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Dirofilariasis in Male Genitalia: A Case Report and Literature Review. 男性生殖器中的 Dirofilariasis:病例报告与文献综述
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-07-01 DOI: 10.18502/ijpa.v19i3.16396
Rūta Žulpaitė, Aušvydas Patašius, Julius Drachneris

Human dirofilariasis is a rare anthropo-zoonotic disease, mainly detected in Southern and Eastern Europe, Asia Minor, Central Asia, and Sri Lanka. An increasing number of autochthonous Dirofilaria spp. infections has been recently reported in the areas previously considered free of the disease, including northern Europe and the Baltic States. A rare autochthonous case of scrotal dirofilariasis detected in Lithuania was described. Here, a 42-year-old male presented with a 1 cm nodule, limited in the scrotum. A nodule excision was performed. On histological examination, a degenerating roundworm with the features of Dirofilaria spp. (multilayered cuticle, well-developed musculature, focally preserved longitudinal ridges) was detected in the abscess cavity. No additional treatment was needed. Twenty-four publications reporting 28 male genitalia dirofilariasis cases in European countries have been identified.

人类口蹄疫是一种罕见的人畜共患疾病,主要发生在南欧和东欧、小亚细亚、中亚和斯里兰卡。最近,在北欧和波罗的海国家等以前被认为没有这种疾病的地区,也有越来越多的自体感染迪罗菲拉丝虫的报道。本报告描述了在立陶宛发现的一例罕见的自体阴囊二螺旋体病例。该病例中,一名 42 岁的男性出现了一个 1 厘米的结节,局限于阴囊。患者接受了结节切除术。经组织学检查,在脓腔中发现了一条退化的蛔虫,具有迪罗菲拉属的特征(多层角质层、发达的肌肉组织、局部保留的纵脊)。无需额外治疗。已发现 24 篇出版物报道了欧洲国家的 28 例男性生殖器包虫病病例。
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引用次数: 0
A New Immunogenic Structure of Polyepitopic Fusion against Leishmania major: In Silico Study. 针对大利什曼原虫的新型多表位融合免疫原结构:硅学研究
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-07-01 DOI: 10.18502/ijpa.v19i3.16387
Saeed Pirmoradi, Mohammad Darvish Khadem, Zohre Monjezi, Somayeh Bahrami, Chukwunonso O Nzelu

Background: The lack of complete protection against leishmaniasis and the challenges of anti-leishmaniasis drug treatment have made the treatment process more difficult. This study aimed to develop a new strategy for preparing a vaccine against cutaneous leishmaniasis using some of the antigenic proteins of the Leishmania parasite.

Methods: This study was carried out in 2022 at Shahid Chamran University of Ahvaz, Ahvaz, Iran. After preparing suitable epitopes of the Leishmania parasite and examining their antiparasitic properties, the process of making a fusion vaccine was performed and with the help of various bioinformatics tools, physicochemical and structural properties as well as immunological and simulation properties were studied and finally optimized. Construction and cloning were performed in the E.coli K12 system and finally, the docking process was performed with Toll-like receptors (TLRs), major histocompatibility complex I (MHC-I), and MHC-II receptors. With the help of selected epitopes of the Leishmania parasite, which had a high percentage of population coverage, a stable, antigenic, and non-allergenic chimeric vaccine was predicted.

Results: The results of the structural analysis of the TLR5vaccine complex and simulation of its molecular dynamics showed a sufficiently stable binding. It also showed good potential for stimulation and production of active B cells and memory, as well as the potential for CD8+ T, CD4+ T cell production and development of Th2 and Th1-induced immune responses.

Conclusion: Computational results showed that the designed immunogenic structure has the potential to adequately stimulate cellular and humoral immune responses against Leishmania parasitic disease. As a result of evaluating the effectiveness of the candidate vaccine through in vivo and in vitro immunological tests, it can be suggested as a vaccine against Leishmania major.

