Sabah Ahmed Aly, Temsah Ashraf Gabr
J Egypt Soc Parasitol. 2015 Dec;45(3):681-4. doi: 10.12816/0017936.
It is well known that diabetes mellitus affects the immune system negatively through various ways. Diabetic patients are also considered as the immunocompromised group of patients. Infections with intestinal parasites are uncommon to cause high morbidity or mortalilty to man, but they are risky to diabetic patients. The study investigated the prevalence of comnion intestinal parasites in diabetic patients in Tanta City. Among the patients who were attending gastrointestinal department (360 patients), complaining of variouse abdominal symptom and discomfort, thirty three (33) patients were known to be diabetic and on current treatment. Fecal samples were collected from diabetic patients and the same number from nondiabetic patients. Samples were examined macroscopically and microscopically by direct smear and different concentration methods then stained with iodine. The study was carried out through six months from March to August 2015 for common intestinal parasites. In diabetic group E histolytica were detected in 13 patients (39.4%), compared to (43%) among controls, G. lamblia was detected in a patient (3%) compared to (3%) in controls, A. lumbricoides was detected in one patient (3%) compared to (5%) in controls, and E. vermicularis was detected in one patient (3%) compared to (3.8%) in controls. The highest level of parasitosis among diabetic patients was E. histolytica (39%), but without significant difference between controls and patients. There for one can assume that E. histolytica could be considered as a monitor for environmental pollution, low stander hygiene and low standard of living.
众所周知，糖尿病通过多种方式对免疫系统产生负面影响。糖尿病患者也被视为免疫功能低下的患者群体。肠道寄生虫感染一般不会对人类造成高发病率或高死亡率，但对糖尿病患者却有风险。本研究调查了坦塔市糖尿病患者中常见肠道寄生虫的感染率。在前往胃肠科就诊的患者（360例）中，有33例患者自述有各种腹部症状和不适，且已知患有糖尿病并正在接受治疗。从糖尿病患者和非糖尿病患者中分别采集相同数量的粪便样本。样本经肉眼检查、直接涂片和不同浓缩方法进行显微镜检查，然后用碘染色。该研究于2015年3月至8月进行了6个月，以检测常见肠道寄生虫。糖尿病组中，13例患者（39.4%）检测出溶组织内阿米巴，对照组为（43%）；1例患者（3%）检测出蓝氏贾第鞭毛虫，对照组为（3%）；1例患者（3%）检测出蛔虫，对照组为（5%）；1例患者（3%）检测出蛲虫，对照组为（3.8%）。糖尿病患者中寄生虫感染率最高的是溶组织内阿米巴（39%），但对照组与患者组之间无显著差异。因此，可以认为溶组织内阿米巴可被视为环境污染、低卫生标准和低生活水平的一个监测指标。
