Loefflers syndrome epidemiology and demographics: Difference between revisions

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===Developing Countries===
===Developing Countries===
* Löffler syndrome is due to intestinal helminth infections with a pulmonary cycle which is distributed worldwide;  
* Löffler syndrome is due to intestinal helminth infections with a pulmonary cycle which is distributed worldwide;<ref name="pmid6237473"> (1984) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=6237473 Epidemiology and transmission dynamics of Ascaris lumbricoides in Okpo village, rural Burma.] ''Trans R Soc Trop Med Hyg'' 78 (4):497-504. [http://dx.doi.org/10.1016/0035-9203(84)90071-3 DOI:10.1016/0035-9203(84)90071-3] PMID: [https://pubmed.gov/6237473 6237473]</ref><ref name="pmid27884213">Gildner TE, Cepon-Robins TJ, Liebert MA, Urlacher SS, Madimenos FC, Snodgrass JJ et al. (2016) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=27884213 Regional variation in Ascaris lumbricoides and Trichuris trichiura infections by age cohort and sex: effects of market integration among the indigenous Shuar of Amazonian Ecuador.] ''J Physiol Anthropol'' 35 (1):28. [http://dx.doi.org/10.1186/s40101-016-0118-2 DOI:10.1186/s40101-016-0118-2] PMID: [https://pubmed.gov/27884213 27884213]</ref><ref name="pmid29370780">Galgamuwa LS, Iddawela D, Dharmaratne SD (2018) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=29370780 Prevalence and intensity of Ascaris lumbricoides infections in relation to undernutrition among children in a tea plantation community, Sri Lanka: a cross-sectional study.] ''BMC Pediatr'' 18 (1):13. [http://dx.doi.org/10.1186/s12887-018-0984-3 DOI:10.1186/s12887-018-0984-3] PMID: [https://pubmed.gov/29370780 29370780]</ref><ref name="pmid705299">Stürchler D, Imbach P, Gartmann J, Degrémont A (1978) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=705299 [Clinical aspects, diagnosis and therapy of tropical pulmonary eosinophilia].] ''Schweiz Med Wochenschr'' 108 (38):1461-4. PMID: [https://pubmed.gov/705299 705299]</ref>
* Nonetheless, parasitic infections such as ''[[Ancylostoma duodenale]], [[Ascaris lumbricoides|Ascaris lumbricoides,]] [[Large roundworm of pigs|Ascaris suum]],'' ''[[Necator americanus]]'', ''[[Strongyloides stercoralis]]'' are more prevalent in tropical areas particularly in communities with low socioeconomic status and poor sanitary conditions.  
* Nonetheless, parasitic infections such as ''[[Ancylostoma duodenale]], [[Ascaris lumbricoides|Ascaris lumbricoides,]] [[Large roundworm of pigs|Ascaris suum]],'' ''[[Necator americanus]]'', ''[[Strongyloides stercoralis]]'' are more prevalent in tropical areas particularly in communities with low socioeconomic status and poor sanitary conditions.  



Latest revision as of 21:17, 17 May 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Soroush Seifirad, M.D.[2]

Overview

Löffler syndrome is due to intestinal helminth infections with a pulmonary cycle which is distributed worldwide; nonetheless, parasitic infections such as Ancylostoma duodenale, Ascaris lumbricoides, Ascaris suum, Necator americanus, Strongyloides stercoralis are more prevalent in tropical areas particularly in communities with low socioeconomic status and poor sanitary conditions. In the United States, 20-67% of children in rural southern communities have been reported to suffer from ascariasis; Nevertheless, there are no specific statistics for the occurrence of Löffler syndrome. Globalization increased immigration, and travel warrants alertness of US physicians and the other health care works of developed countries, because an encounter with imported tropical diseases and thus the resulted Löffler syndrome could be more likely nowadays. The case-fatality rate/mortality rate of Löffler syndrome is literally zero. There has been no report of deaths due to Löffler syndrome. Löffler syndrome is a self-limiting, benign condition without significant morbidity. Symptoms usually subside within 3-4 weeks.

Epidemiology and Demographics

The epidemiological aspect of Löffler's syndrome isn't well known since there have been minimal statistics reported on the topic.[1][2][3]

Incidence

  • The incidence of Löffler syndrome is not well studied, neither worldwide nor in the US.

Prevalence

  • The prevalence of Löffler syndrome is not well studied, neither worldwide nor in the US.
  • In the United States, 20-67% of children in rural southern communities have been reported to suffer from ascariasis; Nevertheless, there are no specific statistics for the occurrence of Löffler syndrome.

