Deka Sangeeta, Kalita Deepjyoti, Hazarika Naba Kumar
Department of Microbiology, Fakhruddin Ali Ahmed Medical College & Hospital (FAAMCH), Barpeta, Assam, India.
Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Virbhadra Road, Rishikesh, Uttarakhand, India.
J Lab Physicians. 2022 Jul 26;15(1):139-141. doi: 10.1055/s-0042-1748830. eCollection 2023 Mar.
Fasciolopsiasis, a food-borne intestinal parasitosis, occurs focally, and remains a significant public health problem in endemic areas. However, due to the wide spectrum of clinical presentation and unclear diagnosis or even misdiagnosis, it often goes unreported. The correlation between trematode infection and malnutrition is also often debated. We report a case of heavy infection of in a 4-year-old girl with severe acute malnutrition (SAM). The patient presented with a passage of many adult worms per stool following the consumption of some herbal concoction. A wet mount of the stool revealed ova of She was treated successfully with praziquantel and food supplements. It raises the possibility of unidentified cases in this region and necessitates more extensive studies in the targeted population. This will also help raise awareness of fasciolopsiasis among clinicians, especially in vulnerable populations such as malnourished children.
姜片虫病是一种食源性肠道寄生虫病,呈局部发病,在流行地区仍然是一个重大的公共卫生问题。然而,由于临床表现多样且诊断不明确甚至误诊,该病常常未被报告。吸虫感染与营养不良之间的关联也常常存在争议。我们报告一例4岁患有重度急性营养不良(SAM)的女童重度感染姜片虫的病例。该患者在饮用某种草药汤剂后,每次粪便中排出多条成虫。粪便湿片检查发现姜片虫卵。她接受吡喹酮和食物补充剂治疗后康复。这增加了该地区存在未被识别病例的可能性,因此有必要对目标人群进行更广泛的研究。这也将有助于提高临床医生对姜片虫病的认识,尤其是在营养不良儿童等弱势群体中。