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从巴勒斯坦的两名患者中对猪肉绦虫进行分子诊断:两例病例报告。

Molecular diagnosis of Taenia saginata from two patients in Palestine: two case reports.

机构信息

Hematology Department, Professional Labs, Ramallah, Palestine.

Routine and Body Fluids Department, Professional Labs, Ramallah, Palestine.

出版信息

J Med Case Rep. 2024 Feb 14;18(1):96. doi: 10.1186/s13256-024-04351-3.

Abstract

BACKGROUND

Taeniasis, is a worldwide foodborne zoonotic disease caused by two principal species; Taenia saginata and Taenia solium. The tapeworm infects the intestine causing taeniasis in humans. Taeniasis is a very rare parasitic infection in Palestine with very few annual cases of unknown species. The infection rate and the disease status are not clear due to the lack of reports about the actual number of patients.

CASE PRESENTATION

Two Palestinian patients; one male of 22 years old from Hebron and the other is female of 33 years old from Ramallah were referred to Palestinian Health Services in the West Bank, Palestine, complained of weight loss, abdominal pain and presence of motile segments of creamy color in the their stool. Microscopic analysis of the stool samples from infected cases revealed Taenia eggs and proglottids, confirmed taeniasis infection. The parasite species was identified as T. saginata by polymerase chain reaction (PCR) amplification and sequencing of the cytochrome oxidase -1 (COX-1) gene.

CONCLUSION

Taeniasis is an unusual parasitic infection in Palestine, there is a growing concern that the actual numbers of infected individuals are much higher and the occurrence of human taeniasis is principally due to people's eating habits in consumption of raw or undercooked beef meat. This report highlighted for the first time the existence of taeniasis infection in the country; which necessitates the need to conduct further research and surveillance to reveal the actual infection rate and the available Taenia species.

摘要

背景

带绦虫病是一种全球性食源性人畜共患疾病,由两个主要物种引起:牛带绦虫和猪带绦虫。绦虫感染肠道导致人体带绦虫病。带绦虫病在巴勒斯坦是一种非常罕见的寄生虫感染,每年只有极少数未知物种的病例。由于缺乏关于实际患者数量的报告,因此感染率和疾病状况不清楚。

病例介绍

两名巴勒斯坦患者;一名 22 岁的男性来自希伯伦,另一名 33 岁的女性来自拉马拉,他们被转诊到巴勒斯坦在西岸的卫生服务机构,抱怨体重减轻、腹痛和粪便中有奶油色活动节片。对受感染病例的粪便样本进行显微镜分析显示出绦虫卵和孕节,证实了带绦虫感染。寄生虫物种通过聚合酶链反应 (PCR) 扩增和细胞色素氧化酶-1 (COX-1) 基因测序鉴定为牛带绦虫。

结论

带绦虫病在巴勒斯坦是一种不常见的寄生虫感染,越来越令人担忧的是,实际感染人数要高得多,人类带绦虫病的发生主要是由于人们食用生的或未煮熟的牛肉的饮食习惯。本报告首次强调了该国带绦虫感染的存在;这需要进一步研究和监测,以揭示实际感染率和可用的带绦虫物种。

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