背景:由于缺乏对利什曼病的完全保护以及抗利什曼病药物治疗的挑战,治疗过程变得更加困难。本研究旨在开发一种新策略,利用利什曼原虫的一些抗原蛋白制备皮肤利什曼病疫苗:这项研究于 2022 年在伊朗阿瓦士的沙希德-查姆兰大学进行。在制备了合适的利什曼原虫表位并检查了其抗寄生特性后,进行了融合疫苗的制作过程,并在各种生物信息学工具的帮助下,研究了其物理化学和结构特性以及免疫学和模拟特性,并最终进行了优化。在大肠杆菌 K12 系统中进行了构建和克隆,最后与 Toll 样受体 (TLR)、主要组织相容性复合体 I (MHC-I) 和 MHC-II 受体进行了对接。在利什曼寄生虫的选定表位(这些表位在人群中的覆盖率很高)的帮助下,预测出了一种稳定、抗原性和非过敏性的嵌合疫苗:结果:TLR5/疫苗复合物的结构分析和分子动力学模拟结果表明,其结合十分稳定。结果:TLR5(疫苗)复合物的结构分析和分子动力学模拟结果表明,该复合物具有足够稳定的结合力,同时还显示出刺激和产生活性 B 细胞和记忆细胞的良好潜力,以及产生 CD8+ T、CD4+ T 细胞和发展 Th2 和 Th1 诱导的免疫反应的潜力:计算结果表明,所设计的免疫原性结构具有充分刺激细胞和体液免疫反应以对抗利什曼寄生虫病的潜力。通过体内和体外免疫学试验对候选疫苗的有效性进行评估后,可以建议将其作为预防大利什曼病的疫苗。
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引用次数: 0
Case Notification of Cutaneous Leishmaniasis at Different Elevations in the North-Central Ethiopia from 2018 To 2022. 2018 年至 2022 年埃塞俄比亚中北部不同海拔地区的皮肤利什曼病病例通报。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-07-01 DOI: 10.18502/ijpa.v19i3.16395
Bizuayehu Gashaw, Endalew Yizengaw, Endalkachew Nibret, Addisu Workineh, Feleke Tilahun

Background: We aimed to analyze a four-year trend of Cutaneous leishmaniasis (CL) to determine risk levels and hotspots in North-central Ethiopia.

Methods: This retrospective study was conducted at Boru Meda Hospital (BMH) from March to April 2023, focusing on CL patients treated at the leishmaniasis treatment center (LTC). Data collected included age, gender, CL type, and other clinical factors. Each patient's origin was traced and geographically mapped by elevation to assess CL risk levels.

Results: There were a total of 573 CL patients reported from 46 districts, with a higher number of male patients (n=356) compared to female patients (n=217) (P <0.001). The median age of the patients was 21 years [15-30], with the highest number of CL cases observed among individuals aged 16 to 30 years. The majority of cases (69%) presented with localized CL (LCL). About 39% of patients had a previous treatment history for CL. A significant clustering of CL cases was observed at elevation of 2301-3300 meters above sea level (χ2:17.5; P <0.001), with the highest incidence (case notification) of 14.2/100,000 population.

Conclusion: Foci of CL, were burdened at higher elevations and no clinical variation were observed between elevation differences. The majority of cases were concentrated in an area covering approximately 21.4% of the total land mass. CL continues to be a significant issue in North-central Ethiopia and has the potential to spread to new areas.

背景:我们旨在分析皮肤利什曼病(CL)的四年趋势:我们旨在分析皮肤利什曼病(CL)的四年趋势,以确定埃塞俄比亚中北部的风险水平和热点地区:这项回顾性研究于 2023 年 3 月至 4 月在 Boru Meda 医院(BMH)进行,重点关注在利什曼病治疗中心(LTC)接受治疗的利什曼病患者。收集的数据包括年龄、性别、CL 类型和其他临床因素。对每位患者的籍贯进行追踪,并按海拔高度绘制地理图,以评估 CL 风险水平:46个地区共报告了573名CL患者,其中男性患者(356人)多于女性患者(217人)(P P 0.001),最高发病率(病例通报)为14.2/100,000人:结论:CL病例集中在海拔较高的地区,在海拔差异之间未观察到临床差异。大多数病例集中在约占陆地总面积 21.4% 的地区。CL仍是埃塞俄比亚中北部的一个重要问题,并有可能蔓延到新的地区。
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引用次数: 0
Feeding Behavior and Plasmodium Detection in Anopheles stephensi, a Malaria Vector in District Khyber, Khyber Pakhtunkhwa, Pakistan. 巴基斯坦开伯尔-普赫图赫瓦省开伯尔地区疟疾病媒按蚊的摄食行为和疟原虫检测。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-07-01 DOI: 10.18502/ijpa.v19i3.16393
Mahnoor Arif, Syed Basit Rasheed, Habib Ullah, Tawaf Ali Shah, Faiz Ur Rehman, Turki M Dawoud

