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泌尿系统感染病因:伊朗一名成瘾且患糖尿病的年轻女性身上罕见的偶发性人畜共患病。

Urinary infection due to : a rare accidental zoonotic disease in an addicted and diabetic young female in Iran.

作者信息

Soleimanpour Saman, Babaei Ali, Roudi Abdolghayyoum Movahhedi, Raeisalsadati Seyedeh Sara

机构信息

Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Antimicrobial Resistance Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; Department of Microbiology and Virology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Laboratory of 22nd Bahman hospital, Khaf, Mashhad University of Medical Sciences , Mashhad, Iran.

出版信息

JMM Case Rep. 2016 Feb 5;3(1):e000102. doi: 10.1099/jmmcr.0.000102. eCollection 2016 Feb.

DOI:10.1099/jmmcr.0.000102
PMID:28348744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5343126/
Abstract

BACKGROUND

Balantiosis, a rare zoonotic infection resulting in dysentery, is caused by the large ciliated protozoan parasite . Humans acquire this organism via the faecal-oral route. Very rarely, extraintestinal infections can occur in the urinary tract system. There are very few case reports of urinary balantiosis in humans.

CASE PRESENTATION

Here, an interesting case of urinary balantiosis in a 35-year-old addicted woman with multiple health problems including spontaneous abortion and diabetes is reported. Her midstream urine sample, collected while all sterile precautions were being taken, demonstrated . along with and bacteria. was identified by its characteristic morphology and rapid rotary motility in the urinary tract, which is an abnormal site for invasion by this parasite.

CONCLUSION

To the best of our knowledge, this is only the eighth case described in literature in which was detected in urine sediment; it is reported for its rarity and for future reference.

摘要

背景

结肠小袋纤毛虫病是一种由大型纤毛虫寄生虫引起的罕见人畜共患感染,可导致痢疾。人类通过粪-口途径感染这种病原体。极罕见情况下,可在泌尿系统发生肠外感染。人类泌尿生殖道结肠小袋纤毛虫病的病例报告非常少。

病例介绍

本文报告了一例35岁成瘾女性患泌尿生殖道结肠小袋纤毛虫病的有趣病例,该女性有包括自然流产和糖尿病在内的多种健康问题。在采取所有无菌预防措施的情况下采集的她的中段尿样本显示有结肠小袋纤毛虫以及酵母菌和细菌。结肠小袋纤毛虫通过其特征性形态和在泌尿道中的快速旋转运动得以识别,泌尿道是该寄生虫入侵的异常部位。

结论

据我们所知,这是文献中描述的第八例在尿沉渣中检测到结肠小袋纤毛虫的病例;因其罕见性及供未来参考而予以报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cf/5343126/0481a85e6648/jmmcr-03-102-f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cf/5343126/e3b735836d8e/jmmcr-03-102-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cf/5343126/0481a85e6648/jmmcr-03-102-f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cf/5343126/e3b735836d8e/jmmcr-03-102-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cf/5343126/0481a85e6648/jmmcr-03-102-f002.jpg

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本文引用的文献

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J Parasit Dis. 2016 Mar;40(1):138-40. doi: 10.1007/s12639-014-0464-0. Epub 2014 Apr 26.
2
Balantidiosis: a rare accidental finding in the urine of a patient with acute renal failure.结肠小袋纤毛虫病:急性肾衰竭患者尿液中罕见的意外发现。
J Clin Diagn Res. 2014 May;8(5):DD03-4. doi: 10.7860/JCDR/2014/7033.4343. Epub 2014 May 15.
3
A rare case of urinary balantidiasis in an elderly renal failure patient.一名老年肾衰竭患者患泌尿小袋虫病的罕见病例。
Trop Parasitol. 2014 Jan;4(1):47-9. doi: 10.4103/2229-5070.129165.
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Balantidium coli in urine sediment: report of a rare case presenting with hematuria.尿沉渣中的结肠小袋纤毛虫:一例以血尿为表现的罕见病例报告。
J Parasit Dis. 2013 Oct;37(2):283-5. doi: 10.1007/s12639-012-0163-7. Epub 2012 Aug 23.
5
Dysenteric syndrome due to Balantidium coli: a case report.结肠小袋纤毛虫引起的痢疾综合征:一例报告
New Microbiol. 2013 Apr;36(2):203-5. Epub 2013 Mar 31.
6
Novel insights into the genetic diversity of Balantidium and Balantidium-like cyst-forming ciliates.对巴尔通体属和类似巴尔通体的囊形成纤毛虫遗传多样性的新认识。
PLoS Negl Trop Dis. 2013;7(3):e2140. doi: 10.1371/journal.pntd.0002140. Epub 2013 Mar 28.
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Infections in patients with diabetes mellitus: A review of pathogenesis.糖尿病患者的感染:发病机制综述
Indian J Endocrinol Metab. 2012 Mar;16 Suppl 1(Suppl1):S27-36. doi: 10.4103/2230-8210.94253.
8
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