Changing Pattern of Infection with Intestinal Amebas in Chronic Diarrheal Patients = 慢性 泄瀉患者에서의 腸內아메바 檢出狀의 變化

국문 초록 (Abstract)

1985年 1月부터 1988年 12月까지 慢性泄瀉와 아메바性 痢疾症狀으로 慶北大學校病院에 來院하여 臨床的 아메바症으로 疑心되었던 患者가운데 腸內아메바 胞襄의 檢出率의 變化를 觀察위해 formalinether 沈澱法 後 Lugol氏液 染色法과 必要한 경우 Kohn氏 染色法의 變法으로 原蟲檢査를 施行하였다.
臨床的 痢疾아메바症者 922名중 痢疾아메바 胞襄의 檢出率은 45.3%였고 性別檢出率에 있어서는 男性 45.6%, 女性 45.1%로서 相互間에 有意的 差를 認定할 수 없었다. 年齡群別로는 50-59歲群에서 그 率이 가장 높았고 0-9歲群에서 가장 낮았다.
痢疾아메바 胞襄의 large race 對 small race의 比는 1:4.5로 small race가 많이 檢出되었다.
大腸아메바 胞襄의 檢出率은 0.3%였고 矮小아메바 및 沃度아메바 胞襄은 檢出되지 않았다.
이번 調査로 痢疾아메바는 大邱地域에서 여전히 慢性泄瀉의 主要原因임을 알았다.

다국어 초록 (Multilingual Abstract)

From January, 1985 to December, 1988, the patients who visited Kyungpook National Unviersity Hospital because of persistent diarrhea and symptoms of chronic intestinal amebiasis were examined for intestinal amebas.
The iodine stained film by the Lugol's solution was prepared on the first portion of feces following the formalin-ether sedimentation technique. A modified method of Kohn's staining technique was applied when necessary.
Four hundred and eighteen(45.3%) out of 922 patients examined were found to be infected by Entamoeba histolytica. The demonstration rates in males and females were 45.6 and 45.1 percent, respectively, with no significant difference from each other.
In the age-specific rate, the highest was observed in the 50-59 age group, and the lowest in the 0-9 age group.
Only three female patients were found to be infected with E. coli. However, none of the patients examined were found to be infected by Endolimax nana or Iodamoeba butschlii.
The ratio of the large race to the small race among E. histolytica was found to be 1: 4.5.
The present study indicates that the demonstration rate for E. histolytica from chronic diarrheal patients is as high as those reported by Lee and Choi(1979) and by Choi and Kim(1986). However, the rate was found to be significantly low in comparison with that by Kwon and Choi (1983).
It is likely that E. histolytica may be one of the major causative agents of chronic diarrhea in Taegu area.