Bianucci Rafaella, Torres Eduardo J Lopes, Santiago Juliana M F Dutra, Ferreira Luis F, Nerlich Andreas G, Souza Sheila Maria Mendonça de, Giuffra Valentina, Chieffi Pedro Paulo, Bastos Otilio Maria, Travassos Renata, Souza Wanderley de, Araújo Adauto
Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy.
Departamento de Microbiologia, Imunologia e Parasitologia, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
Mem Inst Oswaldo Cruz. 2015 Feb;110(1):145-7. doi: 10.1590/0074-02760140367. Epub 2015 Jan 23.
Trichuris trichiura is a soil-transmitted helminth which is prevalent in warm, moist, tropical and subtropical regions of the world with poor sanitation. Heavy whipworm can result either in Trichuris dysenteric syndrome - especially in children - or in a chronic colitis. In heavy infections, worms can spread proximally and may cause ileitis. Here we provide first microscopic evidence for a T. trichiura adult worm embedded in the rectum of a post-Colonial Brazilian adult mummy. During Colonial and post-Colonial times, many European chroniclers described a parasitic disease named Maculo whose symptomatology coincides with heavy helminthiasis. Based on our findings and on comparison of ancient textual evidence with modern description of heavy whipworm, we feel confident in considering that the two syndromes are expressions of the same pathological condition.
鞭虫是一种通过土壤传播的蠕虫，在世界上卫生条件差的温暖、潮湿的热带和亚热带地区普遍存在。重度鞭虫感染可导致鞭虫痢疾综合征（尤其是在儿童中）或慢性结肠炎。在重度感染中，蠕虫可向近端扩散并可能导致回肠炎。在这里，我们首次提供了微观证据，证明在一具后殖民时期巴西成年木乃伊的直肠中嵌有一条成年鞭虫。在殖民时期和后殖民时期，许多欧洲编年史家描述了一种名为“Maculo”的寄生虫病，其症状与重度蠕虫病相符。基于我们的发现以及古代文献证据与现代重度鞭虫描述的比较，我们有信心认为这两种综合征是同一病理状况的表现。