Background: Anopheles stephensi is a significant malaria vector in Pakistan, and understanding its feeding behavior is necessary to control the spread of malaria. However, limited information is available on the host preferences of A. stephensi in Pakistan. Therefore, we aimed to explore the feeding behavior of A. stephensi, a malaria vector, in the District Khyber, Khyber Pakhtunkhwa, Pakistan.

Methods: A total of 7462 mosquitoes were collected between March and September 2021, with 1674 (22.4%) identified as A. stephensi (952 female and 722 male). Among the female A. stephensi, 495 (52%) were blood-fed. DNA was extracted from the blood-fed female A. stephensi mosquitoes using the Ammonium Acetate Precipitation Method followed by PCR analysis, blood meal sources were identified. Nested PCR on 191 pooled samples was used to detect Plasmodium falciparum and Plasmodium vivax.

Results: Cattle blood meals were predominant (73%), followed by human (20%) and chicken (7%), with no dog blood meals detected. All individual mosquito samples were negative for Plasmodium falciparum, while two pooled samples (out of 191) tested positive for P. vivax.

Conclusion: A. stephensi in Khyber District primarily displayed anthropophagic feeding behavior, with a small portion of the population infected with P. vivax. The results underscore the importance of targeted vector control strategies, environmental management, community engagement and continuous monitoring to suppress malaria transmission.

背景:按蚊是巴基斯坦重要的疟疾病媒,了解按蚊的摄食行为对于控制疟疾的传播十分必要。然而,目前有关雅氏按蚊在巴基斯坦的宿主偏好的信息非常有限。因此,我们旨在探索巴基斯坦开伯尔-普赫图赫瓦省开伯尔地区疟疾病媒 A. stephensi 的摄食行为:方法:2021 年 3 月至 9 月间,我们共采集了 7462 只蚊子,其中 1674 只(22.4%)被鉴定为 A. stephensi(952 只雌蚊和 722 只雄蚊)。在雌性史蒂芬斯蚊中,495只(52%)为血饲蚊。用醋酸铵沉淀法从吸血的雌性史蒂芬斯蚊身上提取 DNA,然后进行 PCR 分析,确定了血餐来源。对 191 份集合样本进行嵌套 PCR,以检测恶性疟原虫和间日疟原虫:结果:主要是牛血餐(73%),其次是人血餐(20%)和鸡血餐(7%),没有发现狗血餐。所有单个蚊子样本对恶性疟原虫检测呈阴性,而两个集合样本(共 191 个样本)对间日疟原虫检测呈阳性:结论:开伯尔地区的史蒂芬斯氏疟蚊主要表现为噬人取食行为,小部分人群感染了间日疟。这些结果强调了有针对性的病媒控制策略、环境管理、社区参与和持续监测对抑制疟疾传播的重要性。
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引用次数: 0
Occurrence of Trypanosoma evansi Infection in Rottweiler Dog from Cauvery Delta Region of Tamil Nadu, India: A Case Report. 印度泰米尔纳德邦考弗里三角洲地区的罗威纳犬感染 Trypanosoma evansi:病例报告。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-07-01 DOI: 10.18502/ijpa.v19i3.16398
Velusamy Rangasamy, Latchumikanthan Annamalai, Vijayasarathi Matheri Kanniappan, Saravanan Mani, Babu Prasath Natarajan, Prabu Ponnachipudur Chinnaswamy, Alagesan Alagarsamy

