Bunyaratvej Sukhum, Unpunyo Piyapong, Pongtippan Atcharaporn
Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2007 Oct;90(10):2128-35.
Human intestinal sarcocystosis is a zoonotic disease caused by two coccidians, i.e. Sarcocystis fusiformis (syn. S. bovihominis, S. hominis) due to consumption of raw infected beef and Sarcocystis meischeriana (syn. S. suihominis) due to consumption of infected raw pork. In 1987, survey of the macroscopic S. fusiformis cysts in market beef mainly from old water buffalos aged more than 15 years were commonly observed in Bangkok. In 2005, the macroscopic cyst was no longer seen in beef of cattle and water buffalo aged less than three years.
The epidemiological investigation of Sarcocystis spp. infected meat in Bangkok and Lampang.
Samples for each of the tongue and beef of cattle and water buffalo, pork from Bangkok markets and pork of domestic swine from some remote villages in various subprovinces (Ampurs) in Lampang were obtained for microscopic examination by H and E and selectively by PAS staining.
The microscopic S. fusiformis cysts were seen in all five specimens of tongues and ten specimens of muscles of cattle and water buffalo obtained from fresh-food markets in Bangkok. Ten samples of pork from Bangkok markets revealed no coccidian infection. The microscopic S. meischeriana cysts were seen in three specimens of swine muscles collected from two subprovinces in Lampang.
The present merozoites in coccidian cysts retrieved from beef and pork are similar to those previously observed in human intestine. This may histologically indicate an invasive sarcocystosis by both species leading to a condition presently known as chronic inflammation of undetermined etiology in man.
人体肠道肉孢子虫病是一种人畜共患病,由两种球虫引起,即食用生的受感染牛肉所致的梭形肉孢子虫(同义词:牛人体肉孢子虫、人体肉孢子虫)和食用受感染生猪肉所致的米氏肉孢子虫(同义词:猪人体肉孢子虫)。1987年,在曼谷常见对主要来自15岁以上老水牛的市售牛肉中梭形肉孢子虫囊肿进行宏观检查。2005年,在年龄小于3岁的牛和水牛的牛肉中不再见到宏观囊肿。
对曼谷和南邦感染肉孢子虫属的肉类进行流行病学调查。
采集曼谷市场的牛和水牛的舌和牛肉、猪肉以及南邦各府一些偏远村庄家猪的猪肉样本,进行苏木精-伊红染色(H和E)显微镜检查,并选择性地进行过碘酸雪夫染色(PAS)。
从曼谷新鲜食品市场获得的所有5份牛和水牛的舌样本以及10份肌肉样本中均可见到显微镜下的梭形肉孢子虫囊肿。曼谷市场的10份猪肉样本未发现球虫感染。在从南邦两个府采集的3份家猪肌肉样本中见到显微镜下的米氏肉孢子虫囊肿。
从牛肉和猪肉中检出的球虫囊肿中的裂殖子与先前在人体肠道中观察到的相似。这在组织学上可能表明这两种球虫均导致侵袭性肉孢子虫病,进而引发目前称为人类病因不明的慢性炎症的病症。