Protocolo diagnóstico de la afectación hematológica importada

  1. Torres, A. Hernández
  2. Vázquez, E. García 1
  3. Escudero, E. Moral
  4. Martínez, J.A. Herrero
  5. Gómez, J. Gómez
  6. Hernández, M. Segovia
  1. 1 Universidad de Murcia
    info
    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

    Geographic location of the organization Universidad de Murcia
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2018

Series: 12

Issue: 58

Pages: 3428-3432

Type: Article

DOI: 10.1016/J.MED.2018.06.007 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Haematological disorders are a very common occurrence in both travellers and immigrants. The most frequent disorders are eosinophilia, neutropaenia, anaemia and thrombocytopenia, whose diagnosis should be followed by a detailed and protocolised examination. Particularly among the immigrant population, it is crucial to first rule out an HIV infection, in which case the haematological alterations could be due to the infection itself, the adverse effects of the patient's antiretroviral therapy, certain immune conditions or other HIV-associated processes. Once an HIV infection has been ruled out, we should continue the diagnostic process by differentiating between travellers and immigrants, as the cause of these disorders differs between the two groups. Apart from an HIV infection, the presence of pancytopenia should generally lead to an initial diagnosis of either malaria or visceral leishmaniasis.

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