Meunier Y, Branchereau B, Nozais J P, Danis M, Gentilini M
Sem Hop. 1983 Dec 8;59(45):3137-9.
Intestinal amebiasis is an ubiquitous disease which is hyperendemic among high promiscuity homosexual males living under temperate climates. Sexual behaviour, especially oroanal contacts which are common in this population, as well as the multiplicity and sometimes anonymity of partners are responsible for this high prevalence. Individual prophylaxis involves local hygiene before intercourse and a decrease in the number of sexual contacts with different partners. Community prophylaxis is essential and consists in information of general practitioners and "gays" about the different means of transmission of amebiasis, its clinical manifestations and the necessity of routine parasitological stool examinations at regular intervals. We report on two cases and discuss these various considerations in the light of data from the literature.
肠道阿米巴病是一种普遍存在的疾病，在生活在温带气候下、性滥交程度高的同性恋男性中呈高度地方性流行。性行为，尤其是该人群中常见的口交行为，以及性伴侣的多样性和有时的匿名性导致了这种高发病率。个人预防措施包括性交前的局部卫生以及减少与不同性伴侣的性接触次数。社区预防至关重要，包括向全科医生和“同性恋者”宣传阿米巴病的不同传播途径、临床表现以及定期进行常规粪便寄生虫检查的必要性。我们报告了两例病例，并根据文献数据讨论了这些不同的考虑因素。
