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[内脏幼虫移行症(人类弓蛔虫病):成人嗜酸性粒细胞增多和内脏肉芽肿的病因]

[Visceral larval migrans (Human toxocariasis) cause of hypereosinophilia and visceral granulomas in adults].

作者信息

Sapunar J, Fardella P

机构信息

Departamento de Medicina, Hospital Clínico, Universidad de Chile.

出版信息

Bol Chil Parasitol. 1999 Jan-Jun;54(1-2):21-4.

Abstract

A 24-year-old woman 2-3 months after a normal parturation presented geophagy. Due to hypermenorrhea she consulted a gynecologist and in a hemogram a 57% (6,893 x mm3) hypereosinophilia was detected. A chest TAC showed bilateral pulmonary nodules. The following tests resulted positive: ELISA IgG for toxocariasis 1:1000, isohemagglutinins anti A 1:2048 and anti B 1:512. The patient was treated with albendazole and prednisone during 10 days. One month after treatment eosinophilia decreased to 2.590 x mm3 and ELISA IgG for toxocariasis descended to 1:128. Different aspects of human toxocariasis are commented. When hypereosinophia is observed in adult patients, toxocariasis must be checked.

摘要

一名24岁女性在正常分娩后2至3个月出现食土癖。由于月经过多,她咨询了妇科医生,血常规检查发现嗜酸性粒细胞增多57%(6893/mm³)。胸部CT显示双侧肺结节。以下检查结果呈阳性:弓蛔虫病ELISA IgG 1:1000、抗A同种血凝素1:2048和抗B 1:512。患者接受了10天的阿苯达唑和泼尼松治疗。治疗一个月后,嗜酸性粒细胞减少至2590/mm³,弓蛔虫病ELISA IgG降至1:128。文中对人类弓蛔虫病的不同方面进行了评论。当成年患者出现嗜酸性粒细胞增多时,必须检查是否患有弓蛔虫病。

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