{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T09:11:20Z","timestamp":1784365880519,"version":"3.55.0"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>The number of migrants arriving on the shores of the Canary Islands continues to increase. The conditions under which the crossing is made, in small crowded, unsanitary boats (<jats:italic>pateras<\/jats:italic> or <jats:italic>cayucos<\/jats:italic>), have many and significant health problems.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>To describe the demographic, clinical, microbiological characteristics and evolution of a series of patients who recently arrived by <jats:italic>patera<\/jats:italic> and required hospitalization.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Patients and methods<\/jats:title>\n<jats:p>This observational, cross-sectional, and retrospective study included all patients newly arrived in Gran Canaria (Spain) by patera or cayuco from 2020 to 2022. Acute patera syndrome (APS) was defined as one or more of the following: dehydration, hypothermia, shock or rhabdomyolysis. Skin and soft tissue or musculoskeletal patera syndrome (SSTMSPS) was defined as conditions characterized by lesions of the skin, subcutaneous tissue, bone, or joint, excluding superficial erosions.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>During the study period, 193 migrants were admitted, mostly males with a median age of 23 years from West Africa. A total of 36.99% presented with APS with a single diagnostic criterion (most commonly dehydration, 86.9%), 11.56% with SSTMPS and 51.44% with both syndromes. A total of 109 patients presented with SSTMSPS, the most common being lower extremity ulcers. The most frequently isolated microorganisms were gram-negative (i.e. <jats:italic>Shewanella algae<\/jats:italic>). The McMahon score effectively predicted the need for renal replacement therapy in cases of rhabdomyolysis. Twenty patients presented with pneumomediastinum, which was benign. SARS-CoV-2 infection was not a problem in any of them. Surgical intervention was required in 22% of cases, including 8 amputations, all of which were minor. No patient died during admission.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Patera syndrome has specific characteristics that should be identified promptly to initiate the most effective treatment for optimal outcomes.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0312355","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T17:39:16Z","timestamp":1729791556000},"page":"e0312355","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["\u2018Patera syndrome\u2019 during the COVID-19 pandemic in the Canary Islands (Spain)"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6376-6586","authenticated-orcid":true,"given":"Elena","family":"Pisos-\u00c1lamo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Hern\u00e1ndez-Cabrera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"L\u00f3pez-Delgado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nieves","family":"Ja\u00e9n-S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Betancort-Plata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Lavilla Salgado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Su\u00e1rez-Hormiga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Briega-Molina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2768-0072","authenticated-orcid":true,"given":"Cristina","family":"Carranza-Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarita","family":"Bola\u00f1os-Rivero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Araceli","family":"Hern\u00e1ndez-Betancor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9-Luis","family":"P\u00e9rez-Arellano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"pone.0312355.ref001","unstructured":"Ministerio del Interior Available online: https:\/\/www.interior.gob.es\/opencms\/es\/prensa\/balances-e-informes\/ (accessed on 4 January 2024)."