皮肤幼虫移行症是旅行者经常遇到的问题。

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Maritime Health Pub Date : 2023-01-01 DOI:10.5603/imh.98098
Anna Kuna, Romuald Olszański, Katarzyna Sikorska
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引用次数: 0

摘要

从热带国家旅行归来后,皮肤病是寻求医疗帮助的病人最常见的主诉之一。在异国皮肤病中,皮肤幼虫移行症(CLM)是经常遇到的诊断之一,主要由巴西疽线虫(Ancylostoma braziliense)和犬疽线虫(A. caninum)引起。猫和狗是这些线虫的最终宿主,它们通过粪便将寄生虫卵排泄到环境中,并在那里转化为幼虫。人类感染是通过幼虫的入侵形式发生的,幼虫会穿透皮肤,引起瘙痒,并在入侵部位出现特征性的蛇皮状、轻微隆起和扩大的病变。虽然在非流行国家,诊断错误和延误有效的病因治疗比较常见,但诊断是根据极具特征性的临床表现做出的。有效的治疗包括口服阿苯达唑和伊维菌素。预防 CLM 需要穿鞋,在海滩上使用毛巾和垫子,避免皮肤接触可能受污染的土壤。由于人们对旅行的兴趣很高,而且有输入外来疾病的风险,因此向医疗保健专业人员和旅行者宣传热带医学知识非常重要。
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Cutaneous Larva Migrans as a frequent problem in travellers.

Dermatological disorders are among the most common complaints of patients seeking medical assistance after returning from trips to tropical countries. Among exotic dermatoses, one of the frequently encountered diagnoses is Cutaneous Larva Migrans (CLM), primarily caused by the nematodes Ancylostoma braziliense and A. caninum. Cats and dogs, which serve as the definitive hosts for these nematodes, excrete with their stool parasite eggs into the environment, where they transform into larvae. Human infection occurs through the invasive form of the larvae, which penetrate the skin, causing itching and the characteristic serpiginous, slightly raised, and enlarging lesion at the site of invasion. Diagnosis is made based on the highly characteristic clinical presentation, although in non-endemic countries, diagnostic errors and delays in initiating effective causal treatment are relatively common. Effective therapy includes oral albendazole and ivermectin. Prevention of CLM involves avoiding skin contact with potentially contaminated soil by wearing shoes and using towels and mats on the beach. Due to the high interest in travel and the risk of importing exotic diseases, it is important to promote knowledge of tropical medicine among healthcare professionals as well as the travellers.

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来源期刊
International Maritime Health
International Maritime Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.90
自引率
13.60%
发文量
37
审稿时长
20 weeks
期刊最新文献
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