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Warm-region parasites invasion in temperate climate countries. 温暖地区寄生虫入侵温带气候国家。
Q3 Medicine Pub Date : 2025-12-31 DOI: 10.17420/ap71.555
Bartosz Kaszubski, Aleksandra Sędzikowska, Oskar Szymański

Long-term changes in weather conditions on Earth have a significant impact on the world around us. These include not only increasingly extreme weather events such as droughts and heatwaves. These effects can be felt throughout the natural environment, influencing the spread of parasites and the diseases they transmit. Climate change can alter the range and life cycles of parasites, and accelerate and lengthen the activity period of vectors. Four species are described in this manuscript: Balamuthia mandrillaris, Naegleria fowleri, Trypanosoma cruzi and Strongyloides stercoralis. Balamuthia mandrillaris is a species of an opportunistic cyst-forming free-living amoeba. The main habitat is moist soil and freshwater reservoirs. It could be pathogenic to humans. The amoeba consumes cutaneous tissue and excretes enzymes leading to an immune response of the host. Naegleria fowleri is a free-living amoeba that might cause primary amoebic meningoencephalitis (PAM) whose mortality rate reaches as much as 98%. Trophozoites enter the body through the nasal cavity while underwater. Most often cases of PAM include immunocompetent children and young adults. Trypanosoma cruzi is a flagellate protozoan with life cycle between hematophagous insects of the Triatominae subfamily and various mammal species including human. Trypanosoma cruzi causes the Chagas disease (American trypanosomiasis). Strongyloidiasis, caused by the parasite Strongyloides stercoralis, is a neglected tropical disease (NTD). Infection starts when the host walks barefoot on soil contaminated with filariform larvae that penetrate the skin. Immunosuppression in infected patients can lead to hiperinfection and death.

地球上天气条件的长期变化对我们周围的世界有重大影响。这不仅包括日益严重的极端天气事件,如干旱和热浪。这些影响可以在整个自然环境中感受到,影响寄生虫及其传播的疾病的传播。气候变化可以改变寄生虫的活动范围和生命周期,加速和延长病媒的活动周期。本文描述了4个种:山棘虫、福氏奈格里虫、克氏锥虫和粪圆线虫。Balamuthia mandrillaris是一种机会性囊肿形成的自由生活变形虫。主要生境为湿润土壤和淡水水库。它可能对人类具有致病性。变形虫消耗皮肤组织并分泌酶,引起宿主的免疫反应。福氏奈格里虫是一种自由生活的阿米巴原虫,可引起原发性阿米巴脑膜脑炎(PAM),其死亡率可高达98%。滋养体在水下通过鼻腔进入人体。最常见的PAM病例包括免疫功能正常的儿童和年轻人。克氏锥虫是一种鞭毛虫原生动物,其生命周期介于锥虫亚科的吸血昆虫和包括人类在内的多种哺乳动物之间。克氏锥虫引起恰加斯病(美洲锥虫病)。由粪类圆线虫寄生虫引起的类圆线虫病是一种被忽视的热带病。当寄主赤脚行走在被渗透皮肤的丝状幼虫污染的土壤上时,感染就开始了。感染患者的免疫抑制可导致高感染和死亡。
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引用次数: 0
The interplay between Blastocystis and human gut microbiota. 囊虫与人肠道菌群的相互作用。
Q3 Medicine Pub Date : 2025-12-29 DOI: 10.17420/ap71.557
Małgorzata Lepczyńska

Gut microbiota, consisting of multiple beneficial microorganisms, significantly impacts host health. Recent investigations have revealed that the gut microbiota influences the pathogenicity of eukaryotes such as Blastocystis, and conversely, the protist can impact the composition of the bacterial community. This review focuses on both, beneficial and adverse interactions between Blastocystis and human gut microbiota communities. Blastocystis can modulate both the structure and composition of the gut microbiota. Research has demonstrated that Blastocystis colonization is associated with increased gut microbiota diversity, a higher abundance of beneficial bacteria like Firmicutes and Clostridiales, and reduced Bacteroides, indicating a potential beneficial relation. However, its exact role is still unknown, and it may be associated with dysbiosis in some gastrointestinal disorders such as irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD). Moreover, some researchers presented the contradictory study results of interactions between specific Blastocystis subtypes and gut bacteria. The bidirectional influence between microorganisms is complex, with distinct subtypes that can display varying effects on the microbiota. These discrepant findings might reflect variations in the host factors, microbial environment, or strain-level diversity.

