Doğan Nihal, Koçman Nazmiye Ulkü
Eskişehir Osmangazi Üniversitesi Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Parazitoloji Bilim Dalı, Eskişehir, Turkey.
Turkiye Parazitol Derg. 2013;37(2):157-60. doi: 10.5152/tpd.2013.35.
It is known that infections caused by intestinal protozoa and helminths affect over 3.5 million people worldwide. In this case report, a patient with complaints of stomach ache for a long time who received thermal treatment is presented. During this thermal treatment, diarrhoea occurred and multiparasitism was diagnosed with two helminths; pseudoparasitism and multiprotozoa, simultaneously. Stool samples were collected from the patient on three consecutive days and one day after the treatment. All of the samples were prepared with formalin-ether sedimentation techniques after macroscopic and direct microscopic investigation. Cellophane-tape method for Enterobius vermicularis and Taenia spp. and Erlich-Ziehl-Neelsen staining method for coccidian parasites were used. At least four preparations were performed for each sample and serum physiologic, lugol' solution and trichrome stain were used for microscopic investigations.The motile segment she brought was investigated microscopically with Indian ink and identified as Taenia saginata. Under direct microscopy, Blastocystis hominis, Endolimax nana and Fasciola hepatica were seen. By formalin-ether sedimentation techniques, Ascaris lumbricoides, Fasciola hepatica, Blastocystis hominis, Endolimax nana and Entamoeba coli were identified. In recent years, intestinal parasitism is rarely seen in our city; therefore, multiparasitism in an adult and immunocompetent patient is interesting.
众所周知,肠道原生动物和蠕虫引起的感染影响着全球超过350万人。在本病例报告中,介绍了一名长期抱怨胃痛并接受了热疗的患者。在热疗期间,患者出现腹泻,并同时诊断出两种蠕虫多重寄生、假性寄生和多种原生动物寄生。在治疗前连续三天以及治疗后一天从患者采集粪便样本。所有样本在进行宏观和直接显微镜检查后,采用福尔马林-乙醚沉淀技术制备。对蠕形住肠线虫和带绦虫属采用透明胶带法,对球虫寄生虫采用厄利希-齐尔-尼尔森染色法。每个样本至少制备四份涂片,显微镜检查使用血清生理盐水、卢戈氏溶液和三色染色剂。对她带来的活动节片用印度墨水进行显微镜检查,并鉴定为牛带绦虫。在直接显微镜下,可见人芽囊原虫、微小内蜒阿米巴和肝片吸虫。通过福尔马林-乙醚沉淀技术,鉴定出蛔虫、肝片吸虫、人芽囊原虫、微小内蜒阿米巴和结肠内阿米巴。近年来,在我们城市肠道寄生虫感染很少见;因此,一名免疫功能正常的成年人出现多重寄生情况很有意思。