Quang Thao Duong, Duong Thanh Hai, Richard-Lenoble Dominique, Odermatt Peter, Khammanivong Keomanivanh
Service de maladies infectieuses Hôpital populaire 115 520, rue Nguyen-Tri-Phuong 10e arrondissement Ho-Chi-Minh-Ville Vietnam.
Sante. 2008 Jul-Sep;18(3):119-24. doi: 10.1684/san.2008.0110.
Distomatoses due to Fasciola spp. and Fasciolopsis buski are very common in the developing countries of Southeast Asia. The flukes in Laos have not yet been completely studied and described, however. In 2004, we began screening for these two distomatoses in the province of Savannakhet, in southern Laos. Our initial results showed that the causal agent of fascioliasis in humans and animals is Fasciola gigantica. The infestation rate of fascioliasis in cattle in slaughterhouses ranged from 17 to 57%, with higher percentages in buffalo (75-100%) than in cows (0-25%). In Laotian villages, the prevalence of human fascioliasis reached 2.4 % after a stool examination and 13.8 % after systematic serology testing. The prevalence of intestinal distomatosis from F. buski was 33.7%. The rate of villagers with hepatobiliary and intestinal events exceeded 2% but the involvement of these two forms of distomatosis varied highly, ranging from 1.7% (stool diagnosis) to 16.4% (serodiagnosis) for F. gigantica and 11.2% for F. buski. We have described the first cases of fascioliasis and intestinal distomatosis from F. buski in Laos.
由片形吸虫属和布氏姜片吸虫引起的吸虫病在东南亚发展中国家非常普遍。然而，老挝的吸虫尚未得到全面研究和描述。2004年，我们开始在老挝南部的沙湾拿吉省筛查这两种吸虫病。我们的初步结果表明，人和动物肝片吸虫病的病原体是巨片吸虫。屠宰场牛的肝片吸虫感染率在17%至57%之间，水牛（75%-100%）的感染率高于奶牛（0%-25%）。在老挝村庄，粪便检查后人体肝片吸虫病的患病率为2.4%，系统血清学检测后为13.8%。布氏姜片吸虫引起的肠道吸虫病患病率为33.7%。有肝胆和肠道疾病的村民比例超过2%，但这两种吸虫病的受累情况差异很大，巨片吸虫从1.7%（粪便诊断）到16.4%（血清学诊断），布氏姜片吸虫为11.2%。我们描述了老挝首例肝片吸虫病和布氏姜片吸虫引起的肠道吸虫病病例。
