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一个不愉快的回忆:鞭虫(线虫门:毛首目)的内镜发现。

An unpleasant souvenir: Endoscopic finding of Trichuris trichiura (Nematoda: Trichuridae).

机构信息

Microbiology and Virology U, Città della Salute e della Scienza di Torino, University of Turin, Italy.

Gastroenterology U, Città della Salute e della Scienza di Torino, University of Turin, Italy.

出版信息

Parasitol Int. 2021 Feb;80:102220. doi: 10.1016/j.parint.2020.102220. Epub 2020 Oct 31.

Abstract

Whipworms are responsible for up to 500 million cases of trichuriasis worldwide, with higher endemicity in tropical and sub-tropical countries. In non-endemic countries, trichuriasis can be accidentally diagnosed upon colonoscopy, often in the presence of negative microscopy. Here, we describe an incidental diagnosis of trichuriasis in an HIV patient residing in a non-endemic area (i.e., Turin, Italy), six months after his return from Antigua. The species-level diagnosis was made thanks to PCR-based molecular identification of Trichuris sp. following optical microscopy detection. Overall, this case highlights the importance of improving parasitic diseases diagnosis through cutting-edge clinical and laboratory diagnostic tools alongside advanced training of specialists in the area of parasitology.

摘要

鞭虫导致全世界多达 5 亿例鞭虫病,在热带和亚热带国家流行度更高。在非流行地区,鞭虫病可能会在结肠镜检查时偶然诊断出来,通常在显微镜检查阴性的情况下。在这里,我们描述了一位居住在非流行地区(即意大利都灵)的 HIV 患者在从安提瓜返回六个月后偶然诊断出鞭虫病的情况。通过光学显微镜检测后,基于 PCR 的分子鉴定鉴定了 Trichuris sp.,从而做出了种水平的诊断。总的来说,该病例突出了通过先进的临床和实验室诊断工具以及寄生虫学领域专家的高级培训来提高寄生虫病诊断的重要性。

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