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首页> 外文期刊>Transactions of the Royal Society of Tropical Medicine and Hygiene >Oesophagostomum bifurcum-induced nodular pathology in a highly endemic area of Northern Ghana.
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Oesophagostomum bifurcum-induced nodular pathology in a highly endemic area of Northern Ghana.

机译：加纳北部高流行地区的食道食管双叉状结节性病理。

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摘要

Human infection with Oesophagostomum bifurcum is rare globally, but focally endemic and common in Ghana and Togo. Two clinical presentations are identified: uni-nodular disease, which may be recognized as a 'Dapaong Tumour', and multi-nodular disease. Here, we describe the prevalence of O. bifurcum infection and the association with nodular pathology in northern Ghana. The study was performed in October 2002. Out of a well-defined population of approximately 18000, 928 subjects of all ages were randomly selected for parasitological and ultrasound examination. In stool cultures, 44% had detectable third-stage O. bifurcum larvae present. Females were more often infected than males (P<0.05). In 34% of the samples, nodules were detected along the colon wall, with the ascending and the transverse colon being the most affected regions. Significant correlations existed between the intensity of infection and the presence of nodules, both at the village and the individual level (P<0.001 for both). Patients withmulti-nodular pathology had significantly higher larval counts than patients with uni-nodular pathology. The present data suggest that nodular pathology, and probably the severity of the disease, are directly related to intensity of the infection.
机译：在全球范围内，人类感染双歧食管食管菌的情况很少见，但在加纳和多哥却是地方性流行病和常见病。确定了两种临床表现：单结节性疾病和多结节性疾病，它可能被认为是“大坝性肿瘤”。在这里，我们描述了加纳北部地区双歧杆菌的流行以及结节性病理的关系。该研究于2002年10月进行。在大约18000个明确的人群中，随机选择了928个各个年龄段的受试者进行寄生虫学和超声检查。在粪便培养中，有44％的人检出了可检出的第三阶段双歧稻幼虫。女性感染率高于男性（P <0.05）。在34％的样本中，沿着结肠壁检测到结节，其中上升结肠和横向结肠是受影响最大的区域。在村庄和个人层面，感染的强度和结核的存在之间存在显着的相关性（两者均P <0.001）。具有多结节病理的患者的幼虫计数显着高于具有单结节病理的患者。目前的数据表明，结节病理以及可能的疾病严重程度与感染强度直接相关。

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