桐城市1例输入性埃及血吸虫病的调查分析  

Investigation on an imported case of schistosomiasis haematobia in Tongcheng City

作　　者：江龙志 金晶 张莉 汪名照 JIANG Long-zhi;JIN Jing;ZHANG Li;WANG Ming-zhao(Tongcheng Schistosomiasis Control Station,Tongcheng 231400,Anhui Province,China)

机构地区：[1]桐城市血吸虫病防治站,安徽桐城231400

出　　处：《热带病与寄生虫学》2021年第4期217-218,239,共3页Journal of Tropical Diseases and Parasitology

摘　　要：目的分析1例国外输入性血吸虫病的诊疗过程和流行病学调查结果,为提高输入性埃及血吸虫病防治能力提供参考。方法收集患者的临床诊断和治疗资料,采集患者粪便、尿液进行实验室检测,并开展流行病学调查。结果患者寄生虫专项检测显示血吸虫抗体阳性,粪便和尿液中未发现血吸虫虫卵,病理组织切片显示嗜酸性肉芽肿,考虑寄生虫感染。综合患者的临床症状、流行病学史及吡喹酮60 mg/kg 2日疗法治疗后好转等特点,诊断为输入性埃及血吸虫病临床诊断病例。结论输入性埃及血吸虫病易误诊,今后应加强医务人员防治知识培训。Objective To analyze the diagnosis and treatment of an imported case of schistosomiasis haematobia,so as to provide insights into improving the diagnosis and prevention ability.Methods Upon the information,we initiated collecting the clinical diagnosis and treatment data of the patient as well as his feces and urine samples for laboratory examination.Meanwhile,epidemiological investigation was conducted.Results Specific parasite test indicated positive samples for schistosomiasis,yet no schistosome eggs were found in the feces and urine.Pathological tissue section exhibited eosinophilic granuloma,which indicated symptom of parasite infection.Taking the clinical symptoms,epidemiological history and effective treatment with 60 mg/kg praziquantel×2 days into consideration,the patient was clinically diagnosed as imported schistosomiasis haematobia.Conclusion Imported schistosomiasis haematobia is likely to be misdiagnosed.The training for schistosomiasis haematobia control knowledge should be strengthen.

关 键 词：埃及血吸虫病 输入性病例 桐城市 

分 类 号：R532.21[医药卫生—内科学]