},{"key":"pone.0312355.ref002","first-page":"405","article-title":"[Urgent assistance needs for illegal immigrants recently arrived in Tenerife by cayuco boat].","volume":"20","author":"S Matos Castro","year":"2008","journal-title":"Emergencias"},{"key":"pone.0312355.ref003","first-page":"377","article-title":"[Key role of emergency services in the illegal immigration tragedy by sea].","volume":"20","author":"MJ Hern\u00e1ndez S\u00e1nchez","year":"2008","journal-title":"Emergencias"},{"key":"pone.0312355.ref004","doi-asserted-by":"crossref","first-page":"598","DOI":"10.3201\/eid1504.081457","article-title":"Skin and soft tissue infections (patera foot) in immigrants, Spain.","volume":"15","author":"H-G Ternavasio-de la Vega","year":"2009","journal-title":"Emerg Infect Dis"},{"issue":"Suppl 3","key":"pone.0312355.ref005","doi-asserted-by":"crossref","first-page":"e302","DOI":"10.1016\/j.ijid.2010.02.2241","article-title":"Compartmental syndrome of the upper limb due to Moraxella lacunata infection: a link to patera foot syndrome?","volume":"14","author":"HG Ternavasio-de la Vega","year":"2010","journal-title":"Int J Infect Dis"},{"key":"pone.0312355.ref006","first-page":"411","article-title":"[Characteristics of the health care provided to African immigrants arriving in the Canary Islands].","volume":"20","author":"C Rodr\u00edguez Del Rosario","year":"2008","journal-title":"Emergencias"},{"key":"pone.0312355.ref007","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1093\/eurpub\/cky126","article-title":"Infectious and dermatological diseases among arriving migrants on the Italian coasts.","volume":"28","author":"E Di Meco","year":"2018","journal-title":"Eur J Public Health"},{"key":"pone.0312355.ref008","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.3390\/ijerph17061964","article-title":"Analysis of Prehospital Care of Migrants Who Arrive Intermittently at the Coasts of Southern Spain.","volume":"17","author":"JA Ponce-Bland\u00f3n","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"pone.0312355.ref009","first-page":"394","article-title":"[Rhabdomyolysis due to hypothermia in immigrant illegal patient who arrives in small boat].","volume":"27","author":"L Santana","year":"2007","journal-title":"Nefrologia"},{"key":"pone.0312355.ref010","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.mad.2013.11.009","article-title":"Water-loss dehydration and aging","volume":"136\u2013137","author":"L Hooper","year":"2014","journal-title":"Mech Ageing Dev"},{"key":"pone.0312355.ref011","doi-asserted-by":"crossref","first-page":"8","DOI":"10.3928\/00989134-20150814-02","article-title":"Dehydration in the Older Adult.","volume":"41","author":"HJ Miller","year":"2015","journal-title":"J Gerontol Nurs"},{"key":"pone.0312355.ref012","doi-asserted-by":"crossref","first-page":"501","DOI":"10.3390\/ijerph19010501","article-title":"Accidental Hypothermia: 2021 Update","volume":"19","author":"P Paal","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"pone.0312355.ref013","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1007\/s00415-019-09185-4","article-title":"A systematic review on the definition of rhabdomyolysis","volume":"267","author":"K Stahl","year":"2020","journal-title":"J Neurol"},{"key":"pone.0312355.ref014","doi-asserted-by":"crossref","first-page":"101015","DOI":"10.1016\/j.disamonth.2020.101015","article-title":"Rhabdomyolysis","volume":"66","author":"BMI Cabral","year":"2020","journal-title":"Dis Mon"},{"key":"pone.0312355.ref015","unstructured":"Farkas, J. Rhabdomyolysis. Available online: https:\/\/emcrit.org\/ibcc\/rhabdo\/ (accessed on 4 January 2024)."},{"key":"pone.0312355.ref016","first-page":"277","article-title":"Rhabdomyolysis: A syndrome to be considered.","volume":"158","author":"R. Baeza-Trinidad","year":"2022","journal-title":"Med Clin (Barc)."},{"key":"pone.0312355.ref017","doi-asserted-by":"crossref","first-page":"1821","DOI":"10.1001\/jamainternmed.2013.9774","article-title":"A Risk Prediction Score for Kidney Failure or Mortality in Rhabdomyolysis.","volume":"173","author":"GM McMahon","year":"2013","journal-title":"JAMA Intern Med"},{"key":"pone.0312355.ref018","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1007\/s11684-020-0767-8","article-title":"Coronavirus Disease 2019 (COVID-19): A Clinical Update.","volume":"14","author":"M Zhou","year":"2020","journal-title":"Front. Med"},{"key":"pone.0312355.ref019","article-title":"Minor vs. major leg amputation in adults with diabetes: Six-month readmissions, reamputations, and complications.","volume":"107886","author":"HT Ratliff","year":"2021","journal-title":"J Diabetes Complications."