杭州市西湖区首例境外输入性埃及血吸虫病病例报告  

First overseas imported case of schistosomiasis haematobia in Xihu District,Hangzhou City

作　　者：章华米[1] 苏幸 张剑锋 章颖怡 ZHANG Huami;SU Xing;ZHANG Jianfeng;ZHANG Yingyi(Xihu District Center for Disease Control and Prevention,Hangzhou City,Zhejiang Province,Hangzhou,Zhejiang 310013,China;Zhejiang Schistosomiasis Prevention and Control Center,China)

机构地区：[1]浙江省杭州市西湖区疾病预防控制中心,浙江杭州310013 [2]浙江省血吸虫病防治中心

出　　处：《中国血吸虫病防治杂志》2024年第5期548-550,共3页Chinese Journal of Schistosomiasis Control

摘　　要：本文报道了杭州市西湖区首例境外输入性埃及血吸虫病病例的诊治过程及流行病学调查情况。该患者为来自津巴布韦的留学生,无明显诱因出现反复肉眼血尿,膀胱镜检查发现膀胱肿块,病理切片示膀胱黏膜内见大量新鲜或钙化寄生虫虫卵,尿液离心沉渣镜检发现埃及血吸虫虫卵,确诊为境外输入性埃及血吸虫病。对该患者所在学校的境外留学生开展血吸虫病调查,经间接红细胞凝集试验及尿液和粪便病原学检查,检出1例输入性曼氏血吸虫病患者。建议加强境外流动人员血吸虫病健康教育和监测,并提高医疗和疾病预防控制机构专业人员对输入性血吸虫病的诊断能力,防止发生误诊、误治。This paper reports the diagnosis and treatment of the first imported case of schistosomiasis haematobia in Xihu District of Hangzhou.The patient was an international student from Zimbabwe,and experienced repeated gross hematuria without obvious motivation.Cystoscopy displayed bladder masses,and a large number of fresh or calcified parasite eggs were found in pathological sections.In addition,urine microscopy identified Schistosoma haematobium eggs.The case was therefore definitively diagnosed as overseas imported case of imported schistosomiasis haematobia.Another case of schistosomiasis mansoni was identified among international students in the same school with the patient above by indirect haemagglutination test and urine and stool etiology examination.It is recommended to intensify health education and monitoring among overseas floating populations and improve the diagnostic skills of overseas imported schistosomiasis among professionals working in medical and disease control and prevention institutions,in order to prevent misdiagnosis and mistreatment.

关 键 词：埃及血吸虫病 曼氏血吸虫病 输入性病例 留学生 西湖区 

分 类 号：R532.21[医药卫生—内科学]