Foodborne intestinal flukes in Southeast Asia.
Foodborne intestinal flukes in Southeast Asia.
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DOI：
10.3347/kjp.2009.47.s.s69
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发表时间：
2009-10-01
期刊：
影响因子：
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通讯作者：
Rim, Han-Jong
中科院分区：
文献类型：
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作者：
Chai, Jong-Yil;Shin, Eun-Hee;Rim, Han-Jong
在东南亚，已知共有59种食源性肠吸虫发生在人类身上。最大的类群是异蝇科，由9属22种组成（Centrocestus，Haplelis，Heterophyes，Heterophyopsis，Metagonimus，Procerovum，Pygidiopsis，Stellantchasmus和Stictodora）。其次是棘口科，包括8属20种（Artyfechinostomum，Escherichoparyphium，Echinochasmus，Echinoparyphium，Echinostoma，Epithmium，Euparyphium和Hypoderaeum）。斜睾科（Plagiorchiidae）紧随其后，在1属（Plagiorchiis）中包含5种。Lecithodendrididae包括2属3种（Pesthodendridium和Pesthodendridium）。在其他9个科中，涉及1属1种; Cathaemaciidae（Cathaemacia）、片形吸虫科（Fasciolopsis）、腹盘吸虫科（Gastrodiscoides）、裸茎吸虫科（Gymnophalloides）、微茎吸虫科（Spelotrema）、新双口吸虫科（Neodiplostomidae）、拟双口吸虫科（Paramphistomatidae）、裸口吸虫科（Psilostomidae）和Strigeidae（Cotylurus）。各种食物都是人类感染的来源。它们包括淡水鱼、咸水鱼、淡水螺、咸水螺（包括牡蛎）、两栖动物、陆生蛇、水生昆虫和水生植物。宿主-寄生虫关系已在Metagonimus yokogawai、Echinostoma霍尔滕斯、姜片虫、Neodiplostomum seoulense和Gymnophalloides seoi中进行了研究;然而，对每个寄生虫物种的致病性和宿主粘膜防御机制还知之甚少。每种寄生虫感染的临床方面需要更多的澄清。由于虫卵形态相似，粪便检查难以鉴别诊断。吡喹酮对大多数肠道吸虫感染有效。需要继续努力了解肠吸虫感染的流行病学意义，并发现更多的人间病例。
In Southeast Asia, a total of 59 species of foodborne intestinal flukes have been known to occur in humans. The largest group is the family Heterophyidae, which constitutes 22 species belonging to 9 genera (Centrocestus, Haplorchis, Heterophyes, Heterophyopsis, Metagonimus, Procerovum, Pygidiopsis, Stellantchasmus, and Stictodora). The next is the family Echinostomatidae, which includes 20 species in 8 genera (Artyfechinostomum, Acanthoparyphium, Echinochasmus, Echinoparyphium, Echinostoma, Episthmium, Euparyphium, and Hypoderaeum). The family Plagiorchiidae follows the next containing 5 species in 1 genus (Plagiorchis). The family Lecithodendriidae includes 3 species in 2 genera (Phaneropsolus and Prosthodendrium). In 9 other families, 1 species in 1 genus each is involved; Cathaemaciidae (Cathaemacia), Fasciolidae (Fasciolopsis), Gastrodiscidae (Gastrodiscoides), Gymnophallidae (Gymnophalloides), Microphallidae (Spelotrema), Neodiplostomidae (Neodiplostomum), Paramphistomatidae (Fischoederius), Psilostomidae (Psilorchis), and Strigeidae (Cotylurus). Various types of foods are sources of human infections. They include freshwater fish, brackish water fish, fresh water snails, brackish water snails (including the oyster), amphibians, terrestrial snakes, aquatic insects, and aquatic plants. The reservoir hosts include various species of mammals or birds.The host-parasite relationships have been studied in Metagonimus yokogawai, Echinostoma hortense, Fasciolopsis buski, Neodiplostomum seoulense, and Gymnophalloides seoi; however, the pathogenicity of each parasite species and host mucosal defense mechanisms are yet poorly understood. Clinical aspects of each parasite infection need more clarification. Differential diagnosis by fecal examination is difficult because of morphological similarity of eggs. Praziquantel is effective for most intestinal fluke infections. Continued efforts to understand epidemiological significance of intestinal fluke infections, with detection of further human cases, are required.