溶组织内阿米巴合并蓝氏贾第鞭毛虫感染一例

A Case of Concurrent Infection with Entamoeba Histolytica and Giardia Lamblia

  • 摘要: 溶组织内阿米巴和蓝氏贾第鞭毛虫是两种能引起人类肠道感染的寄生虫。患者均可通过被两种寄生虫包囊污染的食物和饮用水而感染,感染后可出现腹痛、腹泻等症状。若溶组织内阿米巴感染未得到积极有效治疗,患者还可出现脓血便、结肠溃疡等临床表现。本研究报道1例腹泻患者同时感染溶组织内阿米巴与蓝氏贾第鞭毛虫的诊断过程。首先采用生理盐水直接涂片法迅速检测到虫体,随后采用碘染法与铁苏木素染色法在显微镜下对虫体内部结构及形态进行细致观察,鉴别寄生虫种类。本案例的诊断过程提示,检验工作者应进一步加强溶组织内阿米巴和蓝氏贾第鞭毛虫包囊、滋养体形态识别能力的培养,为临床鉴别诊断溶组织内阿米巴感染与溃疡性结肠炎提供有效依据。

     

    Abstract: Entamoeba histolytica and Giardia lamblia are two types of parasites that can cause intestinal infections in humans. Patients can be transmitted through the ingestion of food and drinking water contaminated with cysts, and present symptoms such as abdominal pain and diarrhea after infection. If Entamoeba histolytica infection is not actively and effectively treated, patients may also present with clinical manifestations such as purulent and bloody stools and colonic ulcers. This study reports a diarrhea case with concurrent infection of Entamoeba histolytica and Giardia lamblia. During the diagnostic process, the parasites were rapidly detected using the direct saline smear method. Subsequently, iodine staining and iron hematoxylin staining techniques were employed to meticulously observe the internal structures and morphological features of the parasites under a microscope, enabling successful identification of the parasite species. The diagnostic process in this case suggests that laboratory personnel should further enhance their ability to recognize the morphological characteristics of cysts and trophozoites of Entamoeba histolytica and Giardia lamblia, providing an effective basis for the clinical differential diagnosis between Entamoeba histolytica infection and ulcerative colitis.

     

/

返回文章
返回