肠道菌群由多种有益微生物组成,对宿主健康有重要影响。最近的研究表明,肠道微生物群影响真核生物(如囊虫)的致病性,相反,原生生物可以影响细菌群落的组成。本文综述了囊虫与人类肠道菌群之间的有益和不良相互作用。囊虫可以调节肠道菌群的结构和组成。研究表明,囊胚定植与肠道微生物群多样性增加、厚壁菌门和梭菌门等有益细菌丰度增加以及拟杆菌减少有关,表明可能存在有益关系。然而,它的确切作用尚不清楚,它可能与肠易激综合征(IBS)和炎症性肠病(IBD)等胃肠道疾病的生态失调有关。此外,一些研究人员提出了特定囊虫亚型与肠道细菌相互作用的矛盾研究结果。微生物之间的双向影响是复杂的,具有不同的亚型,可以对微生物群显示不同的影响。这些差异的发现可能反映了宿主因素、微生物环境或菌株水平多样性的变化。
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引用次数: 0
Medical case reports of Candidozyma auris (syn. Candida auris) infections in Europe - a systematic review. 欧洲耳念珠菌感染的病例报告——系统综述。
Q3 Medicine Pub Date : 2025-12-27 DOI: 10.17420/ap71.560
Jędrzej Janc, Natalia Feliniak, Filip Bielec, Katarzyna Góralska, Ewa Brzeziańska-Lasota, Dorota Pastuszak-Lewandoska

Purpose: Candidozyma auris (syn. Candida auris) is a hazardous multi-drug resistant yeast that causes severe infections in hospitalized patients. Many uncertainties exist around its antifungal resistance, clinical presentation, dominant clade, and isolation sites in the European setting. Therefore, to properly assess these characteristics, we systematically reviewed case reports in Europe between the first case described in 2009 and January 2023.

Methods: We conducted this systematic review according to the PRISMA guidelines. Cases of both symptomatic and asymptomatic patients have been included. We extracted patients' demographics, C. auris isolation site, identified clade, clinical presentation, clinical outcome, as well as treatment. The case reports have been assessed for quality using standardized tools.

Results: Out of 251 identified articles, 12 reports from 10 European countries describing 15 cases are included In the review. The youngest affected person was an infant and the oldest was 74 years old.  Blood was the most common isolation site, reported in 26% of reported cases. The fatality rate could not have been reported due to the high number of asymptomatic patients and comorbidities or other infections in symptomatic patients. About 91% of reported isolates were resistant to fluconazole, 18% to amphotericin B and none was resistant to echinocandins. The quality assessment revealed that about 33% of case reports had a high risk of bias.

Conclusions: Our results show that any age group can be affected. The antimicrobials of choice in the European setting seem to be the echinocandins, although proper standardized susceptibility breakpoints are needed.

目的:耳念珠菌是一种危险的多重耐药酵母菌,可引起住院患者的严重感染。许多不确定存在围绕其抗真菌耐药性,临床表现,优势分支,和分离地点在欧洲设置。因此,为了正确评估这些特征,我们系统地回顾了2009年至2023年1月欧洲报告的第一例病例。方法:我们按照PRISMA指南进行系统评价。病例包括有症状和无症状的患者。我们提取了患者的人口统计学信息、耳C. auris的分离位点、鉴定的分支、临床表现、临床结果以及治疗方法。使用标准化工具对病例报告的质量进行了评估。结果:在251篇确定的文章中,来自10个欧洲国家的12篇报告,描述了15例病例,纳入了本综述。最年轻的患者是一名婴儿,最年长的患者已经74岁了。血液是最常见的隔离部位,报告的病例中有26%。由于无症状患者和有症状患者的合并症或其他感染人数众多,因此无法报告死亡率。报告的分离株中约91%对氟康唑耐药,18%对两性霉素B耐药,没有对棘白菌素耐药。质量评估显示,约33%的病例报告存在高偏倚风险。结论:我们的研究结果表明,任何年龄组都可能受到影响。在欧洲环境中选择的抗菌剂似乎是棘白菌素,尽管需要适当的标准化敏感性断点。
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引用次数: 0
Changing parasite landscapes in captive primates: methodological advances and findings from the Wrocław Zoo. 圈养灵长类动物中不断变化的寄生虫景观:来自Wrocław动物园的方法学进展和发现。
Q3 Medicine Pub Date : 2025-12-27 DOI: 10.17420/ap71.556
Weronika Helena Hildebrand, Grzegorz Zaleśny

