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[泌尿血吸虫病:关于一例病例的评论]

[Urinary schistosomiasis: remarks on a case].

作者信息

Scarlata F, Giordano S, Romano A, Marasa L, Lipani G, Infurnari L, Titone L

机构信息

Istituto di Patologia Infettiva e Virologia-Universita di Palermo, Palermo, Italy.

出版信息

Infez Med. 2005 Dec;13(4):259-64.

Abstract

Urinary tract schistosomiasis is a parasitic disease caused by S. haematobium with a wide range of clinical manifestations related to the mucosal and submucosal granulomatous lesions of the bladder. It affects about 80 million people in Africa, Middle-East and India, while in Italy it is rarely seen among immigrants from endemic areas and returning travellers. The authors describe a case occurred in a 26 years old man, recently emigrated from a rural area of Ghana. He had the symptoms of a haemorrhagic cystitis. Cystoscopy and biopsy showed granulomatous lesions of bladder with calcified eggs. Microscopic examination of urine was positive for Schistosoma haematobium eggs. The therapy with Praziquantel (40 mg/Kg una tantum) was effective. The authors emphasized the risk of introduction of schistosomiasis in some regions of our country, in consideration of the presence of the intermediate host as well as of an appropriate climate.

摘要

尿路血吸虫病是一种由埃及血吸虫引起的寄生虫病,有一系列与膀胱黏膜和黏膜下肉芽肿性病变相关的临床表现。它在非洲、中东和印度影响约8000万人,而在意大利,在来自流行地区的移民和回国旅行者中很少见。作者描述了一例发生在一名26岁男性身上的病例,该男性最近从加纳农村地区移民而来。他有出血性膀胱炎的症状。膀胱镜检查和活检显示膀胱有肉芽肿性病变及钙化虫卵。尿液显微镜检查发现埃及血吸虫卵呈阳性。吡喹酮(40mg/kg单次服用)治疗有效。作者强调,鉴于我国某些地区存在中间宿主以及适宜的气候,存在引入血吸虫病的风险。

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