Triclabendazole in the treatment of Paragonimiasis skrjabini  

作　　者：高劲松 刘约翰 王小根 胡鹏 

机构地区：[1]Daan Gene Diagnostic Center, Sun Yat-sen University, Guangzhou 510089, China [2]Department of Infectious Disease, First Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing 400016, China

出　　处：《Chinese Medical Journal》2003年第11期1683-1686,共4页中华医学杂志（英文版）

摘　　要：Objective To observe triclabendazole effect on Paragonimus skrjabini in experimentally infected rats, and to develop a new drug for treating paragonimiasis.Methods Metacercariae of Paragonimus skrjabini were isolated from crabs (Sinopotamon) collected from endemic area. Wistar rats were infected intraperitoneally. One and two months after infection, they were treated with triclabendazole at the dosage of 300 mg · kg -1 · 2d-1, 450 mg ·kg -1 · 3d -1 and 600 mg · kg-1 · 3d-1 respectively. Five patients with Paragonimus skrjabini were treated, with Triclabendazole dosage of 10 mg/kg bid x3 days.Results The worm reduction rates were 50. 3%, 80. 8% and 86. 7% respectively one month after completion of treatment. Dead worms of sesame size recovered from muscles, liver, abdominal cavity, chest cavity and lung were greatly diminished in size and weight in comparison with that of the control group. Many large (about 1 cm) black-colored distended worm cysts were found in the lungs of the control rats. Usually there were two adult worms pairs with numerous eggs in each worm cyst. Most worm cysts in the treated groups of rats were changed into hemorrhagic-necrotic patches. All five patients were cured.Conclusion Triclabendazole was highly active against Paragonimus skrjabini in rats experimentally infected and patients.Objective To observe triclabendazole effect on Paragonimus skrjabini in experimentally infected rats, and to develop a new drug for treating paragonimiasis.Methods Metacercariae of Paragonimus skrjabini were isolated from crabs (Sinopotamon) collected from endemic area. Wistar rats were infected intraperitoneally. One and two months after infection, they were treated with triclabendazole at the dosage of 300 mg · kg -1 · 2d-1, 450 mg ·kg -1 · 3d -1 and 600 mg · kg-1 · 3d-1 respectively. Five patients with Paragonimus skrjabini were treated, with Triclabendazole dosage of 10 mg/kg bid x3 days.Results The worm reduction rates were 50. 3%, 80. 8% and 86. 7% respectively one month after completion of treatment. Dead worms of sesame size recovered from muscles, liver, abdominal cavity, chest cavity and lung were greatly diminished in size and weight in comparison with that of the control group. Many large (about 1 cm) black-colored distended worm cysts were found in the lungs of the control rats. Usually there were two adult worms pairs with numerous eggs in each worm cyst. Most worm cysts in the treated groups of rats were changed into hemorrhagic-necrotic patches. All five patients were cured.Conclusion Triclabendazole was highly active against Paragonimus skrjabini in rats experimentally infected and patients.

关 键 词：Paragonimus skrjabini ·triclabendazole praziquantel HELMINTHIC larva migrans 

分 类 号：R532.2[医药卫生—内科学]