},{"key":"pone.0312355.ref020","first-page":"1079","article-title":"Experiences of Healthcare Providers Who Provide Emergency Care to Migrant Children Who Arriving in Spain by Small Boats (Patera): A Qualitative Study.","volume":"10","author":"MDM Jim\u00e9nez-Lasserrotte","year":"2023","journal-title":"Children (Basel)"},{"key":"pone.0312355.ref021","author":"D. Garc\u00eda","journal-title":"C\u00f4te d\u2019Ivoire: Status of women"},{"key":"pone.0312355.ref022","doi-asserted-by":"crossref","first-page":"e005131","DOI":"10.1099\/jmmcr.0.005131","article-title":"Shewanella spp. Infections in Gran Canaria, Spain: retrospective analysis of 31 cases and a literature review","volume":"4","author":"AJ Mart\u00edn-Rodr\u00edguez","year":"2017","journal-title":"JMM Case Reports"},{"issue":"5 Suppl","key":"pone.0312355.ref023","doi-asserted-by":"crossref","first-page":"575S","DOI":"10.1080\/07315724.2007.10719661","article-title":"Assessing hydration status: the elusive gold standard.","volume":"26","author":"LE Armstrong","year":"2007","journal-title":"J Am Coll Nutr."},{"key":"pone.0312355.ref024","first-page":"386","article-title":"[Reference values in the usual laboratory data for sub-Saharan immigrants. Importance in the management of infectious diseases].","volume":"208","author":"O Sanz-Pel\u00e1ez","year":"2008","journal-title":"Rev Clin Esp"},{"key":"pone.0312355.ref025","doi-asserted-by":"crossref","first-page":"102678","DOI":"10.1016\/j.tmaid.2023.102678","article-title":"Necrotizing soft tissue infection by Vibrio furnissii after a migratory journey by sea to the Canary Islands (Spain).","volume":"57","author":"P Laynez-Rold\u00e1n","year":"2023","journal-title":"Travel Med Infect Dis"},{"key":"pone.0312355.ref026","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.1093\/cid\/ciu296","article-title":"Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America.","volume":"59","author":"DL Stevens","year":"2014","journal-title":"CID"},{"key":"pone.0312355.ref027","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1093\/trstmh\/trs017","article-title":"Red blood cell disorders in recently arrived African immigrants to Gran Canaria, Spain","volume":"107","author":"S De-la-Iglesia-\u00cd\u00f1igo","year":"2013","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"pone.0312355.ref028","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1111\/bjh.15730","article-title":"The Duffy antigen receptor for chemokines, ACKR1,- \u2019Jeanne DARC\u2019 of benign neutropenia.","volume":"184","author":"N Rappoport","year":"2019","journal-title":"Br J Haematol"},{"key":"pone.0312355.ref029","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.3201\/eid1210.060102","article-title":"Helminth-related Eosinophilia in African Immigrants, Gran Canaria","volume":"12","author":"J Pardo","year":"2006","journal-title":"Emerging Infectious Diseases"},{"issue":"5","key":"pone.0312355.ref030","first-page":"244","article-title":"[Eoshinophilia: a practical approach].","volume":"21","author":"JL P\u00e9rez Arellano","year":"2004","journal-title":"An Med Interna."},{"key":"pone.0312355.ref031","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s12992-023-00926-9","article-title":"Newly arrived migrants did not represent an additional COVID-19 burden for Italy: data from the Italian information flow.","volume":"19","author":"LG Sisti","year":"2023","journal-title":"Global Health"},{"key":"pone.0312355.ref032","doi-asserted-by":"crossref","first-page":"020348","DOI":"10.7189\/jogh.10.020348","article-title":"COVID-19 pandemic: The African paradox.","volume":"10","author":"D Ghosh","year":"2020","journal-title":"J Glob Health"},{"key":"pone.0312355.ref033","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1016\/j.athoracsur.2008.04.067","article-title":"Spontaneous pneumomediastinum: a comparative study and review of the literature.","volume":"86","author":"M Caceres","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"pone.0312355.ref034","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.1016\/j.ejcts.2007.03.008","article-title":"Spontaneous pneumomediastinum: 41 cases.","volume":"31","author":"I Macia","year":"2007","journal-title":"Eur J Cardiothorac Surg"},{"key":"pone.0312355.ref035","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.hrtlng.2020.12.002","article-title":"COVID-19 and Spontaneous pneumo-mediastinum: A case series","volume":"50","author":"A Diaz","year":"2021","journal-title":"Heart Lung"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0312355","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T17:39:27Z","timestamp":1729791567000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0312355"}},"subtitle":[],"editor":[{"given":"Felix","family":"Bongomin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,10,24]]},"references-count":35,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10,24]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0312355","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,24]]}}}