Senn Nicolas, Fasel Emilie, de Vallière Serge, Genton Blaise
PMU, 1011 Lausanne.
Rev Med Suisse. 2010 Dec 1;6(273):2292, 2294-6, 2298-301.
Protozoan and helminthes are frequently associated with persistent digestive complaints, not only in returning travelers from the tropics, but also in industrialized countries. The symptoms are often more vague than those associated to bacterial or viral infections and diarrhea is not always a key feature of the clinical presentation. Three stool examinations and a full blood cells count looking for eosinophilia is the comer stone of the investigations looking for digestive parasites. This article reviews the epidemiology, clinical presentation, diagnostic and management of digestive protozoans and helminthes.
原生动物和蠕虫常与持续性消化问题相关，不仅在来自热带地区的归国旅行者中如此，在工业化国家也是如此。这些症状往往比与细菌或病毒感染相关的症状更模糊，腹泻并不总是临床表现的关键特征。三次粪便检查和一次全血细胞计数以寻找嗜酸性粒细胞增多是寻找消化寄生虫的调查的基石。本文综述了消化原生动物和蠕虫的流行病学、临床表现、诊断及管理。
