温州市首例国外输入性埃及血吸虫病病例的实验室检测和流行病学调查分析  

Laboratory test and epidemiological investigation of the first imported case of schistosomiasis haematobia in Wenzhou City

作　　者：倪庆翔[1] 阮卫[2] 姚立农[2] 倪丹丹[3] 项方吕 NI Qing-xiang;RUAN Wei;YAO Li-nong;NI Dan-dan;XIANG Fang-lv(Wenzhou Municipality Center for Disease Control and Prevention,Wenzhou 325001,China;Zhejiang Province Center for Disease Control and Prevention,Hangzhou 310051,China;The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325001,China;Lucheng District Center for Disease Control and Prevention,Wenzhou 325001,China)

机构地区：[1]温州市疾病预防控制中心,温州325001 [2]浙江省疾病预防控制中心,杭州312251 [3]温州医科大学附属第一医院,温州325001 [4]鹿城区疾病预防控制中心,温州325001

出　　处：《中国寄生虫学与寄生虫病杂志》2020年第5期667-669,共3页Chinese Journal of Parasitology and Parasitic Diseases

摘　　要：2019年11月27日,温州市疾病预防控制中心报告1例国外输入性埃及血吸虫病病例。收集患者的临床资料,取患者尿液、粪便和膀胱病理组织切片进行实验室检测,并开展流行病学调查。结果在患者尿沉渣涂片检出埃及血吸虫虫卵,病理组织切片经鉴定考虑"埃及血吸虫虫卵肉芽肿",综合患者的临床症状、流行病学史,确诊为尼日利亚感染的输入性埃及血吸虫病病例。给予患者口服吡喹酮治疗60 mg/kg×2 d疗法治疗后,患者症状好转。服药后1周及1月后对患者尿液进行随访复查,未发现虫卵。此例为温州市首例国外输入性埃及血吸虫病病例。A case of schistosomiasis haematobia imported from abroad was reported from Wenzhou Municipality Center for Disease Control and Prevention On November 27,2019.The clinical data of the patient were collected;urine and fecal samples as well as the pathological sections of bladder tissue were subject to laboratory examination;and epidemiological investigation was conducted.Schistosoma haematobium eggs were found in the urine sediment smear,and identified in the pathological tissue sections,which were considered as S.haematobium egg granuloma.These findings,combined with the clinical symptoms and epidemiological history of the patient,confirmed the diagnosis of imported schistosomiasis haematobia from Nigeria.After treatment with an oral dose of 60 mg/kg praziquantel×2 days,the patient’s symptom was improved.Follow-up urine testing at 1 week and 1 month after treatment revealed no presence of eggs.This case was the first imported case of schistosomiasis haematobia in Wenzhou city.

关 键 词：埃及血吸虫病 输入性 实验室检测 流行病学调查 温州 

分 类 号：R532.21[医药卫生—内科学]