Long-term parasitological studies of non-human primates (NHPs) kept in zoological gardens offer valuable insights into host-parasite relationships in controlled settings. Despite regular veterinary supervision and preventative measures, many surveys have shown that captive primates often harbour diverse intestinal parasites, including species of zoonotic importance. This work summarises the historical and current parasitological research conducted on primates at Wrocław Zoological Garden, Poland, and highlights changes in diagnostic techniques, parasite diversity, and infection patterns over time. Early studies, employing classical coproscopic methods such as direct smear, decantation, and flotation, reported an overall parasite prevalence of around 40%, mainly nematodes. Later investigations expanded sampling strategies, enabling assessment of anthelmintic efficacy and resistance in specific taxa. Environmental and managerial factors - including close contact with caretakers and visitors, limited enclosure space, and inadequate pest control - were identified as key contributors to transmission. Over the past twenty years, the use of molecular diagnostic tools has considerably improved detection sensitivity, particularly for intestinal protozoa that were often missed by traditional microscopy. A notable shift in the parasite community composition has been observed: helminth prevalence has decreased, while protozoan infections have become more frequent. Whether these changes are due to methodological advancements or actual alterations in parasite ecology remains uncertain. Overall, the findings indicate that enhancements in husbandry, enclosure hygiene, and veterinary care have effectively reduced helminth transmission, yet protozoan infections continue to be common. Ongoing monitoring with molecular methods, alongside comparative studies across European zoological institutions, is essential for a comprehensive understanding of the long-term dynamics of primate parasitism in captivity.

在动物园饲养的非人类灵长类动物(NHPs)的长期寄生虫学研究为在受控环境下的宿主-寄生虫关系提供了有价值的见解。尽管有定期的兽医监督和预防措施,但许多调查表明,圈养灵长类动物经常携带多种肠道寄生虫,包括具有人畜共患病重要性的物种。这项工作总结了波兰Wrocław动物园对灵长类动物进行的历史和当前寄生虫学研究,并强调了诊断技术、寄生虫多样性和感染模式随时间的变化。早期研究采用经典的阴道镜检查方法,如直接涂片、滗析和浮选,报告总体寄生虫患病率约为40%,主要是线虫。后来的调查扩大了抽样策略,使评估特定类群的驱虫功效和抗性成为可能。环境和管理因素——包括与看护者和访客的密切接触、有限的圈地空间和虫害防治不足——被确定为传播的关键因素。在过去的二十年中,分子诊断工具的使用大大提高了检测灵敏度,特别是对于传统显微镜经常遗漏的肠道原生动物。已观察到寄生虫群落组成的显著变化:蠕虫流行率下降,而原生动物感染变得更加频繁。这些变化是由于方法上的进步还是寄生虫生态学的实际变化仍然不确定。总体而言,研究结果表明,畜牧业、圈地卫生和兽医护理的改善有效地减少了蠕虫的传播,但原生动物感染仍然很常见。分子方法的持续监测,以及欧洲动物机构的比较研究,对于全面了解圈养灵长类动物寄生的长期动态至关重要。
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引用次数: 0
Infectivity of gastrointestinal nematode parasites of sika deer (Cervus nippon) for calves and lambs. 梅花鹿(Cervus nippon)胃肠道线虫寄生虫对小牛和羔羊的传染性。
Q3 Medicine Pub Date : 2025-12-21 DOI: 10.17420/ap71.554
Steffen Rehbein, Martin Visser

