臨牀消化器内科 Vol.19 No.8(2-3)


特集名 感染性腸炎
題名 [各論]寄生虫感染と腸炎
発刊年月 2004年 07月
著者 金城 福則 琉球大学医学部附属病院光学医療診療部 / 琉球大学医学部附属病院第一内科
著者 金城 渚 琉球大学医学部附属病院光学医療診療部 / 琉球大学医学部附属病院第一内科
著者 仲本 学 琉球大学医学部附属病院光学医療診療部 / 琉球大学医学部附属病院第一内科
著者 岸本 一人 琉球大学医学部附属病院光学医療診療部 / 琉球大学医学部附属病院第一内科
著者 平田 哲生 琉球大学医学部附属病院第一内科
著者 内間 庸文 琉球大学医学部附属病院第一内科
【 要旨 】 寄生虫感染症は,わが国では激減したとはいえ,決して忘れてはならない疾患である.とくに,糞線虫症は沖縄県を含む南西諸島で感染者が多く,通常は健康保虫者であっても,なんらかの理由で免疫能が低下した場合などには発症・重症化し,時には致命的となる.すなわち,早期の診断と治療が要求される.早期診断のためには患者のこれまでの生活環境や病歴,症状,理学所見などより寄生虫感染症を念頭に検査を進めているか否かがポイントである.糞線虫の駆虫薬として副作用の少ないイベルメクチンが一般臨床の場で保険適用のもと使用可能となった.本稿では糞線虫症を主体に,広節裂頭条虫症や鞭虫症,蛔虫症についても簡単に述べた.
Theme Infectious Enterocolitis
Title Helminthous Enterocolitis
Author Fukunori Kinjo Department of Endoscopy, Faculty of Medicine, University of the Ryukyus / 1st Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
Author Nagisa Kinjo Department of Endoscopy, Faculty of Medicine, University of the Ryukyus / 1st Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
Author Manabu Nakamoto Department of Endoscopy, Faculty of Medicine, University of the Ryukyus / 1st Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
Author Kazuto Kishimoto Department of Endoscopy, Faculty of Medicine, University of the Ryukyus / 1st Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
Author Tetsuo Hirata 1st Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
Author Nobufumi Uchima 1st Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
[ Summary ] In our country, the number of patients with parasitic infectious diseases is decreasing sharply, but the incidence of these diseases is presently scattered at various locations. The number of persons infected with Strongyloides stercoralis are abounding in the Nansei Islands in Okinawa and Kagoshima Prefectures. Strongylodiasis is manifested, when a healthy carrier of Strongyloides stercoralis becomes an immunocompromised host for some reason. At this time, their condition may become serious, or sometimes fatal. That is to say, diagnosis and treatment in the early stages are both required. For early diagnosis, a record of the environment they have lived in their medical records, their clinical symptoms, and remarks on the physical condition of the patients promote proper diagnoses in respect to parasitic infectious diseases. It is to be noted that ivermectin is readily available for Strongyloides stercoralis infections and has few side effects. In this paper, diphyllobothria trichuriasis and briefly ascariasis were also briefly described.
戻る