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隐孢子虫:胃肠道症状患者中常见的发现。

Cryptosporidium: a frequent finding in patients with gastrointestinal symptoms.

作者信息

Jokipii L, Pohjola S, Jokipii A M

出版信息

Lancet. 1983 Aug 13;2(8346):358-61. doi: 10.1016/s0140-6736(83)90341-0.

Abstract

1422 faecal samples sent by general practitioners for routine parasitological examination were surveyed in 3 months. Of the 10.8% short-listed for special examination for cryptosporidium oocysts, 14 (9.1%) were positive. Charcot-Leyden crystals were not associated with cryptosporidiosis. All 14 patients had symptoms of gastrointestinal infection, which seemed to be related to a trip abroad. The incubation period varied between 4 and 12 days. Clinically cryptosporidiosis could not be distinguished from giardiasis, but its duration was shorter (median 10 days), strong abdominal pain and cramps were commoner, and bloating, anorexia, and weakness were less common. The disease can be diagnosed by identification of oocysts in faecal samples that have undergone formalin-ether concentration. There is no specific treatment for it, and recovery is spontaneous.

摘要

在3个月内对全科医生送来进行常规寄生虫学检查的1422份粪便样本进行了调查。在入围隐孢子虫卵囊特殊检查的样本中,有10.8%,其中14份(9.1%)呈阳性。夏科-莱登晶体与隐孢子虫病无关。所有14例患者均有胃肠道感染症状,似乎与出国旅行有关。潜伏期为4至12天。临床上隐孢子虫病无法与贾第虫病区分开来,但其病程较短(中位数为10天),剧烈腹痛和痉挛更为常见,而腹胀、厌食和虚弱则较少见。该病可通过对经福尔马林-乙醚浓缩的粪便样本中的卵囊进行鉴定来诊断。目前尚无针对该病的特效治疗方法,康复是自发的。

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