Koester D R, Ryan J G
Department of Family Practice and Community Medicine, University of Texas Medical School, Houston.
Prim Care. 1990 Mar;17(1):159-72.
A number of protozoan organisms, both ectoparasitic and endoparasitic, may be related to sexual activity. The broad range of clinical presentations makes this group of diseases challenging to diagnose. Patients may present with skin, genital, gastroenterologic, pulmonary, or neurologic symptoms, or may be asymptomatic. A careful history, including specific sexual history, with appropriate laboratory evaluation will aid the primary care physician in making the correct diagnosis and thus supply the correct treatment. Awareness that infection with multiple organisms is frequent in some populations is important. Prevention of reinfection or further transmission of the disease must be aggressively pursued by patient education about the means of transmission of the disease and avoidance of high-risk sexual practices.
许多原生动物有机体，包括外寄生虫和内寄生虫，可能与性活动有关。临床表现范围广泛，使得这组疾病的诊断具有挑战性。患者可能出现皮肤、生殖器、胃肠、肺部或神经系统症状，也可能无症状。详细的病史，包括特定的性病史，并进行适当的实验室评估，将有助于初级保健医生做出正确诊断，从而提供正确的治疗。认识到某些人群中频繁感染多种病原体很重要。必须通过对患者进行疾病传播方式的教育以及避免高危性行为，积极预防疾病的再次感染或进一步传播。
