Correlación clínico-Iaboraíorial de las parasitosis intestinales en pacientes inm unosuprimidos, Goiánia - Go, Brasil
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2001-10
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Resumo
En las dos últimas décadas se ha observado un aumento significativo y progresivo de la población de pa
cientes inmunosuprimidos paralelo al surgimiento de brotes de casos de enteroparasitosis de comportamien
to oportunista. El presente estudio, realizado en el Centro oeste brasilero, tiene por objeto conocer la fre
cuencia de presentación de estos agentes etiológicos oportunistas en esta región, así como la correlación
clínica y laboratorial para el diagnóstico de estas infecciones. Fueron estudiados 108 pacientes inmunosu
primidos procedentes de las unidades referencia de salud para la municipalidad de Goiánia-GO, Brasil. Los
pacientes fueron examinados clínica y laboratorialmente y estudiadas las condiciones de saneamiento bási
co de sus viviendas. Las muestras coprológicas fueron procesadas con métodos de concentración y técni
cas de coloración específicos para el diagnóstico de helmintos y protozoarios (coccidios y microsporidium)
por microscopia óptica. En los resultados se comprobó que el 58.3% de los pacientes presentaban diarrea
y el 39.8% estaban parasitados, encontrando una prevalencia de Cryptosporidium parvum de 12.03%, Giar-
dia lamblia 11.11%, Isospora beíli 10.08%, Strongiloides stercoralis 8.33%, Microsporidium 2.77%, Cyclospo-
ra cayetanensis 2.77%, 1 caso de Anquilostomideos, 1 de Hymenolepis nana y 3 de Entamoeba coli. Se de
mostró además una correlación entre inmunosupresión, presencia de parásitos oportunistas y sintomatolo-
gía gastrointestinal, revelando la importancia de difundir mejor el conocimiento de esta patología entre la cla
se médica lo que permitirá un diagnóstico y tratamiento precoz de estos pacientes, posibilitando una mejor ca
lidad de vida.
Due to the fact that the intestinal parasitosis is considered as one of the most important pathologies in the world population, for their high prevalence, and that in the last years the population's of inmunossupresed pa- tients significant and Progressive is increased, parallel to the emergence of new cases of opportunistic para- sites in our región, this study was implanted aiming to know the frequeney of these ethiological agents, as well as the clinical and laboratorial correlation of this pathology. In this order 108 inmunossupresed patients coming from the reference units of health was studied, from the municipality of Goiania-GO, Brazil. The pa tients were examined clinical and laboratorially. The fecal samples were evaluated through of concentration methods and specific technical of coloration for helminths and protozoa (coccidia and microsporidia) diagno sis. In the results 58.3% of them presented diarrhea and 39.8% was parasited with the following parasites Isospora belli (10.1%), Cryptosporidium parvum (9.3%), Giardia lamblia (4.4%), Strongiloides stercoralis (5.6%), Microsporidium (2.8%), Cyclospora cayetanensis (2.8%), 1 case of Anquilostomas, 1 of Himenolepis nana and 3 of Entamoeba coli. This work demonstrated correlation among the immunosupression, presence of opportunistic parasites and gastrointestinal sintomatology. Revealing the importance in diffusing the know- ledge of this pathology among the medical class in our región, in such a way that allows a precocious diag nosis and treatment to these patients, facilitating them a better quality of life.
Due to the fact that the intestinal parasitosis is considered as one of the most important pathologies in the world population, for their high prevalence, and that in the last years the population's of inmunossupresed pa- tients significant and Progressive is increased, parallel to the emergence of new cases of opportunistic para- sites in our región, this study was implanted aiming to know the frequeney of these ethiological agents, as well as the clinical and laboratorial correlation of this pathology. In this order 108 inmunossupresed patients coming from the reference units of health was studied, from the municipality of Goiania-GO, Brazil. The pa tients were examined clinical and laboratorially. The fecal samples were evaluated through of concentration methods and specific technical of coloration for helminths and protozoa (coccidia and microsporidia) diagno sis. In the results 58.3% of them presented diarrhea and 39.8% was parasited with the following parasites Isospora belli (10.1%), Cryptosporidium parvum (9.3%), Giardia lamblia (4.4%), Strongiloides stercoralis (5.6%), Microsporidium (2.8%), Cyclospora cayetanensis (2.8%), 1 case of Anquilostomas, 1 of Himenolepis nana and 3 of Entamoeba coli. This work demonstrated correlation among the immunosupression, presence of opportunistic parasites and gastrointestinal sintomatology. Revealing the importance in diffusing the know- ledge of this pathology among the medical class in our región, in such a way that allows a precocious diag nosis and treatment to these patients, facilitating them a better quality of life.
Descrição
Palavras-chave
Parásitos oportunistas, Brasil, Inmunosupresión, Diarrea
Citação
RIANO NIETO, Ana Lucía; GARCÍA ZAPATA, Marco Tulio A. Correlación clínico-laboratorial de las parasitosis intestinales en pacientes inmunosuprimidos. Goiania-GO, Brasil. Revista de La Facultad de Ciencias Médicas Quito, Quito, v. 26, n. 2/3, p. 27-32, out. 2001.