Trypanosomes are the extraerythrocytic haemoflagellate protozoan parasites of domestic and wild animals including dogs. A male Rottweiler dog was presented with the history of anorexia, cloudy eyes and vomiting for a week. The dog was examined both physically and clinically. Blood was collected and subjected to haematological and biochemical analysis. Echocardiography of the thoracic cavity and ultrasonography of the abdominal cavity were performed. Molecular confirmation of parasite was carried out by PCR and DNA was sequenced to identify strain variations. Upon clinical examination, the dog revealed emaciation with high fever, unilateral corneal opacity, anemia, enlarged lymph nodes and distended abdomen. Echocardiography of the thoracic cavity showed ventricular hypertrophy and cardiomyopathy. Ultrasonography of the abdominal cavity showed splenomegaly and renomegaly. Haematological findings revealed decreased haemoglobin and erythrocyte count and biochemical findings revealed increased BUN and creatinine, hypoglycemia and hypoalbuminemia. Wet film and blood smear examination revealed actively motile trypanosomes and massive infection of trypanosomes, respectively. Molecular confirmation of species was carried out by amplification of 227 bp partial VSG gene of Trypanososma evansi, subsequently sequenced and phylogenitically analysed. The infected dog was treated intramuscularly with diminazene aceturate @ 3.5 mg/kg b.wt along with the supportive therapy. The study described the occurrence and diagnosis of trypanosomosis in dog. Early diagnosis and timely treatment is the most reliable way to safeguard the companion animals. It is the first report on trypanosomosis in dog from Cauvery delta region of Tamil Nadu, India.

锥虫是红细胞外的血鞭毛原虫,寄生于包括狗在内的家养和野生动物体内。一只雄性罗威纳犬因厌食、眼睛浑浊和呕吐一周而就诊。对该犬进行了身体和临床检查。采集了血液并进行了血液学和生化分析。进行了胸腔超声心动图和腹腔超声波检查。通过 PCR 对寄生虫进行了分子确认,并对 DNA 进行了测序,以确定菌株变异。经临床检查,该犬消瘦,伴有高烧、单侧角膜混浊、贫血、淋巴结肿大和腹部膨胀。胸腔超声心动图显示心室肥大和心肌病。腹腔超声波检查显示脾脏肿大和肾脏肿大。血液学检查结果显示血红蛋白和红细胞计数下降,生化检查结果显示尿素氮和肌酐升高、低血糖和低白蛋白血症。湿片和血涂片检查分别显示锥虫运动活跃和锥虫大量感染。通过扩增 evansi 锥虫的 227 bp 部分 VSG 基因进行了分子鉴定,随后进行了测序和系统发育分析。感染犬在接受支持疗法的同时,肌肉注射醋酸地米那嗪(3.5 毫克/千克体重)。该研究描述了犬锥虫病的发生和诊断。早期诊断和及时治疗是保护伴侣动物的最可靠方法。这是印度泰米尔纳德邦考弗里三角洲地区首次报告犬锥虫病。
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引用次数: 0
12th National and 5th International Congress of Parasitology and Parasitic Diseases of Iran (NICOPA XII), Karaj, Iran 2024. 第 12 届伊朗寄生虫学和寄生虫病全国大会暨第 5 届国际大会(NICOPA XII),伊朗卡拉季,2024 年。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-07-01 DOI: 10.18502/ijpa.v19i3.16400
Mohammad Zibaei, Aliehsan Heidari
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引用次数: 0
Occurrence and Environmental Factors Associated with Cryptosporidium in South-Eastern Iran. 伊朗东南部隐孢子虫的出现及相关环境因素。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-07-01 DOI: 10.18502/ijpa.v19i3.16399
Reza Shahraki, Mahdi Rezaei, Mansour Dabirzadeh
{"title":"Occurrence and Environmental Factors Associated with <i>Cryptosporidium</i> in South-Eastern Iran.","authors":"Reza Shahraki, Mahdi Rezaei, Mansour Dabirzadeh","doi":"10.18502/ijpa.v19i3.16399","DOIUrl":"https://doi.org/10.18502/ijpa.v19i3.16399","url":null,"abstract":"","PeriodicalId":14669,"journal":{"name":"Iranian Journal of Parasitology","volume":"19 3","pages":"376-378"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PUF Proteins as Critical RNA-Binding Proteins in TriTryp Parasites: A Review Article. PUF 蛋白是三螨寄生虫中的关键 RNA 结合蛋白:综述文章。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-07-01 DOI: 10.18502/ijpa.v19i3.16386
Tahereh Taheri, Elaheh Davarpanah, Katayon Samimi-Rad, Negar Seyed

