成人肺部缩小膜壳绦虫感染1例  

Hymenolepis diminuta infection in an adult's lung:a case report

作　　者：刘警婕 田康 孙旺远 施斌 Liu Jingjie;Tian Kang;Sun Wangyuan;Shi Bin(Department of Respiratory Medicine,the Affiliated Suqian Hospital of Xuzhou Medical University,and Nanjing Drum Tower Hospital Group Suqian Hospital,Suqian 223800,China)

机构地区：[1]南京鼓楼医院集团宿迁医院、徐州医科大学附属宿迁医院呼吸与危重症医学科,宿迁223800

出　　处：《中华结核和呼吸杂志》2024年第6期547-549,共3页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：2023年度宿迁市市级指导性计划项目(Z2023108)。

摘　　要：缩小膜壳绦虫, 是鼠类常见的寄生虫, 偶然寄生于人体。在全世界有广泛的病例报告。缩小膜壳绦虫通常通过消化道寄生于人体。本文报道1例同时寄生在人体呼吸道及消化道的缩小膜壳绦虫感染, 通过对该病例的诊断及治疗的详细介绍, 以提高临床医生对本病的认知水平。Hymenolepis diminuta is a common parasite of rats and mice,but is very rare in humans with cases reported from various parts of the world.Here,we reported a case of Hymenolepis diminuta infection involving both the respiratory and digestive tracts in a 49-year-old male patient whose initial imaging and symptoms were strikingly similar to pneumonia.Since no disease-causing pathogens were found during routine examinations,we considered respiratory infection by specific pathogens before metagenomic next-generation sequencing of broncho-alveolar lavage fluid confirmed the diagnosis of Hymenolepis diminuta.After confirming the diagnosis,we retested the patient's stool repeatedly and found Hymenolepis diminuta eggs finally.To help doctors better understand this condition and avoid misdiagnosis,this article provided a summary of the clinical characteristics,diagnostic techniques,and therapeutic options for infection by Hymenolepis diminuta.

关 键 词：病例报告 消化道 人体呼吸道 寄生虫 临床医生 膜壳 偶然寄生 认知水平 

分 类 号：R532.3[医药卫生—内科学]