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活的成年丝虫的舞动是阴囊丝虫感染的可靠迹象。

Dance of live adult filarial worms is a reliable sign of scrotal filarial infection.

作者信息

Chaubal Nitin G, Pradhan Gautam M, Chaubal Jyoti N, Ramani Subhash K

机构信息

Thane Ultrasound Centre, Thane, India.

出版信息

J Ultrasound Med. 2003 Aug;22(8):765-9; quiz 770-2. doi: 10.7863/jum.2003.22.8.765.

DOI:10.7863/jum.2003.22.8.765
PMID:12901402
Abstract

OBJECTIVE

To determine the value of the filarial dance sign as a diagnostic sign of scrotal filarial infection and to recognize unsuspected scrotal filariasis by this sign.

METHODS

Eight symptomatic patients in whom the filarial dance sign was shown on high-resolution ultrasonography were studied, investigated, and followed after treatment with diethylcarbamazine citrate. Two patients underwent fine-needle aspiration.

RESULTS

Multiple foci (nests) of motile (live) filarial worms were observed in most patients. Fine-needle aspiration of the dilated lymphatic vessels in 2 patients confirmed the presence of microfilariae. Five of 8 patients had a favorable response to treatment with diethylcarbamazine citrate.

CONCLUSIONS

High-resolution ultrasonography is a useful technique for diagnosing scrotal filariasis in symptomatic patients and is very useful in the follow-up period for assessing the response of worms to treatment.

摘要

目的

确定丝虫舞动征作为阴囊丝虫感染诊断体征的价值,并通过该体征识别未被怀疑的阴囊丝虫病。

方法

对8例有症状且在高分辨率超声检查中显示丝虫舞动征的患者进行研究、调查,并在接受枸橼酸乙胺嗪治疗后进行随访。2例患者接受了细针穿刺抽吸。

结果

大多数患者观察到多个活动(存活)丝虫的病灶(巢)。2例患者扩张淋巴管的细针穿刺抽吸证实存在微丝蚴。8例患者中有5例对枸橼酸乙胺嗪治疗反应良好。

结论

高分辨率超声检查是诊断有症状患者阴囊丝虫病的有用技术,在随访期间对于评估丝虫对治疗的反应非常有用。

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