with genotype III (Africa 3) were reported in Spain.

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Background: Aspergillosis is a serious infection, and in Spain, the influence of epidemiology and climate on the resulting expenses of aspergillosis is not well established.

Aim: A retrospective descriptive study using the Minimum Basic Data Set was performed on records of patients admitted to hospitals of the National Health System between 1997 and 2017 with a diagnosis of aspergillosis. The weather parameters were obtained from the State Agency of Meteorology from Spain.

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Cat scratch disease, whose causative agent is Bartonella henselae, is an anthropozoonosis with a worldwide distribution that causes significant public health problems. Although it is an endemic disease in Spain, the available data are very limited. The aim of our study was to describe cat scratch disease inpatients in the National Health System (NHS) of Spain.

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Background: Cystic echinococcosis (CE) is a chronic, complex and neglected zoonotic disease caused by Echinococcus granulosus. Eosinophilia in CE is a classic analytic alteration, although its presentation and importance is very variable and not well established.

Methods: We performed a retrospective observational study of inpatients diagnosed with CE and eosinophilia from January 1998 to December 2017 in the Complejo Asistencial Universitario de Salamanca in western Spain.

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Objectives: The objective of this study was to assess the epidemiology and burden of Q fever (QF) in Spain.

Methods: We designed a retrospective descriptive study using the minimum basic data set in patients admitted to hospitals of the National Health System between 1998 and 2015 with a diagnosis of Q fever (ICD-9: 083.0.

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