Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.

  • Presentation

Maladies from Central & South America

Description

The presentation focuses on various skin maladies prevalent in Central and South America, emphasizing the increasing incidence of tropical diseases as travel becomes more common amidst climate changes. It delves into skin conditions encountered by travelers, immigrants, and refugees, highlighting common skin issues such as cutaneous larva migrans, insect bites, and rare infections like myiasis and leishmaniasis. Each disease is described in detail, including its transmission, symptoms, diagnostic measures, and treatment options. For instance, cutaneous larva migrans, typically caused by Ancylostoma caninum, presents as an itchy eruption, most commonly seen on beaches. Additionally, the presentation emphasizes the significant rise of conditions like leishmaniasis due to increased ecological changes and travel consequences. Diagnostic techniques, including blood tests and microscopy, are discussed, as well as the treatment protocols ranging from topical medications to systemic pharmacotherapy. The speaker concludes by underscoring the importance of understanding these communicable diseases that can affect both travelers and the local population, urging awareness and preparedness among healthcare providers dealing with diverse patient profiles.

View more

Conclusions

  • Tropical skin conditions are increasingly prevalent due to international travel and climate change.
  • Common skin maladies seen in travelers include cutaneous larva migrans, insect bites, and bacterial infections.
  • Emerging tropical diseases such as leishmaniasis and myiasis pose significant risks to travelers and immigrants from Central and South America.
  • Effective diagnosis of skin conditions relies on clinical grounds and may require specialized tools such as dermoscopy.
  • Treatment protocols for tropical diseases often include off-label use of medications and may require a combination of oral and topical therapies.
  • Preventive measures include wearing protective clothing and using repellents to mitigate exposure to vectors and pathogens.
  • Lederman ER, Weld LH, Elyazar IR, et al. Dermatologic conditions of the ill returned traveler: an analysis from the GeoSentinel Surveillance Network. Int J Infect Dis. 2008; 12(6):593-602.
  • Eichelmann K, Tomecki K, Martinez JD. Semin Cutan Med Surg 2014;33:133-135.
  • Vasievich MP, Martinez JD, Tomecki KJ. Am J Clin Dermatol 2016;17(5):451-462.
  • Tungiasis. Dermatol Online Journal 2008;14(12):3.
  • Am J Clin Dermatol 2016;17(5):451-462.
  • Int J Dermatol 2021;60:840-843.
  • Seminars in Pediatric Surgery 2012;21:142-150.
  • Current Tropical Medicine Reports 2020;7:141-152.
  • Infectious Dis Clin N Ame 2008;22:415-432.
  • J Am Acad Dermatol 2015;73:911-926.