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免疫抑制和免疫功能正常儿童的等孢球虫属感染确诊:三例报告

Cystoisospora sp. Infection Determined in Immunosuppressed and Immunocompetent Children: Three Cases Report.

作者信息

Taş Cengiz Zeynep, Yılmaz Hasan, Çiçek Mutalip, Beyhan Yunus Emre, Dülger Ahmet Cumhur

机构信息

Yüzüncü Yıl Üniversitesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Van, Türkiye.

出版信息

Turkiye Parazitol Derg. 2016 Jun;40(2):107-9. doi: 10.5152/tpd.2016.3980.

Abstract

The aim of this study was to present three cystoisosporiasis cases diagnosed in pediatric patients of the Yuzuncu Yil University Medical Faculty. In the study, stool samples of the patients were evaluated by native-Lugol and modified acid-fast staining methods in the Parasitology Laboratory. The first case was a 4-year-old male child diagnosed with acute lymphoblastic leukemia (ALL). It was reported that the patient had abdominal pain, and permanent bloody and mucous diarrhea (8-10 times a day) was present for almost 1 week after the beginning of ALL treatment. The second case was a 10-year-old boy diagnosed with depression. The patient was brought to our hospital by his parents with complaints of abdominal pain, diarrhea, lack of appetite, weight loss, and fatigue persisting since 1 month in addition to headache, fear, sleeplessness, and waking up with cry. The third case was a 13-year-old boy who complained of abdominal pain, diarrhea (rare occasions), lack of appetite, and headache for 2 months. These patients had not traveled abroad. The cases were treated successfully with co-trimoxazole. Our results suggest that all patient groups with diarrhea and abdominal pain should also be considered in cystoisosporiasis.

摘要

本研究的目的是介绍在尤祖恩居勒大学医学院儿科患者中诊断出的三例贝氏等孢球虫病病例。在该研究中,患者的粪便样本在寄生虫学实验室通过自然卢戈氏碘液染色法和改良抗酸染色法进行评估。第一例是一名4岁男童,被诊断为急性淋巴细胞白血病(ALL)。据报告,该患者在ALL治疗开始后出现腹痛,并且出现持续近1周的持续性血性和黏液性腹泻(每天8 - 10次)。第二例是一名10岁男孩,被诊断为抑郁症。患者由其父母带到我院,除头痛、恐惧、失眠和惊醒外,还伴有腹痛、腹泻、食欲不振、体重减轻和疲劳等症状,这些症状自1个月以来一直持续。第三例是一名13岁男孩,主诉腹痛、腹泻(偶尔发作)、食欲不振和头痛2个月。这些患者均未出过国。这些病例用复方新诺明治疗成功。我们的结果表明,所有有腹泻和腹痛的患者群体也应考虑患有贝氏等孢球虫病。

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