Speare Rick, Bradbury Richard Stewart, Croese John
College of Public Health, Veterinary and Medical Sciences, James Cook University, Townsville, Australia.
Tropical Health Solutions Pty Ltd, Topaz, Australia.
Korean J Parasitol. 2016 Aug;54(4):533-6. doi: 10.3347/kjp.2016.54.4.533. Epub 2016 Aug 31.
A 26-year-old male member of the Australian Defense Force presented with a history of central abdominal pain of 4 weeks duration and peripheral eosinophilia consistent with eosinophilic enteritis. Acute hookworm disease was diagnosed as the cause. Adult worms recovered from feces after therapy with albendazole were morphologically consistent with Ancylostoma ceylanicum. As the patient had been deployed with the Regional Assistance Mission to Solomon Islands for 6 months prior to this presentation, it is very likely that the A. ceylanicum was acquired in Solomon Islands. Until now, it has been assumed that any Ancylostoma spp. recovered from humans in Solomon Islands is A. duodenale. However, this case demonstrates that human hookworm infection acquired in the Solomon Islands could be caused by A. ceylanicum.
一名26岁的澳大利亚国防军男性成员,有持续4周的中腹部疼痛病史,外周血嗜酸性粒细胞增多,符合嗜酸性粒细胞性肠炎。诊断为急性钩虫病为病因。使用阿苯达唑治疗后从粪便中回收的成虫在形态上与锡兰钩虫一致。由于该患者在此次发病前已随区域援助团在所罗门群岛部署了6个月,很可能锡兰钩虫是在所罗门群岛感染的。到目前为止,一直认为在所罗门群岛从人类身上回收的任何钩虫属物种都是十二指肠钩虫。然而,该病例表明,在所罗门群岛获得的人类钩虫感染可能是由锡兰钩虫引起的。