蠊缨滴虫合并肺吸虫感染2例报告并文献复习  

Two cases of Lophomonas blattarum infection combined with paragonimiasis and literature review

作　　者：田云粉[1] 段潇潇 姜艳[1] Tian Yunfen;Duan Xiaoxiao;Jiang Yan(Department of Pediatrics,The First People's Hospital of Yunnan Province(The Affiliated Hospital of Kunming University of Science and Technology),Kunming 650032,Yunnan Province,China)

机构地区：[1]云南省第一人民医院、昆明理工大学附属医院儿科,昆明650032

出　　处：《中国基层医药》2023年第6期806-809,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨儿童蠊缨滴虫合并肺吸虫感染的临床表现及诊断、治疗方法,提高儿科医生对该病的认识。方法回顾性分析云南省第一人民医院儿科2020年收治的蠊缨滴虫合并肺吸虫感染患儿2例的临床资料,分析患儿临床表现、诊治过程,并结合文献进行复习。结果病例1以消化道症状起病,病例2以头痛、肢体活动障碍起病,2例患儿入院时血常规中嗜酸粒细胞升高,行痰液检查检出活的蠊缨滴虫、肺吸虫虫卵,病例1还查到粪类圆线虫幼虫。经甲硝唑注射液及吡喹酮片治疗,随访均治愈。结论蠊缨滴虫是一种较少见的机会致病性寄生虫,肺吸虫病是一种人兽共患的自然疫源性寄生虫病,两种病原混合感染罕见,期待通过该文拓宽临床医生思路,指导临床。Objective To investigate the clinical manifestations,diagnosis,and treatment methods of Lophomonas blattarum infection combined with paragonimiasis in children,and improve pediatricians'understanding of the disease.Methods The clinical data of two children with Lophomonas blattarum infection combined with paragonimiasis who received treatment in the Department of Pediatrics of The First People's Hospital of Yunnan Province were retrospectively analyzed.Children's clinical manifestation and diagnosis and treatment were analyzed.Relative literature was reviewed.Results Case 1 had the onset of gastrointestinal symptoms.Case 2 had the onset of headache and liver dysfunction.Routine blood tests showed elevated eosinophils two cases and sputum examination results revealed the presence of live eggs of Lophomonas blattarum and paragonimiasis in two cases.Fecal roundworm eggs were also detected in case 1.Follow-up results showed that both cases were cured after treatment with metronidazole injection and praziquantel tablets.Conclusion Lophomonas blattarum infection is a relatively rare opportunistic infection.Paragonimiasis is a natural parasitic disease that affects both humans and animals.Mixed infection of the two pathogens is rare.We hope that the findings from this paper will broaden clinical physicians'thoughts and guide clinical practice.

关 键 词：滴虫感染 蜚蠊目 蠊缨滴虫 并殖吸虫病 原虫感染 诊断 甲硝唑 吡喹酮 儿童 

分 类 号：R725.3[医药卫生—儿科]