Morsy T A, Mangoud A M, Ramadan M E, Mostafa S M, el-Sharkawy I M
Department of Parasitology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
J Egypt Soc Parasitol. 1998 Aug;28(2):347-54.
In general, both Schistosoma mansoni and Leishmania, d. infantum affect more or less the same human organs. While the liver is the main organ affected, the intestine follows in importance. In the present study, L.d. infantum on tip of pre-existing S. mansoni in Syrian golden hamsters had delayed the appearance of both schistosomal and leishmanial granulomas in the intestine the positive control with either parasite alone. However, the leishmanial infection suppressed the schistosomal infection. Nevertheless, both types of granulomas caused shortening and broadening of the intestinal villi. The concomitant infection with leishmaniasis infantum and schistosomiasis mansoni promote the development of many pathological changes (liver, kidneys, intestine, blood picture etc.). No doubt, these changes lead to marked changes in the typical clinical picture of both parasites. Consequently, parasitological diagnosis of visceral leishmaniasis in concomitant infection is a must as in a case of VL. and HIV.
一般来说,曼氏血吸虫和婴儿利什曼原虫(Leishmania, d. infantum)对人体器官的影响大致相同。肝脏是主要受影响器官,肠道次之。在本研究中,叙利亚金仓鼠体内预先存在的曼氏血吸虫感染基础上感染婴儿利什曼原虫,与单独感染任一寄生虫的阳性对照相比,肠道内血吸虫和利什曼原虫肉芽肿的出现均延迟。然而,利什曼原虫感染抑制了血吸虫感染。尽管如此,两种类型的肉芽肿均导致肠绒毛缩短和变宽。婴儿利什曼病和曼氏血吸虫病的合并感染促进了许多病理变化(肝脏、肾脏、肠道、血象等)的发展。毫无疑问,这些变化导致两种寄生虫典型临床表现的显著改变。因此,合并感染时内脏利什曼病的寄生虫学诊断与艾滋病合并内脏利什曼病的情况一样必不可少。