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[阿根廷查科萨尔铁尼奥地区由狗传播的人畜共患寄生虫病]

[Zoonotic parasitosis transmitted by dogs in the Chaco Salteño, Argentina].

作者信息

Taranto N J, Passamonte L, Marinconz R, de Marzi M C, Cajal S P, Malchiodi E L

机构信息

Instituto de Investigaciones en Enfermedades Tropicales, Universidad Nacional de Salta, Argentina.

出版信息

Medicina (B Aires). 2000;60(2):217-20.

Abstract

Toxocara canis and Ancylostoma spp. are geohelmints that parasites dogs and can eventually affect humans, mainly children, causing visceral and cutaneous larva migrans respectively, constituting a serious public health problem. This study was carried out in two towns located in the xerophilous forest Chaco salteño where humans live closely with many animals, including dogs. Hematological values and anti-Toxocara canis antibodies, determined by ELISA in serum, were evaluated in 98 children from this area. Thirty-six children presented with eosinophilia of 10% or higher in peripheral blood. Twenty out of 98 (20.4%) children had antibodies against antigen from L2 larvae of Toxocara canis. A high percentage (55.6%) of the children with eosinophilia presented anti-Toxocara canis antibodies. Nine children had multiple serpiginous lesions typical of cutaneous larva migrans. Feces from dogs were collected in the area where children lived, in order to search for parasite contamination. Three different techniques of stool examination were employed and eggs were counted. Out of the 106 feces examined, parasites were found in 82 samples (77.4%). Ancylostoma spp eggs were found in 74 (69.8%) samples and eggs from Toxocara canis were found in 19 (17.2%). The average number of T. canis and Ancylostoma spp eggs/gr of feces, were 200 and 3,871 respectively. Giardia spp (14.5%), Trichuris vulpis (7.6%), Genus Endamoeba (2.8%) and Taenia spp (1.9%) were also identified in the stools. Sanitary control and health education in order to control these parasitoses are emphasized.

摘要

犬弓首蛔虫和钩口线虫属是土源性蠕虫,寄生于犬类,最终可能感染人类,主要是儿童,分别引起内脏幼虫移行症和皮肤幼虫移行症,构成严重的公共卫生问题。本研究在查科萨尔塔诺旱生森林的两个城镇开展,当地人类与包括犬类在内的许多动物密切生活在一起。对该地区98名儿童的血液学指标以及血清中通过酶联免疫吸附测定法(ELISA)检测的抗犬弓首蛔虫抗体进行了评估。36名儿童外周血嗜酸性粒细胞增多达10%或更高。98名儿童中有20名(20.4%)具有针对犬弓首蛔虫L2幼虫抗原的抗体。嗜酸性粒细胞增多的儿童中有很高比例(55.6%)呈现抗犬弓首蛔虫抗体。9名儿童有典型的皮肤幼虫移行症多发匐行疹病变。在儿童居住区域收集犬类粪便,以寻找寄生虫污染情况。采用了三种不同的粪便检查技术并对虫卵进行计数。在所检查的106份粪便中,82份样本(77.4%)发现有寄生虫。74份样本(69.8%)发现有钩口线虫属虫卵,19份样本(17.2%)发现有犬弓首蛔虫虫卵。每克粪便中犬弓首蛔虫和钩口线虫属虫卵的平均数量分别为200和3871。粪便中还鉴定出了贾第虫属(14.5%)、狐毛首线虫(7.6%)、内阿米巴属(2.8%)和带绦虫属(1.9%)。强调了为控制这些寄生虫病而进行的卫生控制和健康教育。

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