Berenji Fariba, Fata Abdolmajid, Hosseininejad Zahra
Department of Parasitology and Mycology, Emam Reza Hospital, Mashhad University of Medical Sciences, Iran.
Korean J Parasitol. 2007 Jun;45(2):145-8. doi: 10.3347/kjp.2007.45.2.145.
Only a few cases of Acanthocephala infections have been reported in humans, and Moniliformis moniliformis is the most common species around the world. We report here a case of infection with M. moniliformis, which passed in the stool of a 2-year-old girl in Iran. The patient had abdominal pain, diarrhea, vomiting, and facial edema. According to her mother, the patient had habit of eating dirt and once a cockroach was discovered in her mouth. In stool examination, eggs of M. moniliformis were not found. She was treated with levamisole and the clinical symptoms reduced within 2 weeks. The specimen contained 2 pieces of a female worm with a total length of 148 mm lacking the posterior end. The spiral musculature of the proboscis receptacle and the shape of the trunk allowed its generic determination. Previously 2 cases of M. moniliformis infection were reported in Iran. This is the 3rd case of M. moniliformis infection in Iran.
人类棘头虫感染的报告病例较少，而念珠棘头虫是全球最常见的种类。我们在此报告一例念珠棘头虫感染病例，该病例是从一名伊朗2岁女童的粪便中检出的。患者有腹痛、腹泻、呕吐和面部水肿症状。据其母亲称，患者有吃泥土的习惯，且曾被发现口中有一只蟑螂。粪便检查未发现念珠棘头虫的虫卵。她接受了左旋咪唑治疗，临床症状在2周内减轻。标本中有2段雌虫，总长148毫米，后端缺失。吻鞘的螺旋肌和躯干形状有助于确定其种类。此前伊朗曾报告过2例念珠棘头虫感染病例。这是伊朗的第3例念珠棘头虫感染病例。
