隐孢子虫病

最后审阅: 21 四月 2022
最后更新: 09 七月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 腹泻
更多 关键诊断因素

其他诊断因素

  • 腹痛
  • 呕吐
  • 食欲不振
  • 低热
  • 体重减轻
  • 右上象限 腹痛
  • 黄疸
  • 鼻腔分泌物和面部疼痛
  • 咳嗽和呼吸困难
其他诊断因素

危险因素

  • 接触农场动物,尤其是小牛和羔羊
  • 国际旅行
  • 年龄:3 岁或 3 岁以下
  • 免疫缺陷:T 细胞介导
  • 游泳和水上休闲运动
  • 饮用未经过滤的水
  • 帮助幼儿如厕或更换尿布
更多 危险因素

诊断性检查

首要检查

  • 粪便显微镜检查
  • 隐孢子虫抗原检测
更多 首要检查

需考虑的检查

  • 胆道超声扫描检查
  • 胆管 CT 扫描检查
  • 经内镜逆行胰胆管造影术 (ERCP)
  • 针对隐孢子虫 DNA 的聚合酶链反应
  • 用于识别隐孢子虫种属的聚合酶链反应
更多 需考虑的检查

治疗流程

急症处理

免疫功能正常

免疫功能低下

撰稿人

作者

Rachel M. Chalmers, BSc, PhD

Consultant Clinical Scientist/Honorary Professor

Director of UK Cryptosporidium Reference Unit

Public Health Wales Microbiology

Singleton Hospital

Swansea

UK

利益声明

RMC is a member of the following boards: WHO Water Quality and Health Technical Advisory Group; the UK Standards for Microbiology Investigations Bacteriology Working Group; Public Health England Water Advisory Group and Gastro-Intestinal Leads Group; Wales Microbiology Standing Specialist Advisory Group. RMC has received grant funding from EU FP7 project 'Aquavalens' and EFSA partnering grant project IMPACT and has undertaken contract research from UK Water Industry Research. RMC has received payments for lectures and reimbursement for conference travel and subsistence. RMC is an author of a number of references cited in this topic. 

Angharad P. Davies, MA, MBBCh, MRCP, FRCPath, PhD

Clinical Associate Professor

College of Medicine

Swansea University

Swansea

UK

利益声明

APD is an author of a number of references cited in this topic.

同行评议者

Beth Kirkpatrick, MD

Assistant Professor

Infectious Diseases

University of Vermont College of Medicine

Burlington

VT

利益声明

BK declares that she has no competing interests.

Yann Meunier, MD

Director

Stanford Health Promotion Network

Stanford School of Medicine

Palo Alto

CA

利益声明

YM declares that he has no competing interests.

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