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[科特迪瓦怀疑感染艾滋病的成年人中的慢性腹泻和寄生虫病]

[Chronic diarrhea and parasitoses in adults suspected of AIDS in the Ivory Coast].

作者信息

Therizol-Ferly P M, Tagliante-Saracino J, Kone M, Konan A, Ouhon J, Assoumou A, Aka K, Assale G

机构信息

Laboratoire de Parasitologie-Mycologie, CHU de Cocody.

出版信息

Bull Soc Pathol Exot Filiales. 1989;82(5):690-3.

PMID:2561272
Abstract

148 adult patients with chronic diarrhoea and suspected to be HIV infected have had stool examinations. 46 are without any enteric parasite. Those detected in the others patients are Sporozoans: I. belli (16.2%) and Cryptosporidium sp. (6.7%) found alone or joint, together or with other parasites. Among those, all Flagellate species are identified, but T. intestinalis (6%) is predominant. Entamoeba coli (8.%) is the most frequent amebic species, however, E. histolytica histolytica have been found twice, once singly, the second associated with I. belli, Schistosoma mansoni and Candida albicans. Necator americanus (14%) and Strongyloides stercoralis (12%) are the predominant worm species. Among the yeasts, C. albicans (35.8%) is the most important species isolated, singly in 13.5% of the patients. In an intertropical and parasitical endemic area where many parasites are not considered uncommon, opportunist agents as I. belli, Cryptosporidium sp. and C. albicans appear in an non-negligible frequency in our study.

摘要

148名患有慢性腹泻且疑似感染艾滋病毒的成年患者接受了粪便检查。46名患者未发现任何肠道寄生虫。在其他患者中检测到的有孢子虫:贝氏等孢球虫(16.2%)和隐孢子虫属(6.7%),单独或合并、共同或与其他寄生虫一起被发现。其中,所有鞭毛虫种类均已鉴定,但是肠三毛滴虫(6%)占主导。结肠内阿米巴(8%)是最常见的阿米巴种类,不过,溶组织内阿米巴已被发现两次,一次单独出现,第二次与贝氏等孢球虫、曼氏血吸虫和白色念珠菌同时出现。美洲板口线虫(14%)和粪类圆线虫(12%)是主要的蠕虫种类。在酵母菌中,白色念珠菌(35.8%)是分离出的最重要的种类,在13.5%的患者中单独出现。在一个许多寄生虫并不罕见的热带寄生虫流行地区,在我们的研究中,像贝氏等孢球虫、隐孢子虫属和白色念珠菌这样的机会性致病原出现的频率不可忽视。

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