Publications by authors named "Michele Hernandez Cabrera"
Article Synopsis
- - The study examines the health and demographic characteristics of migrants who arrived in the Canary Islands via small boats from 2020 to 2022, highlighting significant health issues due to their journey.
- - Of the 193 patients, many suffered from acute patera syndrome (APS) and skin and soft tissue or musculoskeletal patera syndrome (SSTMSPS), with dehydration being the most common issue; most patients were young males from West Africa.
- - Findings indicate that timely identification of patera syndrome can lead to better treatment outcomes, emphasizing the importance of understanding the specific health challenges faced by these migrants.
Background: The clinical and epidemiological data of the recent outbreak of monkeypox (MPX) differ from previous reports. One difference is the epidemiological profile; the disease mainly affects a subgroup of MSM (men who have sex with men) with high-risk sexual behaviors, frequently persons living with human immunodeficiency virus (PLHIV).
Methods: In this observational analysis, all patients with PCR (polymerase chain reaction)-confirmed MPX attending an Infectious Diseases and Tropical Medicine Unit in Gran Canaria (Spain) between May and July 2022 were considered.
Article Synopsis
- * Among the patients, 34% experienced acute heart failure (AHF) and 5% had CS, with CS patients showing higher rates of surgery and in-hospital mortality compared to those without AHF or AHF alone.
- * Key factors linked to developing CS included severe valve regurgitation and certain arrhythmias, while CS patients were more likely to have lower mortality compared to those with septic shock, emphasizing the need for quick diagnosis and surgical intervention.
To document the epidemiology, clinical features, and outcomes of murine typhus patients in the Canary Islands (Spain), we analyzed data that were retrospectively collected for 16 years for 221 patients. Murine typhus in the Canary Islands is characterized by a high rate of complications (31.6%), mainly liver, lung, kidney or central nervous system involvement.
View Article and Find Full Text PDFThe use of co-trimoxazole in catheter lock therapy. A report on a difficult case.
Enferm Infecc Microbiol Clin (Engl Ed)
May 2018
Immune reconstitution inflammatory syndrome (IRIS) includes a group of potentially serious inflammatory processes that may be present in HIV-infected patients after initiating highly active antiretroviral therapy (HAART). is a worsening of symptoms, after an overwhelming response to a previously diagnosed opportunistic infection (OI); reveals a previously occult OI. The main objective of the study was to describe the epidemiological, clinical, and outcome data of HIV-infected immigrants, stratified according to high- or low-income countries of origin, who developed IRIS and to compare them with native-born Spanish patients.
View Article and Find Full Text PDFBackground: Among immigrants of sub-Saharan origin, parasitic infection is the leading cause of eosinophilia, which is generally interpreted as a defense mechanism. A side effect of the inflammatory mediators released by eosinophils is damage to host organs, especially the heart. The main objectives of this study were to i) assess cardiac involvement in asymptomatic sub-Saharan immigrants with eosinophilia, ii) relate the presence of lesions with the degree of eosinophilia, and iii) study the relationship between cardiac involvement and the type of causative parasite.
View Article and Find Full Text PDFArticle Synopsis
- Most cases of fever of intermediate duration (FDI) in Spain are linked to infectious diseases like Q fever and rickettsia, with current diagnostic techniques not being effective early on.
- The study assessed the use of PCR methods to identify genetic material from Coxiella burnetii and Rickettsia spp. in blood samples of 271 FDI patients.
- The findings indicate that molecular techniques have high specificity and can diagnose cases that traditional antibody tests miss, making them valuable for early identification of these infections.
Objective: The aim of this work was to evaluate the prevalence of past infection due to Rickettsia typhi and Rickettsia conorii in the Canary Islands (Spain).
Methods: A representative sample of the population of the seven islands, formed of 662 people aged between 5 and 75 years (368 females, 294 males), was analyzed. Epidemiological data were obtained by direct survey.
We report a case of compartmental syndrome of the left upper limb secondary to a severe Moraxella lacunata infection, an unusual pathogen, occurring in a young black male immigrant to the island of Gran Canaria, Spain. We propose a pathophysiological relationship with patera foot syndrome.
View Article and Find Full Text PDFAn unusual skin and soft tissue infection of the lower limbs has been observed in immigrants from sub-Saharan Africa who cross the Atlantic Ocean crowded on small fishing boats (pateras). Response to conventional treatment is usually poor. Extreme extrinsic factors (including new pathogens) may contribute to the etiology of the infection and its pathogenesis.
View Article and Find Full Text PDFOf 788 recent African adult immigrants to Las Palmas de Gran Canaria, 213 (27.0%) had eosinophilia. The most frequent causes were filariasis (29.
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- A patient from Sub-Saharan Africa with HIV and disseminated tuberculosis experienced a severe hypersensitivity reaction to the medication efavirenz.
- The reaction led to acute renal failure, as well as issues with the liver and lungs.
- Notably, the patient did not show skin symptoms or elevated eosinophil levels, which are often associated with allergic reactions.
Article Synopsis
- * There is a notable increase in complications from the disease, especially renal issues like acute failure and abnormal urinalysis results.
- * The unusual clinical pattern may be linked to different strains of the bacteria Rickettsia typhi or other related species.