Sookasam M, Reichart P A
Department of Oral Pathology, Faculty of Dentistry, Chiang Mai University, Thailand.
Int J Oral Maxillofac Surg. 1992 Jun;21(3):176-7. doi: 10.1016/s0901-5027(05)80789-1.
Two cases of facial gnathostomiasis in female Thai patients are described. Gnathostomiasis is caused by a roundworm, Gnathostoma spinigerum. In both patients the disease was characterised by intermittent and migratory swelling of the face. At present no effective therapy is available. Surgical removal of the parasite would be a curative treatment; it is however, rarely successful due to the parasite moving relatively rapidly within the soft tissues. The disease can be prevented by avoiding undercooked meat including fish. In endemic areas such as Southeast Asia, gnathostomiasis must be considered in cases of oro-facial swelling of otherwise unknown cause.
本文描述了两例泰国女性面部颚口线虫病病例。颚口线虫病由一种蛔虫——棘颚口线虫引起。两名患者的疾病均表现为面部间歇性、游走性肿胀。目前尚无有效的治疗方法。手术摘除寄生虫是一种治愈性疗法；然而，由于寄生虫在软组织内移动相对较快，这种方法很少成功。避免食用包括鱼类在内的未煮熟肉类可预防该病。在东南亚等流行地区，对于原因不明的口面部肿胀病例，必须考虑颚口线虫病。
