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老年人不应忽视的寄生虫:溶组织内阿米巴。

A parasite that should not be neglected in geriatric individuals: Entamoeba histolytica.

机构信息

From the Department of Parasitology (Aydemir, Ekici, Yilmaz), Faculty of Medicine, Van Yüzüncü Yıl University; and from the Department of Central Laboratory (Ateş), Van Yüzüncü Yıl University Dursun Odabaş Medical Centre, Van, Turkey.

出版信息

Saudi Med J. 2024 Oct;45(10):1087-1093. doi: 10.15537/smj.2024.45.10.20240275.

Abstract

OBJECTIVES

To highlight the importance of neglected () infections in the geriatric age group, which is an increasing proportion of the world's population.

METHODS

This study was carried out between January 2022 and December 2023 at Van Yüzüncü Yıl University, Faculty of Medicine, Parasitology Laboratory, Van, Turkey. The study included 96 geriatric patients with diarrhea (geriatric group). Two different control groups (CGs) were also included in the study, comprising 92 patients aged 18-64 years with diarrhea as CG1 and 50 geriatric individuals without diarrhea and other gastrointestinal complaints as CG2. Samples were analysed macroscopically and then evaluated by microscopic, enzyme-linked immunoassay, and polymerase chain reaction.

RESULTS

This study detected in 31.3% of the geriatric group and 14.1% of the patients in CG1 (=0.004). positivity was not detected in CG2. According to the multiple correspondence analysis, there was a close association between positivity and bloody diarrhea and mucous diarrhea in the geriatric patients. It was also determined that can cause abdominal pain, abdominal distension, and epigastric tenderness in geriatric patients.

CONCLUSION

Both the risk of infection and the pathogenicity of the infection increase in geriatric individuals. Therefore, it was concluded that amoebiasis is a serious health problem in the geriatric population and should not be neglected.

摘要

目的

强调被忽视的()感染在老年人群体中的重要性,老年人群体在世界人口中所占比例越来越大。

方法

本研究于 2022 年 1 月至 2023 年 12 月在土耳其凡大学医学院寄生虫学实验室进行。研究纳入 96 例腹泻老年患者(老年组)。还纳入了两个不同的对照组(CG),包括 92 例年龄在 18-64 岁腹泻的 CG1 患者和 50 例无腹泻和其他胃肠道投诉的老年个体作为 CG2。对样本进行了宏观分析,然后通过显微镜、酶联免疫吸附试验和聚合酶链反应进行评估。

结果

本研究在 31.3%的老年组和 14.1%的 CG1 患者中检测到(=0.004)。CG2 中未检测到 阳性。根据多重对应分析,在老年患者中,与 阳性密切相关的是血性腹泻和粘液性腹泻。还确定 会导致老年患者出现腹痛、腹胀和上腹部压痛。

结论

老年个体感染的风险和感染的致病性都增加。因此,结论是阿米巴病是老年人群体中的一个严重健康问题,不应被忽视。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c509/11463571/7a29b07add43/SMJ-45-10-1087_1.jpg

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