Hazoug-Boehm E, Chaker E, Abdi A, Molet B, Kien T T, Kremer M
Arch Inst Pasteur Tunis. 1979 Mar-Jun;56(1-2):105-16.
A bibliographic survey is made of the cases of fasciolasis in Maghreb, and it can be concluded that: The notion of "epidemy", or better, of simultaneous cases, brought to the diagnosis evocation, to explorations by I.D.R. and to early treatment, before the excretion of eggs. Due to drug-efficiency, the coprological proof of the disease was generally missing in the old "epidemies" of the Maghreb. Isolated cases, in contrast, where the fasciolasic etiology was not evocated, could follow natural evolution and the proof by egg or adult discovery was possible in more than half the cases. Progress in immunology of fasciolasis made possible the diagnosis of less than 10 nw cases in Tunisia and Marocco. The authors report 2 new cases from the Constantine region (Algeria). The repartition of the ascertained cases and the possible ones is shown on a map.
对马格里布地区肝片吸虫病病例进行了文献调查,结果表明:“流行病”这一概念,或者更确切地说,同时出现的病例,促使人们进行诊断、通过直肠检查进行探索并在虫卵排出前进行早期治疗。由于药物疗效,在马格里布地区过去的“流行病”中,该病的粪便学证据通常缺失。相比之下,在未考虑肝片吸虫病因的孤立病例中,病情可能会自然发展,并且在一半以上的病例中可以通过发现虫卵或成虫来确诊。肝片吸虫病免疫学的进展使得在突尼斯和摩洛哥诊断出不到10例新病例成为可能。作者报告了来自君士坦丁地区(阿尔及利亚)的2例新病例。已确诊病例和可能病例的分布情况在地图上显示。