Li Tiaoying, Craig Philip S, Ito Akira, Chen Xingwang, Qiu Dongchuan, Qiu Jiamin, Sato Marcello O, Wandra Toni, Bradshaw Helen, Li Li, Yang Yun, Wang Qian
Sichuan Centers for Disease Control and Prevention, 6 Middle School Road, Chengdu 610041, Sichuan Province, People's Republic of China.
Acta Trop. 2006 Dec;100(3):223-31. doi: 10.1016/j.actatropica.2006.11.003. Epub 2006 Dec 12.
The results of a preliminary survey of taeniasis/cysticercosis in Yajiang County, Ganze Tibetan Prefecture in southwest Sichuan Province, China, indicated a very high prevalence of taeniasis (22.5%), with Taenia saginata as the dominant species. There was also a significant occurrence of late-onset epilepsy (8.5% prevalence and 16.4% seropositive for Taenia solium antibodies) attributable in large part to probable neurocysticercosis caused by T. solium. The poor sanitation and hygiene in this Tibetan community likely contributed to a high risk of human cysticercosis despite a low level of T. solium taeniasis (actually no T. solium carriers were detected amongst the 21 proven Taenia carriers). In addition, three taeniasis cases were confirmed by DNA genotyping as Taenia asiatica, which is the first report of this tapeworm in Tibetans, the first report for Sichuan Province and only the third report for mainland China.
对中国四川省西南部甘孜藏族自治州雅江县的绦虫病/囊尾蚴病进行的初步调查结果显示,绦虫病患病率极高(22.5%),其中牛带绦虫为主要虫种。迟发性癫痫的发生率也很高(患病率为8.5%,猪带绦虫抗体血清阳性率为16.4%),这在很大程度上可能归因于猪带绦虫引起的神经囊尾蚴病。尽管猪带绦虫病的发病率较低(在21例已证实的绦虫携带者中实际上未检测到猪带绦虫携带者),但这个藏族社区的环境卫生和个人卫生状况较差,可能导致人类囊尾蚴病的高风险。此外,通过DNA基因分型确诊了3例亚洲带绦虫病病例,这是该绦虫在藏族人群中的首次报告,是四川省的首次报告以及中国大陆的第三次报告。