广州管圆线虫病3例报告  

Angiostrongylus cantonensis:A report of three cases

作　　者：林明贵[1] 周平[2] 张韬[1] 李燕峰[1] 刘倩颖[1] 张红艳[1] 李晓娟[2] 

机构地区：[1]解放军总医院第309临床部全军结核病研究所,北京100091 [2]空军总医院感染内科,北京100036

出　　处：《军医进修学院学报》2009年第5期766-768,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的探讨广州管圆线虫病临床特点及诊断方法。方法对3例患者的诊疗过程结合文献综合分析。结果2例患者均因未询问出病史、第1次化验时血嗜酸性粒细胞分类正常、脑脊液化验与结核性脑病类似而误诊。另1例因第1次脑脊液检查中嗜酸性粒细胞分类明显增高,追询病史而确诊。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及脑脊液嗜酸性粒细胞分类、特异性抗体检测可有效、明确地诊断。Objective To investigate the clinical characteristics and diagnosis of angiostrongylus cantonensis. Methods Diagnosis of 3 cases was analyzed based on the review of literature. Results Of the 3 cases, 2 were misdiagnosed as tuberculosis meningitis since they had no clear history of infection with angiostrongylus, their eosinophil count was normal and their CSF test was similar to tuberculosis meningitis. The other case with a history of infection with angiostrongylus was diagnosed as eosinopilocytosis since eosinophils were found in cerebrospinal fluid. Conclusion Angiostrongylus cantonensis can be diagnosed based on the history of infection with angiostrongylus, physical examination, clinical symptoms and imaging examination. Chemotherapy is effective against angiostrongylus cantonensis.

关 键 词：广州管圆线虫病 诊断 病例报告 

分 类 号：R53[医药卫生—内科学]