[Syndromic approach in migrant patients: Fever, diarrhea, anemia, eosinophilia and chronic cough].

Aten Primaria

Centro de Salud Internacional y Enfermedades Transmisibles Drassanes Vall d'Hebron, Hospital Vall d'Hebron, PROSICS, Barcelona, Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, España.

Published: August 2024

Migrant patients share the same diseases as natives, but biological or environmental differences may lead to distinct prevalence and manifestations of certain syndromes. Some common conditions in Primary Care stand out, such as fever, diarrhea, anemia, eosinophilia, and chronic cough, where it is important to have a special consideration. Fever may indicate a serious imported illness, and malaria should always be ruled out. Diarrhea is generally of infectious origin, and in most cases, management is outpatient. Anemia may indicate malnutrition or malabsorption, while eosinophilia may indicate a parasitic infection. Lastly, chronic cough may be a sign of tuberculosis, especially in immigrants from endemic areas. Family medicine holds a privileged position for the comprehensive, culturally sensitive, and person-centered approach to these conditions.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11010778PMC
http://dx.doi.org/10.1016/j.aprim.2024.102924DOI Listing

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