In eukaryotes, translation is a fundamental step in the long pathway of protein synthesis within the cell. In this process, several proteins and factors have involved directly or indirectly, individually or in association with other elements to contact mRNA. For perfect translation, many essential modifications should be done, such as cis-splicing to remove introns and two main events for capping and poly A polymerization in 5' and 3' end of mRNA, respectively. Gene expression is then regulated at both translation and stability of the target mRNA molecule levels. Pumilio/FBFs (PUFs) are the main group of RNA-binding proteins which bind to the 3'-UTR of target RNA and thereby regulate the fate, stability and subcellular localization of mRNAs and adjust the translated protein level. PUF proteins have been found both in nucleus where that bind to precursor mRNA, for processing and maturation of rRNA, and in cytoplasm where that bind to mRNA, stall the ribosomes, suppress the translation and localization of the mRNA. They can regulate the expression of mRNAs through activation or suppression of translation. Therefore, these proteins have recently garnered much attention as new generation of therapeutic targets against diseases such as cancer and neurological disorders. In comparison to other eukaryotes, trypanosomatids have a high number of PUF proteins, which function not only as gene expression regulatory factors but also in several biological processes such as differentiation and life-cycle progression of the cells. Here, we review the molecular and biological roles of known PUF proteins in TriTryp parasites (Trypanosome brucei, T. cruzi and Leishmania) beside some other parasites.

在真核生物中,翻译是细胞内蛋白质合成漫长途径中的一个基本步骤。在这一过程中,多种蛋白质和因子直接或间接、单独或与其他元素联合参与,与 mRNA 进行接触。为了实现完美的翻译,需要进行许多必要的修饰,如顺式剪接以去除内含子,以及分别在 mRNA 的 5' 端和 3' 端进行封顶和聚 A 聚合这两个主要过程。然后,基因表达在目标 mRNA 分子的翻译和稳定性两个层面上受到调控。Pumilio/FBFs(PUFs)是一组主要的 RNA 结合蛋白,它们与目标 RNA 的 3'-UTR 结合,从而调节 mRNA 的命运、稳定性和亚细胞定位,并调整翻译蛋白水平。PUF 蛋白既存在于细胞核中,与前体 mRNA 结合,促进 rRNA 的加工和成熟;也存在于细胞质中,与 mRNA 结合,阻滞核糖体,抑制 mRNA 的翻译和定位。它们可以通过激活或抑制翻译来调节 mRNA 的表达。因此,这些蛋白质最近备受关注,成为癌症和神经系统疾病等疾病的新一代治疗靶标。与其他真核生物相比,锥虫体内有大量的 PUF 蛋白,它们不仅是基因表达调控因子,还在细胞分化和生命周期进展等多个生物学过程中发挥作用。在此,我们回顾了已知的 PUF 蛋白在三胰寄生虫(布鲁西锥虫、克鲁西锥虫和利什曼原虫)以及其他一些寄生虫中的分子和生物学作用。
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引用次数: 0
The Prevalence of Infection with Gastrointestinal Helminths in Free-Range Poultry of Zabol, Iran. 伊朗扎布尔散养家禽的胃肠道蠕虫感染率
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-07-01 DOI: 10.18502/ijpa.v19i3.16392
Faezeh Sadeghi, Narges Lotfalizadeh, Javad Khedri, Hassan Borji

Background: As an ecological and ethical method employed for poultry farming, free-range chicken keeping is growing and is important in fostering rural farmers' livelihoods and community prosperity. This study aimed to determine the nature and prevalence of helminth infections in native poultry in Zabol, Iran.

