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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >A cluster of cutaneous leishmaniasis associated with human smuggling.
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A cluster of cutaneous leishmaniasis associated with human smuggling.

机译：与人类走私有关的皮肤利什曼病的群集。

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Abstract. Cutaneous leishmaniasis (CL) is rarely seen in the United States, and the social and geographic context of the infection can be a key to its diagnosis and management. Four Somali and one Ethiopian, in U.S. Border Patrol custody, came to the United States by the same human trafficking route: Djibouti to Dubai to Moscow to Havana to Quito; and then by ground by Columbia/Panama to the United States - Mexico border where they were detained. Although traveling at different times, all five patients simultaneously presented to our institution with chronic ulcerative skin lesions at different sites and stages of evolution. Culture of biopsy specimens grew Leishmania panamensis. Soon thereafter, three individuals from East Africa traveling the identical route presented with L. panamensis CL to physicians in Tacoma, WA. We document here the association of a human trafficking route and new world CL. Clinicians and public health officials should be aware of this emerging infectious disease risk.
机译：抽象。皮肤利什曼病（CL）在美国很少见，感染的社会和地理环境可能是其诊断和管理的关键。在美国边境巡逻拘留中的四名索马里人和一名埃塞俄比亚人以同样的人口贩运路线来到美国：吉布提，迪拜，莫斯科，哈瓦那，基多。然后由哥伦比亚/巴拿马陆运到达美国-墨西哥边境，并在那里被拘留。尽管在不同的时间旅行，但所有五名患者同时在我们的机构中​​出现了慢性溃疡性皮肤损伤，病灶在不同的部位和发展阶段。活检标本的培养生长了Leishmania panamensis。此后不久，三名来自东非的人沿着与帕纳氏乳杆菌一起出现的相同路线前往华盛顿州塔科马的医生。我们在此处记录了人口贩运路线与新世界CL的关联。临床医生和公共卫生官员应意识到这种新出现的传染病风险。

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