Sika deer, mainly of Japanese origin, have been introduced into the British Isles and central Europe and established free-ranging populations, expanding in several countries. Introduction of the sika deer was associated with the transfer of Spiculopteragia houdemeri which has been reported for the first time in 2003 from Germany and thereafter from sika deer and other cervid species in some countries in Europe. Surveys of livestock parasites have shown that cervid-specific gastrointestinal nematodes of native deer occur in natural infections in cattle and sheep, usually at low level, and infections were experimentally transferred. However, to date there is no such information for sika deer-specific nematodes to livestock. To investigate the establishment of sika deer-derived gastrointestinal nematodes in domestic ruminants, three calves and two lambs were challenged with mixed burdens of infective larvae (~90% ostertagids, ~10% Oesophagostomum) cultured from the faeces of free-ranging sika deer; calves received 20,000 or 30,000 larvae, lambs 12,000 or 13,000. Establishment rate of ostertagids varied from 0.4% to 3.1% in the calves and was 1.3% and 8.4% in the lambs. Spiculopteragia houdemeri, index ostertagid of Japanese sika deer, was the dominant species, recovered from all animals. In addition, Ostertagia leptospicularis and Spiculopteragia boehmi, index ostertagids of native roe deer (Capreolus capreolus) and red deer (Cervus elaphus), respectively, were isolated from calf and lamb and Cooperia pectinata from one lamb. Oesophagostomum venulosum established in the lambs at ~6% but no Oesophagostomum was found in any calf. This investigation indicates that both calves and lambs are permissive to the sika deer-specific S. houdemeri and other deer-derived nematodes which reached maturity, but susceptibility to infections was apparently low.

梅花鹿,主要起源于日本,已经被引入不列颠群岛和中欧,并建立了自由放养的种群,在几个国家扩张。梅花鹿的引进与2003年德国首次报道的胡氏刺翅虫转移有关,随后在欧洲一些国家报道了梅花鹿和其他鹿科物种的转移。家畜寄生虫调查表明,本地鹿特有的胃肠道线虫在牛和羊的自然感染中发生,通常是低水平的,并且感染是通过实验转移的。然而,到目前为止,还没有梅花鹿特有的牲畜线虫的信息。为了研究梅花鹿源胃肠道线虫在家养反刍动物体内的孳生情况,用自由放养的梅花鹿粪便培养的感染性幼虫(~90%为牡蛎,~10%为食道口)混合负荷对3头犊牛和2头羔羊进行了感染;小牛有2万到3万只幼虫,羊羔有1.2万到1.3万只。犊牛的成乳率为0.4% ~ 3.1%,羔羊的成乳率为1.3% ~ 8.4%。在所有动物中均有发现,日本梅花鹿指数类目Spiculopteragia houdemeri为优势种。此外,还分别从小牛和羔羊中分离到了本地狍子(Capreolus Capreolus Capreolus Capreolus)和马鹿(Cervus elaphus)的指数牡蛎类Ostertagia leptospicularis和bohmi spulopteragia,从1只羔羊中分离到了pectinata。羔羊有静脉性食管口,约占6%,犊牛无静脉性食管口。本研究表明,犊牛和羔羊对梅花鹿特有的胡德米氏线虫和其他鹿源性线虫均可耐受,但对感染的易感性明显较低。
{"title":"Infectivity of gastrointestinal nematode parasites of sika deer (Cervus nippon) for calves and lambs.","authors":"Steffen Rehbein, Martin Visser","doi":"10.17420/ap71.554","DOIUrl":"10.17420/ap71.554","url":null,"abstract":"<p><p>Sika deer, mainly of Japanese origin, have been introduced into the British Isles and central Europe and established free-ranging populations, expanding in several countries. Introduction of the sika deer was associated with the transfer of Spiculopteragia houdemeri which has been reported for the first time in 2003 from Germany and thereafter from sika deer and other cervid species in some countries in Europe. Surveys of livestock parasites have shown that cervid-specific gastrointestinal nematodes of native deer occur in natural infections in cattle and sheep, usually at low level, and infections were experimentally transferred. However, to date there is no such information for sika deer-specific nematodes to livestock. To investigate the establishment of sika deer-derived gastrointestinal nematodes in domestic ruminants, three calves and two lambs were challenged with mixed burdens of infective larvae (~90% ostertagids, ~10% Oesophagostomum) cultured from the faeces of free-ranging sika deer; calves received 20,000 or 30,000 larvae, lambs 12,000 or 13,000. Establishment rate of ostertagids varied from 0.4% to 3.1% in the calves and was 1.3% and 8.4% in the lambs. Spiculopteragia houdemeri, index ostertagid of Japanese sika deer, was the dominant species, recovered from all animals. In addition, Ostertagia leptospicularis and Spiculopteragia boehmi, index ostertagids of native roe deer (Capreolus capreolus) and red deer (Cervus elaphus), respectively, were isolated from calf and lamb and Cooperia pectinata from one lamb. Oesophagostomum venulosum established in the lambs at ~6% but no Oesophagostomum was found in any calf. This investigation indicates that both calves and lambs are permissive to the sika deer-specific S. houdemeri and other deer-derived nematodes which reached maturity, but susceptibility to infections was apparently low.</p>","PeriodicalId":7987,"journal":{"name":"Annals of parasitology","volume":"71 ","pages":"117-124"},"PeriodicalIF":0.0,"publicationDate":"2025-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145802893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasonic cavitation and decasan irrigation for residual cavity management in liver cystic echinococcosis: a retrospective comparative study from an endemic region. 肝囊性包虫病超声空化与地沟灌洗治疗残留空化的回顾性比较研究。
Q3 Medicine Pub Date : 2025-11-16 DOI: 10.17420/ap71.552
Duschan Shukhratovich Sapaev, Farkhod Radjabovich Yakubov, Daniyar Shamuratovich Xodjiev, Kudratbek Bakhtiyarovich Babajanov, Nizamaddin Daniyar Ogli Sultan Zada, Navruz Odilbek Ogli Matkurbonov, Jasurbek Islombekovich Shonazarov, Komila Khujayazovna Khayitboeva

