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samenvatting parasitaire infectie
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samenvatting van parasitaire infectie
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PARASITAIRE INFECTIESONDERVERDELING
PROTOZOA
Intestinal
- Giardia lamblia/duodenalis, criptospordium, entamoeba histolytica
Weefsel
- Toxoplasma gondii, plasmodium, leismania, trypanosoma
HELMINTHES
Nematodes
- Toxocara cans/catis, enterobius vermicularis, ascaris lumbricoides, strongyloides stercoralis,
trichuris/trichiuria/ancylostoma
Cestodes
- Taenia saginata, echinococcus multicocularis, schistosoma
Trematodes
- Fasciola hepatica, tania solium, echinococcus granulosus
ARTHROPODES
Sacroptes scabiei, pediculus humanis capitis, tunga penetrans (myiasis)
NEGLECTED TROPICAL DISEASES (NTD’S)
Meeste parasitarie infecties
Symptoom gebaseerd : leishmaniasis
Screening : chagas disease, schitosomasis,
strongyloides
SCREENING ASYMPTOMATISCHE MIGRANTEN
1
, Soorten infecties voor screening
- Lange klinische latentie of asymptomatisch
- Risico op erge complicaties
- Risico op secundaire transmissie
Conventional
- HIV, HBC, HCV, TB
NTD/parasieten
- Strongyloidiasis, schistosomiasis, chagas disease, malaria, leishmanias
ITALIE
o Meest voorkomende parasitaire infecties (via voedsel)
Schistosomiasis, strongyloides, chagas disease
STRONGYLOIDES STERCORALIS
infectie via larven op grond & penetratie
huid
Auto-infectie
Multiplicatie bij immunorepressie
Bv: corticoiden, biologicals
voornamelijk in tropen (10-20%)
- Prevalentie onderschat door
serologisch onderzoek
symptomen
- Geen 22-29%
- Abdominaal 49%
- Huid 37%
Eosinofilia in bloed (78%)
- Wijst op parasitiet
Klinisch (simpel)
- Larva migrant/currens
- Mucosale erosies in darm
klinisch (complex)
- Hyperinfectie syndroom (HD)
- Disseminated strongyloidiasis (SD)
- vaak bij corticoiden gebruik
2
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