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巴西首例阔节裂头绦虫确诊病例。

The first confirmed case of Diphyllobothrium latum in Brazil.

作者信息

Santos F L N, de Faro L B

机构信息

Centro de Pesquisa Gonçalo Moniz, Fiocruz, Salvador, BA, Brasil.

出版信息

Mem Inst Oswaldo Cruz. 2005 Oct;100(6):585-6. doi: 10.1590/s0074-02762005000600013. Epub 2005 Nov 8.

Abstract

Diphyllobothriasis is an infection of the small intestine by the broad tapeworm Diphyllobothrium sp. The associated symptomatology is nonspecific, but megaloblastic anemia is a well-described complication. Although the infection is common in temperate regions, descriptions in South America have so far been limited to Chile, Peru, and a few cases in Argentina. This paper presents the first confirmed Brazilian case of diphyllobothriasis. A 29-years-old woman living in Salvador (state of Bahia) apparently acquired the infection from eating sushi. The diagnosis was based on fecal examination that revealed a large quantity of operculated eggs. A single dose of praziquantel (600 mg) was sufficient to cure the infection.

摘要

阔节裂头绦虫病是由阔节裂头绦虫属的阔节裂头绦虫感染小肠所致。相关症状不具有特异性,但巨幼细胞贫血是一种广为人知的并发症。尽管这种感染在温带地区很常见,但到目前为止,南美洲的相关描述仅限于智利、秘鲁以及阿根廷的少数病例。本文介绍了巴西首例确诊的阔节裂头绦虫病病例。一名居住在萨尔瓦多(巴伊亚州)的29岁女性显然是因食用寿司而感染。诊断依据是粪便检查发现大量有盖虫卵。单剂量吡喹酮(600毫克)足以治愈该感染。

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