Landry P, van Saanen M
Policlinique médicale universitaire, Lausanne.
Schweiz Med Wochenschr. 1997 Mar 29;127(13):535-40.
The majority of intestinal parasites isolated in Switzerland is imported by refugees and travellers. Nematodes are more frequently isolated in the first group, whereas Giardia duodenalis and Strongyloides stercoralis predominate in the second. Symptoms are usually mild, but occasionally diarrhea, abdominal pain and weight loss may be encountered. Hypereosinophilia occurs frequently with some parasites. Four cases chosen from the outpatient department of a Swiss medical polyclinic are presented and serve as a basis for discussing persistent and chronic diarrhea, acute traveller's diarrhea, and hypereosinophilia. Differential diagnosis according to type and duration of symptoms, laboratory findings and treatment of the most frequently encountered parasites are reviewed.
瑞士分离出的大多数肠道寄生虫是由难民和旅行者带入的。线虫在第一组中更常被分离出来，而十二指肠贾第虫和粪类圆线虫在第二组中占主导。症状通常较轻，但偶尔也会出现腹泻、腹痛和体重减轻。某些寄生虫感染时常伴有嗜酸性粒细胞增多。本文介绍了从瑞士一家综合诊所门诊部挑选的4个病例，并以此为基础讨论持续性和慢性腹泻、急性旅行者腹泻以及嗜酸性粒细胞增多症。根据症状类型和持续时间、实验室检查结果以及最常见寄生虫的治疗方法进行鉴别诊断。