Methods: Between 2022 and 2023, 160 chickens were acquired and slaughtered ethically, and then their gastrointestinal tracts were taken and formalin preserved in Zabol, Iran. The parasites were isolated from gastrointestinal mucus in the laboratory and characterized using a microscope and specific methods such as Acetocarmine staining.

Results: Among 160 dissected birds, 92 (57.5%) were presented with gastrointestinal parasites, with 64 (40%) containing cestodes, 16 (10%) containing nematodes, and 12 (7.5%) infected by both. Observations were made of seven different species. Ascaridia galli (A. galli) (10%), Subulura brumpti (7.5%), and Heterakis gallinarum (3.12%) represent the three main nematode species. While Raillietina tetragona (R. tetragona) (33.12%) was the most prevalent cestode, R. echinobothrida (6.25%), R. magninumida (5%), and Cotugnia digonopora (3.12%) were less common.

Conclusion: The study revealed that free-range chickens in the arid Zabol region had a high prevalence of gastrointestinal parasites. There is a strong correlation between chicken foraging behavior and exposure to contaminated soil, with certain nematodes and cestodes constituting the most prevalent, negatively affecting bird growth, productivity, and health. Therefore, improving poultry welfare by applying parasite control measures and implementing appropriate management strategies is essential.

背景:作为一种生态和道德的家禽养殖方法,土鸡饲养正在发展壮大,对促进农村农民的生计和社区繁荣具有重要意义。本研究旨在确定伊朗扎布尔本地家禽螺旋体感染的性质和流行率:方法:2022 年至 2023 年期间,在伊朗扎波尔通过道德途径收购并屠宰了 160 只鸡,然后提取其胃肠道并用福尔马林保存。在实验室从胃肠粘液中分离出寄生虫,并使用显微镜和特定方法(如乙酰卡明染色法)对寄生虫进行鉴定:在解剖的 160 只鸟类中,92 只(57.5%)有胃肠道寄生虫,其中 64 只(40%)有绦虫,16 只(10%)有线虫,12 只(7.5%)同时感染两种寄生虫。对七种不同的寄生虫进行了观察。Ascaridia galli(A. galli)(10%)、Subulura brumpti(7.5%)和 Heterakis gallinarum(3.12%)是三种主要的线虫。R. echinobothrida(6.25%)、R. magninumida(5%)和 Cotugnia digonopora(3.12%)则较少见:研究表明,在干旱的扎布尔地区,散养鸡的胃肠道寄生虫感染率很高。鸡的觅食行为与暴露于污染土壤之间存在密切联系,其中某些线虫和绦虫最为普遍,对家禽的生长、生产力和健康造成了负面影响。因此,通过采取寄生虫控制措施和实施适当的管理策略来改善家禽福利至关重要。
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引用次数: 0
Human Infection with the Nematode Gongylonema sp.: A Case Report from Bulgaria. 人类感染弓形虫(Gongylonema sp:保加利亚病例报告
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-07-01 DOI: 10.18502/ijpa.v19i3.16397
Dimitar Vuchev, Galya Popova, Maya Tomova

We report a case of infection with the zoonotic nematode Gongylonema sp. in a 24-year-old woman from Varna, Bulgaria. Two days before seeking medical attention, the patient had noticed a filamentous mass in her buccal mucosa that migrated when touched with the tongue. She manually removed a thread-like worm from the mucosa near her lower lip. Albendazole was prescribed for three days. The patient had no history of travelling abroad or contact with animals. To our knowledge, this is the sixth case that has been reported in the country.

我们报告了一例来自保加利亚瓦尔纳的 24 岁女性感染人畜共患病线虫巩隆线虫的病例。就医前两天,患者发现自己的口腔黏膜上有一个丝状肿块,用舌头触碰时肿块会移动。她用手从下唇附近的粘膜中取出了一条线状虫体。医生为她开了三天的阿苯达唑处方。患者没有出国旅行或与动物接触史。据我们所知,这是我国报告的第六起病例。
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引用次数: 0
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Iranian Journal of Parasitology
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