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首页> 外文期刊>The Southeast Asian journal of tropical medicine and public health >HUMAN TRICHOSTRONGYLIASIS: A HOSPITAL CASE SERIES
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HUMAN TRICHOSTRONGYLIASIS: A HOSPITAL CASE SERIES

机译:人毛滴虫病:医院病例系列

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Trichostrongylus is a common nematode found to infect livestock throughout the tropics and can cause accidental zoonosis in humans. In the Lao PDR and Thailand, cases of human trichostrongyliasis have been reported sporadically but clinical data are limited. We retrospectively reviewed 41 cases of trichostrongyliasis who presented to Srinagarind Hospital, Thailand from 2005 to 2012. The diagnosis of trichostrongyliasis was made by finding their eggs in the stool of patients. Of the 41 cases reviewed, 30 were Thais and 11 from the Lao PDR; their age range was 26-86 years. Fifty-eight point five percent of the cases were male, 56.1% had a primary school or a lower education level, 56.1% were farmers or laborers, 63.4% lived in a rural area and 95.1% had underlying disease. Twenty-one patients were co-infected with Opisthorchis viverrini (14/21; 66.7%) and Strongyloides stercoralis (10/21; 47.6%) while the remaining (n=20) had a single infection with Trichostrongylus only. All the trichostrongyliasis only patients who had underlying disease not related to the gastrointestinal (GI) tract had normal bowel habits and normal grossly appearing stool. GI symptoms, such as abdominal pain, flatulence, bloating, nausea, vomiting, anorexia, diarrhea and constipation, were not found in these patients suggesting they had a light infection. This study is the first report of the clinical features of a trichostrongyliasis case series from tertiary care hospital in Thailand.
机译:毛线虫是一种常见的线虫,可感染整个热带地区的牲畜,并可能导致人类意外的人畜共患病。在老挝人民民主共和国和泰国,零星的人毛滴虫病病例已有报道,但临床数据有限。我们回顾性分析了2005年至2012年在泰国Srinagarind医院就诊的41例毛滴虫病病例。通过在患者粪便中发现卵子来诊断毛滴虫病。在审查的41例案件中,有30例是泰国人,有11例来自老挝人民民主共和国;他们的年龄范围是26-86岁。 58%的病例中,男性占5%,小学或较低文化程度的占56.1%,农民或劳动力的占56.1%,农村人口占63.4%,基础疾病占95.1%。 21例患者分别感染了维氏梭菌(14/21; 66.7%)和硬核坚强线虫(10/21; 47.6%),而其余(n = 20)仅感染了单毛癣菌。所有仅有毛滴虫病的患者,其基础疾病与胃肠道(GI)无关,均具有正常的排便习惯和正常的大便外观。在这些患者中未发现胃肠道症状,如腹痛,肠胃气胀,腹胀,恶心,呕吐,厌食,腹泻和便秘,表明他们患有轻度感染。这项研究是泰国三级保健医院毛滴虫病病例系列临床特征的首次报道。

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