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从约旦南部约旦河谷拉马的一个灌溉池中感染的尿路血吸虫病。

Urinary schistosomiasis contracted from an irrigation pool in Ramah, the southern Jordan Valley, Jordan.

作者信息

Saliba E K, Tawfiq M R, Kharabsheh S, Rahamneh J

机构信息

Department of Biological Sciences, University of Jordan, Amman.

出版信息

Am J Trop Med Hyg. 1997 Aug;57(2):158-61. doi: 10.4269/ajtmh.1997.57.158.

DOI:10.4269/ajtmh.1997.57.158
PMID:9288808
Abstract

Autochthonous cases of urinary schistosomiasis are reported for the second time in Jordan. Eight Jordanian juveniles (seven males and one female) ranging in age from 10 to 15 years were diagnosed in 1995 as having the disease. Urine examination using the membrane filtration technique showed varying intensities of infection. The patients were treated with praziquantel and a follow-up showed the passage of dead eggs in the urine of five patients one month after treatment. All had egg-negative urine three months post-treatment. Epidemiologic investigation showed that the patients did not leave Jordan and that the seven males swam frequently in 1994 in an irrigation pool present in a farm at Ramah, in the southern Jordan Valley. The female patient had frequent contact with the pool water since she often went to the farm to obtain water for domestic animals. Bulinus truncatus snails were found in the pool and in pools on other farms in the area. Two hundred snails collected from the site did not shed cercariae after six months of observation. Several foreign workers in the area were found infected with Schistosoma haematobium, suggesting they were the source of infection.

摘要

约旦第二次报告了本地感染的泌尿血吸虫病病例。1995年,8名年龄在10至15岁之间的约旦青少年(7名男性和1名女性)被诊断患有该病。使用膜过滤技术进行尿液检查显示感染程度各不相同。患者接受了吡喹酮治疗,随访显示5名患者在治疗1个月后尿液中排出了死卵。治疗3个月后所有患者尿液中均无虫卵。流行病学调查显示,这些患者未离开约旦,7名男性在1994年经常在约旦河谷南部拉马赫一个农场的灌溉池中游泳。该女性患者经常接触池水,因为她经常去农场为家畜取水。在该池塘以及该地区其他农场的池塘中发现了截形小泡螺。从该地点采集的200只蜗牛在观察6个月后未逸出尾蚴。发现该地区的几名外国工人感染了埃及血吸虫,表明他们是传染源。

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