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Fiebre entérica en Madrid. Una revisión de los últimos 30 años
Authors:Alfonso Cabello  Juan Francisco Bayona  Ricardo Fernández-Roblas  Manuel Fernández-Guerrero  José Manuel Ramos  Miguel de Górgolas
Institution:1. Unidad de Enfermedades Infecciosas, Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Madrid, España;2. Servicio de Medicina Interna, Hospital Universitario de Toledo, Toledo, España;3. Servicio de Medicina Interna, Hospital General Universitario de Alicante, Alicante, España
Abstract:

Background

Our aim is analyze the epidemiological factors of enteric fever in Madrid (Spain) over the last 30 years.

Material and methods

A retrospective review was conducted on cases of typhoid and paratyphoid fever studied in the Fundación Jiménez Díaz (Madrid) between 1980 and 2010. Two similar periods in time were studied (P1: 1980-1993; P2: 1994-2010).

Results

There was a total of 61 confirmed cases of enteric fever: 51 (84%) were typhoid and 10 were paratyphoid: 45 patients were native Spanish (40 belonging to P1) and 16 were immigrants (15 in P2, with 11 of them coming from the Indian sub-continent).

Conclusion

Enteric fever must be present in the differential diagnosis of persistent fever without clear focus in immigrants, mainly from the Indian subcontinent, and travelers from endemic areas.
Keywords:Fiebre enté  rica  Salmonella enterica Typhi  Salmonella enterica Paratyphi  Españ  a  Epidemiologí  a  Inmigració  n
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