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[儿童弓蛔虫病——棘手的临床问题]

[Toxocariasis in children--difficult clinical problem].

作者信息

Gawor Jakub, Borecka Anna, Dobosz Sabina, Marczyńska Magdalena, Zarnowska-Prymek Hanna, Trzebicka Agnieszka, Juszko Jadwiga

机构信息

Pracownia Parazytoz Zwierzat Domowych, Instytutu Parazytologii im. W. Stefańskiego PAN w Warszawie.

出版信息

Przegl Epidemiol. 2008;62(2):407-13.

Abstract

Toxocariasis in humans is a zoonosis due to the migration of Toxocara canis or T. cati larvae in human body. This review provides basic information on pathology of infection and clinical signs and symptoms of toxocariasis in children. The cases diagnosed in the recent years in central Poland are presented. The disease was recognised accidentally based on the results of laboratory analysis performed for other reasons, when abnormalities suggesting an active helminthiasis were found (eosinophilia, elevated IgE level and/or anemia). The high rate of soil contamination in households of the patients demonstrated elevated risk of infection and reinfection in both, rural and urban areas. Presented data show the need for educational programs which should be implemented for prevention of Toxocara infection in children.

摘要

人类弓首蛔虫病是一种人畜共患病,由犬弓首蛔虫或猫弓首蛔虫幼虫在人体移行所致。本综述提供了儿童弓首蛔虫病感染病理学以及临床体征和症状的基本信息。文中介绍了近年来在波兰中部诊断出的病例。这些病例是在因其他原因进行实验室分析时意外发现的,当时发现了提示活动性蠕虫病的异常情况(嗜酸性粒细胞增多、IgE水平升高和/或贫血)。患者家庭中土壤污染率高表明,农村和城市地区儿童感染和再感染的风险均有所增加。所提供的数据表明,需要实施教育项目以预防儿童感染弓首蛔虫。

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