Tumol'skaia N I, Glazunova T I, Dobzhanskiĭ N V, Sushurov E B, Stankov D S
Med Parazitol (Mosk). 2002 Oct-Dec(4):44-6.
A case of a patient resident from Tuva who had cerebral cysticercosis is presented. The diagnosis was established on the basis of the available clinical symptoms, brain RCT and NMRI findings and a positive serological reaction (enzyme immunoassay) with C. cellulosus antigen. The patient received 2 courses of treatment with the Russian drug azinox (praziquantel) in a daily dose of 50 mg/kg body weight thrice before meal. Prednisolone was additionally given in a daily dose of 30 mg. The course of treatment was 14 days. The first treatment days were marked by worse headache. Thereafter treatment induced no complications. Better condition, less headache, lower serological reaction titers, regressed cerebral structural changes were observed after the treatment. RCT and NMRI revealed transformation of cysts to high-density foci and calcificates.
本文介绍了一例来自图瓦的脑囊尾蚴病患者。根据现有的临床症状、脑部CT和核磁共振成像结果以及针对猪囊尾蚴抗原的阳性血清学反应(酶免疫测定)做出诊断。患者接受了2个疗程的俄罗斯药物azinox(吡喹酮)治疗,每日剂量为50mg/kg体重,饭前服用三次。另外还给予泼尼松龙,每日剂量为30mg。治疗疗程为14天。治疗的头几天头痛加剧。此后治疗未引发并发症。治疗后患者状况好转,头痛减轻,血清学反应滴度降低,脑部结构变化消退。CT和核磁共振成像显示囊肿转变为高密度病灶和钙化灶。