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贾第虫病:一种常见的、可通过性传播的寄生性腹泻,在诊断上存在诸多陷阱。

Giardiasis: a common, sexually transmissible parasitic diarrhea with pitfalls in diagnosis.

作者信息

Cooper R F, Allison B, Bowles C C, King M, Hopkins L G

出版信息

South Med J. 1983 Jul;76(7):863-5.

PMID:6867795
Abstract

Giardia lamblia is the number one intestinal parasite in the United States. Symptoms of giardiasis include upper abdominal pain and distress, flatulence, nervousness, and diarrhea. Multiple stool specimens examined for ova and parasites by nonexpert parasitologists will frequently not provide the diagnosis, and special studies must then be done. Antibiotics, antidiarrheals, certain enema preparations, and oily laxatives can cause a temporary disappearance of parasites from the stool. Treatment of choice is a five-day course of quinacrine hydrochloride. Recently, attention has been brought to the fact that oral sex may be responsible for transmission in a significant number of cases of giardiasis.

摘要

贾第虫是美国头号肠道寄生虫。贾第虫病的症状包括上腹部疼痛与不适、肠胃胀气、神经过敏和腹泻。由非专业寄生虫学家检查多个粪便样本中的虫卵和寄生虫,往往无法做出诊断,此时必须进行特殊检查。抗生素、止泻药、某些灌肠剂和油性泻药会使粪便中的寄生虫暂时消失。首选治疗方法是服用五日疗程的盐酸奎纳克林。最近,人们注意到在大量贾第虫病病例中,口交可能是传播途径。

相似文献

1
Giardiasis: a common, sexually transmissible parasitic diarrhea with pitfalls in diagnosis.贾第虫病:一种常见的、可通过性传播的寄生性腹泻,在诊断上存在诸多陷阱。
South Med J. 1983 Jul;76(7):863-5.
2
Giardiasis. Issues in diagnosis and management.贾第虫病。诊断与管理中的问题。
Infect Dis Clin North Am. 1993 Sep;7(3):503-25.
3
Management of giardiasis.贾第虫病的管理
Am Fam Physician. 1985 Nov;32(5):157-64.
4
Giardiasis: a common cause of diarrheal disease.
Postgrad Med. 1979 Nov;66(5):151-6, 158. doi: 10.1080/00325481.1979.11715301.
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Diagnostic value of endoscopy for the diagnosis of giardiasis and other intestinal diseases in patients with persistent diarrhea from tropical or subtropical areas.内镜检查对热带或亚热带地区持续性腹泻患者贾第虫病及其他肠道疾病的诊断价值。
Scand J Gastroenterol. 2007 Mar;42(3):391-6. doi: 10.1080/00365520600881193.
6
Giardiasis: a common and underrecognized enteric pathogen.
J Fam Pract. 1981 Jan;12(1):47-54.
7
Giardiasis: the clinical spectrum, diagnosis and therapy.
Pediatr Infect Dis. 1986 Jan-Feb;5(1 Suppl):S131-8.
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Giardia lamblia in AIDS patients with diarrhea.艾滋病腹泻患者中的蓝氏贾第鞭毛虫。
J Med Assoc Thai. 1999 Jul;82(7):654-9.
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[Parasitosis in an adult population with chronic gastrointestinal disorders].
Acta Gastroenterol Latinoam. 1997;27(2):67-73.
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[Frequency of Giardia lamblia in the feces of 100 children with chronic diarrhea].[100例慢性腹泻儿童粪便中贾第鞭毛虫的检出率]
Bol Med Hosp Infant Mex. 1986 Apr;43(4):247-9.

引用本文的文献

1
From Leningrad to the day-care center. The ubiquitous Giardia lamblia.从列宁格勒到日托中心。无处不在的蓝氏贾第鞭毛虫。
West J Med. 1990 Aug;153(2):154-9.