Case-fatality rate/Mortality rate

  • The case-fatality rate/mortality rate of Löffler syndrome is literally zero.
  • There has been no report of deaths due to Löffler syndrome.
  • Löffler syndrome is a self-limiting, benign condition without significant morbidity.
  • Symptoms usually subside within 3-4 weeks.[4]

Age

  • Patients of all age groups may develop Löffler syndrome.
  • Nevertheless, Löffler syndrome more commonly affects young children.
  • A higher incidence of intestinal helminthiases and hence, Löffler syndrome has been reported in young children because they are more exposed to contaminated soil and because young children exhibit hand-to-mouth behavior more often than adults

Race

  • Löffler syndrome usually affects Indians, nevertheless, it has not been well studied whether it is because of the tropical climate, poor sanitary condition or there is a genetic tendency which is very unlikely.[5]

Gender

  • Löffler syndrome affects men and women equally.

Region

  • The majority of Löffler syndrome cases are reported in tropical areas with poor sanitation. Particularly India.[6]

Developed Countries

  • In the United States, 20-67% of children in rural southern communities have been reported to suffer from ascariasis;[7][8]
  • Nevertheless, there are no specific statistics for the occurrence of Löffler syndrome.
  • Globalization increased immigration, and travel warrants alertness of US physicians and the other health care works of developed countries, because an encounter with imported tropical diseases and thus the resulted Löffler syndrome could be more likely nowadays.

Developing Countries

References

  1. Joob B, Wiwanitkit V (2012) Loeffler's syndrome, pulmonary ascariasis, in Thailand, rare or under-reported? J Thorac Dis 4 (3):339. DOI:10.3978/j.issn.2072-1439.2012.05.03 PMID: 22754678
  2. NEMIR RL, HEYMAN A, GORVOY JD, ERVIN EN (1950) Pulmonary infiltration and blood eosinophilia in children (Loeffler's syndrome); a review with report of 8 cases. J Pediatr 37 (6):819-43. PMID: 14795349
  3. TOCKER AM (1949) Transitory pulmonary infiltrations (Loeffler's syndrome) with case report. J Allergy 20 (3):211-21. PMID: 18132076
  4. Akuthota P, Weller PF (2012) Eosinophilic pneumonias. Clin Microbiol Rev 25 (4):649-60. DOI:10.1128/CMR.00025-12 PMID: 23034324
  5. Cheepsattayakorn A, Cheepsattayakorn R (2014) Parasitic pneumonia and lung involvement. Biomed Res Int 2014 ():874021. DOI:10.1155/2014/874021 PMID: 24995332
  6. Podder I, Chandra S, Gharami RC (2016) Loeffler's Syndrome Following Cutaneous Larva Migrans: An Uncommon Sequel. Indian J Dermatol 61 (2):190-2. DOI:10.4103/0019-5154.177753 PMID: 27057020
  7. Starr MC, Montgomery SP (2011) Soil-transmitted Helminthiasis in the United States: a systematic review--1940-2010. Am J Trop Med Hyg 85 (4):680-4. DOI:10.4269/ajtmh.2011.11-0214 PMID: 21976572
  8. Shah J, Shahidullah A (2018) Ascaris lumbricoides: A Startling Discovery during Screening Colonoscopy. Case Rep Gastroenterol 12 (2):224-229. DOI:10.1159/000489486 PMID: 29928187
  9. (1984) Epidemiology and transmission dynamics of Ascaris lumbricoides in Okpo village, rural Burma. Trans R Soc Trop Med Hyg 78 (4):497-504. DOI:10.1016/0035-9203(84)90071-3 PMID: 6237473
  10. Gildner TE, Cepon-Robins TJ, Liebert MA, Urlacher SS, Madimenos FC, Snodgrass JJ et al. (2016) Regional variation in Ascaris lumbricoides and Trichuris trichiura infections by age cohort and sex: effects of market integration among the indigenous Shuar of Amazonian Ecuador. J Physiol Anthropol 35 (1):28. DOI:10.1186/s40101-016-0118-2 PMID: 27884213
  11. Galgamuwa LS, Iddawela D, Dharmaratne SD (2018) Prevalence and intensity of Ascaris lumbricoides infections in relation to undernutrition among children in a tea plantation community, Sri Lanka: a cross-sectional study. BMC Pediatr 18 (1):13. DOI:10.1186/s12887-018-0984-3 PMID: 29370780
  12. Stürchler D, Imbach P, Gartmann J, Degrémont A (1978) [Clinical aspects, diagnosis and therapy of tropical pulmonary eosinophilia.] Schweiz Med Wochenschr 108 (38):1461-4. PMID: 705299

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