Panaitescu D, Căpraru T, Bugarin V
Cantacuzino Institute, Bucharest, Romania.
Roum Arch Microbiol Immunol. 1995 Jan-Jun;54(1-2):65-74.
A high incidence of parasitic infections was shown by the study of children with physical and psychic handicaps. In 231 children examined we diagnosed 294 parasitic infections as follows: 42 (18.1%) with Giardia intestinalis 6 (2.59%) with Entamoeba histolytica 36 (15.5%) with Hymenolepis nana 21 (9.9%) with Strongyloides stercoralis 16 (6.9%) with Ascaris lumbricoides 92 (39.86%) with Tricocephalus dispar 38 (16.4%) with Enterobius vermicularis 7(3.03%) with Cryptosporidium sp. Also, by immunodiagnosis 29 cases of Toxoplasmosis (12.5%) and 7 cases of Toxocarosis (3.03%) were pointed out. The clinical examination revealed that the main symptoms were troubles of appetite (both anorexia and hyperorexia)-67.9% intestinal transit disorders-48.4% cutaneous rash (4.7%). Two series of specific treatments diminished the incidence at 38% (after the first) and at 28.5% (after the second). By disappearance of the troubles due to the parasitic infections, the state of children with physical and psychic handicaps clinically improved; so, we may consider as a further necessity the screening of all those children for such diseases.
对身体和精神有障碍的儿童进行的研究显示寄生虫感染的发生率很高。在检查的231名儿童中,我们诊断出294例寄生虫感染,情况如下:42例(18.1%)感染肠贾第虫,6例(2.59%)感染溶组织内阿米巴,36例(15.5%)感染微小膜壳绦虫,21例(9.9%)感染粪类圆线虫,16例(6.9%)感染蛔虫,92例(39.86%)感染三毛滴虫,38例(16.4%)感染蛲虫,7例(3.03%)感染隐孢子虫属。此外,通过免疫诊断指出29例弓形虫病(12.5%)和7例弓蛔虫病(3.03%)。临床检查显示主要症状为食欲问题(包括厌食和食欲亢进)——67.9%,肠道转运障碍——48.4%,皮疹(4.7%)。两轮特异性治疗使感染率分别降至38%(第一轮后)和28.5%(第二轮后)。由于寄生虫感染引起的问题消失,身体和精神有障碍儿童的状况在临床上得到改善;因此,我们认为有必要对所有这些儿童进行此类疾病的筛查。