偏症:印度东北部的一个持续的公共卫生问题
Takhellambam Shantikumar Singh1, Khuraijam Ranjana Devi2, Khumanthem Ratankumar3
1Department of Microbiology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, 737102, India.
Indian journal of medical microbiology
|April 30, 2025
概括
食物传播的寄生虫疾病 - - 偏偏菌病仍然是印度马尼普尔的一个公共卫生问题. 由于类似的症状,它经常被误诊为结核病,强调需要提高认识和诊断测试.
科学领域:
- 医学寄生虫学 医学寄生虫学
- 动物传播疾病 动物传播疾病
- 公共卫生 公共卫生
背景情况:
- 帕拉戈尼尼菌病是一种由食物传播的寄生动物性 zoonosis,由Paragonimus属的Trematode物种引起.
- 这种疾病自20世纪80年代以来一直在印度东北部流行.
- 由于临床和放射学特征重叠,它经常被误诊为结核病.
研究的目的:
- 更新马尼普尔帕拉戈尼米病的临床放射学特征.
- 为了确定疾病的当前地理分布.
- 为了突出 paragonimiasis.asis 带来的持续的公共卫生挑战.
主要方法:
- 对马尼普尔 (Manipur) 的37例疑似帕拉戈尼米亚病例 (2011-2023) 的回顾性分析.
- 收集和分析临床,饮食,地理和实验室数据.
- 对唾液和液样本进行微生物学和血清学检测 (DIGFA).
主要成果:
- 在37例病例中,有32例被证实为 paragonimiasis.
- 常见的临床表现包括肺 (n=19) 和肺部溢出 (n=11).
- 所有患者都报告食用; 40.6%是儿科病例,68.75%最初被怀疑是结核病.
结论:
- 帕拉戈尼米亚症仍然是马尼普尔的一个重大公共卫生问题,发现了新的流行地区.
- 这种疾病继续被误诊,并作为结核病进行不充分的管理.
- 提高对AFB涂抹-阴性样与高氨基酸细胞计数的帕拉戈尼米亚सिस的认识和诊断方案至关重要.
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