Lee S K, Shin B M, Khang S K, Chai J Y, Kook J, Hong S T, Lee S H
Department of Clinical Pathology, Seoul Paik Hospital, Inje University, Korea.
Korean J Parasitol. 1994 Mar;32(1):49-52. doi: 10.3347/kjp.1994.32.1.49.
Nine cases of human infection with Strongyloides stercoralis are reported among patients admitted to the Seoul Paik and Sang-Kye Paik Hospitals, Inje University, from April 1990 to January 1992. The patients, 7 males and 2 females aged between 50 and 70, either had the history of long term use of steroids for management of arthritis, or were complicated with other chronic diseases such as hypertension, liver diseases, psychotic disorders, and gastrointestinal problems. All of the nine patients revealed rhabditoid larvae of S. stercoralis in fecal examination. A 57-year-old woman who complained of arthritis and abdominal discomfort, was treated with albendazole and mebendazole, and on the 4th and 5th treatment day 220 parasitic adult females were collected from the diarrheal stool. The patient had a long history of administration of steroids for treatment of arthritis, and seems to have suffered from hyperinfection syndrome due to autoinfection with S. stercoralis. This is the 3rd report on the recovery of parasitic adult females of S. stercoralis in Korea.
1990年4月至1992年1月期间,在仁济大学首尔白医院和祥济白医院收治的患者中,报告了9例人体感染粪类圆线虫的病例。这些患者年龄在50至70岁之间,7名男性,2名女性,要么有长期使用类固醇治疗关节炎的病史,要么合并有其他慢性疾病,如高血压、肝脏疾病、精神疾病和胃肠道问题。所有9例患者粪便检查均发现粪类圆线虫的杆状蚴。一名57岁的女性,主诉有关节炎和腹部不适,接受了阿苯达唑和甲苯达唑治疗,在治疗的第4天和第5天,从腹泻粪便中收集到220条寄生成年雌虫。该患者有长期使用类固醇治疗关节炎的病史,似乎因粪类圆线虫自身感染而患上了重度感染综合征。这是韩国关于粪类圆线虫寄生成年雌虫回收的第三次报告。