Young R L, Zund G, Mason B A, Faro S
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
Obstet Gynecol. 1989 Sep;74(3 Pt 2):484-6.
Strongyloidiasis is a potentially life-threatening condition which, when appropriately diagnosed early in its course, is easily eradicated. When severe, it may mimic other disease processes including appendicitis or severe pelvic inflammatory disease. The diagnosis of parasitic infestation should be considered in any individual who has lived in an endemic area and presents with diarrhea regardless of attendant conditions and superimposed disease processes. A minimum workup consisting of stool examination for ova and parasites should be performed on all such individuals. Thiabendazol is the treatment of choice in nonpregnant patients; however, piperazine tartrate has established safety and efficacy in pregnancy and is therefore preferable in the pregnant patient.
类圆线虫病是一种潜在的危及生命的疾病，若在病程早期得到恰当诊断，很容易根除。病情严重时，它可能会模仿其他疾病进程，包括阑尾炎或严重的盆腔炎。任何曾生活在流行地区且出现腹泻的人，无论有无伴随病症及并发疾病进程，均应考虑寄生虫感染的诊断。所有此类患者都应至少进行一次包括粪便虫卵和寄生虫检查的基本检查。噻苯达唑是非妊娠患者的首选治疗药物；然而，酒石酸哌嗪在孕期已证实其安全性和有效性，因此对于妊娠患者更为适用。
