Stürchler D
Schweiz Med Wochenschr. 1986 Jun 14;116(24):804-10.
While intestinal parasites are infrequent causes of acute diarrhea, investigations in travellers, children, homosexuals and immunocompromised persons who have had diarrhea for more than 2-4 weeks should include stool analyses for intestinal parasites. Intestinal helminthiases are treated with pyrantel pamoate, mebendazole, thiabendazole, albendazole, praziquantel or niclosamide. For treatment of intestinal protozoa, ornidazole (or other benzimidazoles), diloxanide furoate and co-trimoxazole are drugs of first choice; at present spiramycin is recommended for treatment of cryptosporidiosis in AIDS patients. When infections or symptoms persist after treatment, re-infection or immunodeficiency should be considered.
虽然肠道寄生虫是急性腹泻的不常见病因,但对于腹泻持续超过2 - 4周的旅行者、儿童、同性恋者和免疫功能低下者,调查应包括粪便分析以检测肠道寄生虫。肠道蠕虫病用噻嘧啶、甲苯咪唑、噻苯达唑、阿苯达唑、吡喹酮或氯硝柳胺治疗。对于肠道原生动物的治疗,奥硝唑(或其他苯并咪唑类)、糠酸二氯尼特和复方新诺明是首选药物;目前推荐螺旋霉素用于治疗艾滋病患者的隐孢子虫病。治疗后感染或症状持续存在时,应考虑再次感染或免疫缺陷。