广州管圆线虫病误诊为结核性脑膜炎2例报告并文献复习  

Report of two cases of misdiagnosed angiostrongliasis cantonensis and with literature review

作　　者：林明贵[1] 王安生[1] 王巍[1] 张韬[1] 李燕峰[1] 刘倩颖[1] 张红艳[1] 

机构地区：[1]中国人民解放军总医院第二附属医院全军结核病研究所,北京100091

出　　处：《临床肺科杂志》2009年第8期1047-1048,1057,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨广州管圆线虫病容易出现误诊的原因及诊断方法。方法对2例误诊为结核性脑膜炎患者的诊疗过程结合文献综合分析。结果2例病人均因未询问出病史、第1次化验时血嗜酸性粒细胞分类正常、脑脊液化验与结脑类似而误诊。结论仔细询问病史、认真查体,临床症状与影像学检查结合血特异性抗体检测可有效地避免误诊、误治。Objective To investigate the cause of misdiagnosis and the diagnosis of angiostrongliasis eantonensis. Methods 2 eases of angiostrongliasis cantonensis misdiagnosed as tuberculous meningitis were reported. Results Both eases had no epidemiologieal history, with a normal eosinophilic count in the initial blood count studies. The CSF studies mimicked tuberculous change, so the misdialgnosis was indicated. Conclusion A thorough history taking, complete physical examination combined with imaging examination can effectively reduce misdiagnosis rate. Chemotherapy is the effective treatment for angiostrongliasis cantonensis.

关 键 词：广州管圆线虫病 结核性脑膜炎 误诊 

分 类 号：R532.1[医药卫生—内科学] R529.3[医药卫生—临床医学]