Veloso M G, Faria M C, de Freitas J D, Moraes M A, Gorini D F, de Mendonça J L
Hospital de Base do D.F., Brasilia.
Rev Inst Med Trop Sao Paulo. 1992 Nov-Dec;34(6):587-91. doi: 10.1590/s0036-46651992000600014.
Three new cases of human infection with Lagochilascaris minor are reported. All the patients were from the state of Pará (Brazil), living in rural areas or close to the forest. They were admitted to hospitals in the Federal District due to the presence of abscesses in the region of the neck, ear, mastoid process and, in two of them, to the involvement also of the central nervous system. Microscopic examination of tissue samples taken from the lesions showed sections of eggs and worms--in different evolutive stages--identified as Lagochilascaris minor. Larvae and adult worms obtained from existing fistulae proved also to be of the same species. The three patients were treated with anthelmintic drugs and surgical excision of the lesions, with good clinical results. In two of them, however, relapsing occurred, suggesting that the drugs do not destroy the worm eggs, in spite of the apparent healing of the lesions.
报告了3例新的人体感染微小唇蛔虫病例。所有患者均来自巴西帕拉州,居住在农村地区或靠近森林的地方。他们因颈部、耳部、乳突区域出现脓肿而被送往联邦区的医院,其中2例还累及中枢神经系统。对从病变部位采集的组织样本进行显微镜检查,发现了处于不同发育阶段的虫卵和虫体切片,鉴定为微小唇蛔虫。从现有瘘管中获取的幼虫和成虫也证实为同一物种。这3例患者接受了驱虫药物治疗和病变部位的手术切除,临床效果良好。然而,其中2例出现复发,这表明尽管病变部位明显愈合,但药物并未破坏蛔虫卵。