Most often, Echinococcus parasitizes in the liver, causing the need for surgical treatment, the results of which currently do not meet expert expectations due to the high frequency of postoperative complications and the risk of relapse. The aim of the study is to improve the results of surgical treatment of liver echinococcosis by improving the tactical aspects of treatment and elimination of the residual cavity after echinococcectomy to prevent the development of purulent-septic complications. The object of the study was 442 patients with liver echinococcosis treated in the abdominal surgery of the Khorezm Regional Multidisciplinary Medical Center for the period from 2010 to 2023. To achieve the research goal and address the objectives, the following methods were used: general clinical, biochemical, instrumental and statistical methods. When determining the tactics and volume of surgical intervention, we recommend using the proposed method for treating the residual cavity using ultrasonic cavitation and a 0.02% Decasan solution, which minimized the development of purulent-septic complications in the immediate and long-term period after surgery. The new approach significantly reduced postoperative drainage needs (63.8% vs 36.6%, P < 0.001), complications (12.5% vs 5.4%, P < 0.001), and increased uncomplicated recovery (93.1% vs 80.0%). Drainage duration decreased from 11.3% to 3.5% in the long-term follow-up.

大多数情况下,棘球蚴寄生在肝脏,导致需要手术治疗,由于术后并发症的高频率和复发的风险,目前的结果不符合专家的预期。本研究旨在提高肝包虫病的手术治疗效果,改进治疗策略,消除包虫病切除术后残留腔,防止脓毒性并发症的发生。本研究的对象是2010年至2023年期间在Khorezm地区多学科医学中心腹部外科治疗的442例肝包虫病患者。为了达到研究目的和目标,采用了以下方法:一般临床、生化、仪器和统计方法。在确定手术干预的策略和体积时,我们建议使用超声空化和0.02%的Decasan溶液治疗残留腔,这可以最大限度地减少术后即时和长期脓毒性并发症的发生。新入路显著减少了术后引流需求(63.8% vs 36.6%, P < 0.001),并发症(12.5% vs 5.4%, P < 0.001),提高了无并发症恢复(93.1% vs 80.0%)。在长期随访中,引流时间从11.3%下降到3.5%。
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引用次数: 0
Detection of Serpentoplasma sp. (Apicomplexa: Haemohormidiidae) in dice snake (Natrix tesellata) (Colubridae: Natrix) in Azerbaijan.
Q3 Medicine Pub Date : 2025-11-16 DOI: 10.17420/ap71.553
Turkan Gurbanova

The aim of this study was to determine the presence of blood parasites in dice snake (Natrix tesellata) from Pirallahi Island, located off the western coast of the Caspian Sea of Azerbaijan. The dice snake is one of the most widespread and common species of the herpetofauna of Azerbaijan. This species of snakes represents an important link in the natural balance, since included in various biocenotic connections. A total of 67 specimens of dice snake individuals were captured during spring and summer 2021-2024. Blood sampling was carried out from the caudal vein by insulin syringe. The blood smears were stained with Giemsa solution and examined by light microscopy for haemoparasites. Microscopical examination of the blood smears revealed that 23 snakes of 67 (15.4%) were infected with Serpentoplasma sp. Multiply infected erythrocytes with one to three parasites were unusual, with most host cells containing a single inclusion. Infected thrombocytes were not detected. The parasites contained round-to-oval inclusions from small, anaplasmoid-like bodies, vacuoles with a dot or two of apparent chromatin on their margin or without chromatin dots. The structures were intracytoplasmic, measured 3-3.8 Å~ 2.5-3.3 μm and occurred as rounded vacuole-like structures, one in each infected erythrocyte. This is the first finding of haemoparasites in dice snakes in Azerbaijan.

