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diagnosis of human visceral pentastomiasis人类内脏pentastomiasis的诊断
Symposium
Diagnosis of Human Visceral Pentastomiasis
1 ¨ 2
Dennis Tappe *, Dietrich W. Buttner
¨ ¨
1 Institute of Hygiene and Microbiology, University of Wurzburg, Wurzburg, Germany, 2 Department of Helminthology, Bernhard Nocht Institute for Tropical Medicine,
Hamburg, Germany
four-legged primary larva hatches and invades the viscera. After
Abstract: Visceral pentastomiasis in humans is caused by encapsulation by host tissue and several molts, the infective larval
the larval stages (nymphs) of the arthropod-related stage develops (Figure 1B). In species infecting humans, the
tongue worms Linguatula serrata, Armillifer armillatus, A. morphological appearance thereby changes and the nymphs
moniliformis, A. grandis, and Porocephalus crotali. The finally resemble the adult legless vermiform pentastomes in shape
majority of cases has been reported from Africa, Malaysia, (Figures 1C–1E).
and the Middle East, where visceral pentastomiasis may
be an incidental finding in autopsies, and less often from
What Are the Risk Factors for Infection, and How Can the
China and Latin America. In Europe and North America,
the disease is only rarely encountered in immigrants and Disease Be Prevented?
long-term travelers, and the parasitic lesions may be Close contact to dogs and their secretions predispose for
confused with malignancies, leading to a delay in the infectio
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