Wesołowska M, Rymer W, Kicia M, Popiołek M
Department of Biology and Medical Parasitology, Wroclaw Medical University, J. Mikulicza-Radeckiego 9, 50-367 Wrocław, Poland.
Department of Infectious Diseases, Hepatology and Acquired Immune Deficiencies, Wroclaw Medical University, Koszarowa 5, 51-149 Wrocław, Poland.
Helminthologia. 2018 Jun 1;55(2):166-172. doi: 10.2478/helm-2018-0007. eCollection 2018 Jun.
Strongyloidiasis and hookworm infections are neglected helminth diseases widespread in tropical and subtropical areas. In humans, particularly in immunocompromised patients infections potentially may lead to the life-threatening clinical conditions involving the respiratory as well as gastrointestinal systems. The increased number of tourists travelling to tropical regions is associated with more frequent infection with parasites such as and hookworm. The infection takes place when filariform larvae penetrate the skin exposed to soil, than migrate through the lungs and finally reach the intestine. Travelers are often not aware of how they could get infected. Physicians may suspect strongyloidiasis and hookworm infections in tourists with diarrhea returning from endemic areas, especially when an elevated eosinophilia is observed. In the literature there are many reports about the presence of parasites in indigenous communities, but very few are available regarding travelers. This paper describes a dual infection with hookworm and in a young female tourist returning from Southeast Asia. To our knowledge, this is the first report of hookworm and infection in a tourist from Europe, acquired in an endemic area.
类圆线虫病和钩虫感染是热带和亚热带地区广泛存在的被忽视的蠕虫病。在人类中，尤其是免疫功能低下的患者，感染可能会导致危及生命的临床状况，累及呼吸系统和胃肠道系统。前往热带地区旅游的人数增加，与感染诸如类圆线虫和钩虫等寄生虫的频率增加有关。感染发生在丝状幼虫穿透暴露于土壤的皮肤后，然后通过肺部迁移，最终到达肠道。旅行者往往不知道自己是如何被感染的。医生可能会怀疑从流行地区返回且患有腹泻的旅行者感染了类圆线虫病和钩虫，尤其是在观察到嗜酸性粒细胞增多时。文献中有许多关于土著社区寄生虫存在情况的报告，但关于旅行者的报告却很少。本文描述了一名从东南亚返回的年轻女性旅行者同时感染钩虫和类圆线虫的情况。据我们所知，这是欧洲旅行者在流行地区获得钩虫和类圆线虫感染的首例报告。
