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贾第鞭毛虫病

最后审阅: 1 Nov 2024
最后更新: 29 Dec 2022

小结

定义

病史和体格检查

关键诊断因素

  • 腹泻
  • 频繁嗳气
完整详情

其他诊断因素

  • 腹胀及不适
  • 不适感
  • 体重减轻
  • 恶心和呕吐
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危险因素

  • 污染的水/食物
  • 室内或房子周围有家畜
  • 低丙种球蛋白血症
  • 低龄
  • 男性
  • 到过日托中心
  • 男男性行为
  • 近期抗生素的应用
完整详情

诊断性检查

首要检查

  • 直接荧光抗体(DFA)试验或酶联免疫吸附测定
  • 粪便样本核酸扩增检测、聚合酶链反应
  • 粪便显微镜检查
  • 全血细胞计数 (FBC)
完整详情

需考虑的检查

  • 侧流免疫测定(例如,ImmunoCard STAT!®)
  • 吞线试验(肠试验)
  • 十二指肠引流和活检
完整详情

治疗流程

急症处理

非妊娠成人或儿童

妊娠早期

妊娠中期或晚期

持续性治疗

治疗失败或耐药性

撰稿人

作者

Luther A. Bartelt, MD

Assistant Professor of Medicine

University of North Carolina School of Medicine

Division of Infectious Diseases

Chapel Hill

NC

利益声明

LAB has received funding support from the National Institutes of Health to support giardiasis research and royalties from text authorships (Wolters Kluwer) for chapters about Giardia. LAB is the author of two articles cited in this topic.

鸣谢

Dr Luther Bartelt would like to gratefully acknowledge Dr Fida Khan and Dr Musaddiq Waheed, previous contributors to this topic.

利益声明

FK and MW declared that they had no competing interests.

同行评议者

Zana Nikolla, MD

Faculty of Medicine

University of Tirana

Tirana

Albania

利益声明

ZN declares that she has no competing interests.

Rodney Adam, MD

Professor of Medicine and Immunobiology

University of Arizona

Tucson

AZ

利益声明

RA declares that he has no competing interests.

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