Claus Paul-Emile, Ceuppens Anne-Sophie, Cool Mike, Alliet Gudrun
a Clinical Laboratory of Microbiology , AZ Damiaan , Ostend , Belgium.
b Department of Gastroenterology , AZ Damiaan , Ostend , Belgium.
Acta Clin Belg. 2018 Dec;73(6):431-434. doi: 10.1080/17843286.2018.1436956. Epub 2018 Feb 19.
The roundworm Ascaris lumbricoides is one of the most prevalent parasites belonging to the class of the soil-transmitted helminths. Infections are most common in developing countries with a tropical climate where sanitation and hygiene are poor. However, prevalence of ascariasis in industrialized countries is increasing because of immigration and increasing number of refugees.
We report a case of ascariasis in a female patient who was admitted to our hospital after she had left the informal refugee camp of Calais in the north of France.
After colonoscopic removal of the worm and treatment with mebendazole during three days the patient's symptoms had completely resolved. Medical treatment with benzimidazole derivatives is easy and inexpensive. To prevent parasitic infections in larger populations, mass drug administration should be repeated periodically and must be implemented along with additional measures such as improvements to water, sanitation and hygiene (WASH). These WASH programs have been proven to be highly effective, but access and follow-up are expensive and very difficult to organize in refugee camps, even in wealthy, industrialized countries.
Despite being an old, well-known parasitic disease, ascariasis might reappear in certain populations at risk in industrialized countries. Detection, treatment and follow-up of these patients, and the organization of preventive measures remain challenging.
蛔虫是土源性蠕虫类中最常见的寄生虫之一。在卫生条件和个人卫生较差的热带气候发展中国家，感染最为常见。然而，由于移民和难民数量增加，工业化国家蛔虫病的患病率正在上升。
我们报告一例蛔虫病病例，患者为一名女性，离开法国北部加莱的非正式难民营后入住我院。
经结肠镜取出蛔虫并使用甲苯达唑治疗三天后，患者症状完全缓解。使用苯并咪唑衍生物进行药物治疗简便且成本低廉。为预防更多人群感染寄生虫，应定期重复进行群体药物管理，并且必须与改善水、环境卫生和个人卫生（WASH）等其他措施一起实施。这些WASH项目已被证明非常有效，但在难民营中，即使在富裕的工业化国家，获取资源和后续跟进成本高昂且组织起来非常困难。
尽管蛔虫病是一种古老且广为人知的寄生虫病，但在工业化国家的某些高危人群中可能会再次出现。对这些患者的检测、治疗和随访以及预防措施的组织仍然具有挑战性。
