肝裂头蚴病2例  

Two cases of liver sparganosis

作　　者：龙贤 何琼[1] Long Xian;He Qiong(Department of Gastroenterology,First Hospital,Jinan University,Guangzhou 510630,China)

机构地区：[1]暨南大学附属第一医院消化内科,广州510630

出　　处：《国际医药卫生导报》2023年第22期3181-3184,共4页International Medicine and Health Guidance News

基　　金：国家自然科学基金项目(81500420);广东省自然科学基金项目(2015A030310114)。

摘　　要：裂头蚴病是由于曼氏迭宫绦虫和其他裂头绦虫的中绦期——裂头蚴寄生于人和动物体内所致的一种人兽共患寄生虫病。本文报道暨南大学附属第一医院2022年8月收治的2例肝裂头蚴病例。通过分析流行病学史、临床表现、寄生虫抗体、CT及彩超图像等,并请感染科医师会诊后,诊断为肝裂头蚴病。经口服喹诺酮治疗后,患者腹痛、发热等临床症状消失,出院后随访,复查CT图像显示病灶减少,血液的嗜酸性粒细胞计数恢复正常,肝功能恢复正常。临床应注意相关可疑流行病史,完善相关检查,做到早诊断、早治疗。Sparganosis is a zoonotic parasitic disease caused by the parasitic presence of Sparganum in humans and animals during the middle tapeseed stage of Spirometra mansoni and other schizocephalus tapeworms.Two cases of liver sparganosis treated at First Hospital,Jinan Vniversity in August 2022 are reported in this paper.After the epidemiological history,clinical manifestations,parasite antibodies,CT and B ultrasound images,etc.were analyzed and an infectious disease doctor was consulted,the diagnosis of liver sparganosis was made.After oral quinolone treatment,the patients'clinical symptoms,such as abdominal pain and fever,disappeared.The follow-up after discharge showed that the lesions were reduced in CT images,and their eosinophil counts of blood and liver function returned to normal.Clinical attention should be paid to suspicious epidemiological history,and relevant examinations should be improved.Most importantly,early diagnosis and treatment should be performed.

关 键 词：曼氏裂头蚴病 肝脏 吡喹酮 诊断 

分 类 号：R532.32[医药卫生—内科学]