本研究的目的是确定来自阿塞拜疆里海西海岸皮拉拉希岛的切蛇(Natrix tesellata)血液寄生虫的存在。骰子蛇是阿塞拜疆最广泛和最常见的爬行动物之一。这种蛇代表了自然平衡中的一个重要环节,因为它包含在各种生物共生的联系中。2021-2024年春夏两季共捕获骰子蛇67只。用胰岛素注射器从尾静脉采血。血涂片用吉姆萨溶液染色,光镜下检查血寄生虫。血液涂片镜检显示,67条蛇中有23条(15.4%)感染了蛇原体。感染的红细胞与1至3种寄生虫合并是不寻常的,大多数宿主细胞含有单一包体。未检出感染的血小板。这些寄生虫含有圆形到椭圆形的包涵体,这些包涵体来自小的无浆体样体,液泡边缘有一两个明显的染色质点或没有染色质点。胞浆内结构,直径3-3.8 Å~ 2.5-3.3 μm,呈圆形液泡样结构,每个感染红细胞有一个。这是在阿塞拜疆的骰子蛇中首次发现血液寄生虫。
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引用次数: 0
Patient with myelodysplastic neoplasm and giant amoebic liver abscess imported from Italy complicated by intestinal obstruction: a case report and review of the literature. 意大利输入骨髓增生异常肿瘤合并巨大阿米巴肝脓肿合并肠梗阻1例并文献复习。
Q3 Medicine Pub Date : 2025-09-20 DOI: 10.17420/ap71.551
Marta Szczygieł, Mateusz Hałas, Marek Spichalski, Maria Piotrowiak, Małgorzata Paul

Infection with Entamoeba histolytica is widespread and cosmopolitan, but is particularly common in hot zone countries in areas with poor sanitary and hygienic conditions, a lack of access to safe drinking water, and noncompliance with food hygiene. Currently, no cases of indigenous E. histolytica infections have been registered in Poland; only cases imported from areas with a hot climate zone have been reported. So far, no severe extraintestinal amoebiasis has been diagnosed in Poland in people returning from the Mediterranean area. We report an unusual case of concomitant large liver abscess complicated by small bowel obstruction in an Italian immigrant with chronic myelodysplastic leukaemia who had been in Poland for 10 years. The patient did not present with clinical symptoms of colitis like diarrhoea. The patient had not travelled outside Europe and had never been in tropical areas. The clinical course of the infection, the results of imaging, laboratory, serological and parasitological tests, and the therapeutic methods used are discussed in detail. Attention is drawn to the need to consider amoebiasis and its dangerous complications in the differential diagnosis of abdominal pain and pathological space-occupying lesions in the liver of unknown etiology in people returning from travel to the Mediterranean climate.

溶组织内阿米巴感染是广泛和世界性的,但在卫生和卫生条件差、缺乏安全饮用水和不遵守食品卫生的热区国家尤其常见。目前,波兰未发现本土溶组织芽胞杆菌感染病例;仅报告了从气候炎热地区输入的病例。到目前为止,波兰尚未在从地中海地区返回的人员中诊断出严重的肠外阿米巴病。我们报告一个罕见的病例合并大肝脓肿合并小肠梗阻在意大利移民慢性骨髓增生异常白血病谁已经在波兰10年。患者未出现结肠炎样腹泻的临床症状。该患者从未到过欧洲以外的地方,也从未去过热带地区。详细讨论了感染的临床过程、影像学、实验室、血清学和寄生虫学检查的结果以及所采用的治疗方法。需要注意的是,在对从地中海气候旅行归来的人进行腹痛和病因不明的肝脏病理占位性病变的鉴别诊断时,需要考虑阿米巴病及其危险并发症。
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引用次数: 0
Giardia intestinalis diarrhea in a HIV-positive patient with Pneumocystis jiroveci pneumonia, as a possible symptom of IRIS. 艾滋病毒阳性的耶氏肺囊虫肺炎患者肠第鞭毛虫腹泻,可能是IRIS的症状。
Q3 Medicine Pub Date : 2025-09-20 DOI: 10.17420/ap71.550
Łukasz Pielok, Stanisław Królak, Monika Lisiecka, Joanna Swarcewicz, Arleta Kowala-Piaskowska

Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) still have a detrimental effect on public health. Lack of adequate therapy inevitably leads to the decrease in lymphocyte T CD4+ population and emergence of opportunistic infections (OIs) and AIDS-indicators. Pneumocystis jiroveci pneumonia (PjP) is recognized as one of the most common OIs in people living with HIV. Giardia intestinalis is a protozoan parasite, commonly reported throughout the world as the most important non-viral cause of human diarrhea. Immunocompromised patients are a high risk group for parasitic infections. Giardiosis usually is self-limiting, however it can cause severe dehydration and malnutrition, especially in immunocompromised individuals. In this work we described a case of 46-year old men, who stoped ART and expanded IRIS symptoms due to PjP and Giardia intestinalis infections. We concluded that parasitic stool examination in HIV/AIDS individuals should be performed to detect asymptomatic protozoa infections, which can lead to diarrhea during ARV treatment. Moreover, determination of the IRIS risk factors may have a detrimental effect on the prevention of severe complications in patients living with AIDS.

人类免疫缺陷病毒(艾滋病毒)和获得性免疫缺陷综合症(艾滋病)仍然对公众健康产生有害影响。缺乏适当的治疗不可避免地导致淋巴细胞T CD4+数量的减少和机会性感染(OIs)和艾滋病指标的出现。耶氏肺囊虫肺炎(PjP)被认为是艾滋病毒感染者最常见的oi之一。肠贾第鞭毛虫是一种原生动物寄生虫,在世界各地被普遍报道为人类腹泻最重要的非病毒性原因。免疫功能低下的患者是寄生虫感染的高危人群。贾第鞭毛虫病通常是自限性的,但它可引起严重脱水和营养不良,特别是在免疫功能低下的个体中。在这项工作中,我们描述了一例46岁的男性,由于PjP和肠贾第虫感染,他停止了抗逆转录病毒治疗,并扩大了IRIS症状。我们认为,艾滋病毒/艾滋病患者应进行粪便寄生虫检查,以发现在抗逆转录病毒治疗期间可能导致腹泻的无症状原虫感染。此外,确定IRIS危险因素可能对艾滋病患者严重并发症的预防产生不利影响。
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引用次数: 0
Optimal artificial conditions for keeping and breeding medicinal leeches Hirudo verbana and Hirudo orientalis. 药用水蛭马蹄莲和东方水蛭饲养和繁殖的最佳人工条件。
Q3 Medicine Pub Date : 2025-09-07 DOI: 10.17420/ap71.549
Ruslan Aminov, Alina Aminova, Alexander Florov, Lyudmyla Makyeyeva

The aim of the work is to obtain optimal artificial conditions for the maintenance and breeding of medicinal leeches of the species Hirudo verbana and Hirudo orientalis. 180 medicinal leeches were used in the study: 100 leeches of the H. verbana species and 80 H. orientalis leeches. Four groups of animals were formed: two control and two experimental. Control groups of medicinal leeches were kept using the standard jar method. Experiments according to the developed optimal scheme. As a result of the study, it was found that there were more juveniles obtained from the cocoon per 1 parent leech in the experimental group of medicinal leeches of the H. verbana and H. orientalis species, compared to the control group; appearance of defective cocoons. Mortality of parent leeches during breeding, mortality of juveniles before the first, after the first and sixth feeding decreases on average by more than 50% (P < 0.05) in the experimental group.

本研究的目的是为药用水蛭verbana和Hirudo orientalis的维持和繁殖获得最佳的人工条件。采用药用水蛭180种,其中鞭草水蛭100种,东方水蛭80种。实验分为四组:两组为对照组,两组为实验组。对照组药用水蛭采用标准瓶法保存。根据拟定的最优方案进行实验。结果发现,与对照组相比,马鞭草和东方水蛭两种药用水蛭的试验组每1个亲本水蛭从茧中获得的幼虫数量更多;出现有缺陷的茧。试验组水蛭繁殖期间亲本死亡率、第一次摄食前、第一次摄食后、第6次摄食后幼体死亡率平均降低50%以上(P < 0.05)。
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Annals of parasitology
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