Li Dong Ming, Chen Xue Rong, Zhou Jing Song, Xu Zhi Biao, Nawa Yukifumi, Dekumyoy Paron
Department of Dermatology, Peking University Third Hospital, Haidian District, Beijing, People's Republic of China.
Am J Trop Med Hyg. 2009 Feb;80(2):185-7.
A 59-year-old woman sought treatment of for creeping eruption and erythematous plaques associated with high fever and systemic symptoms. She had a history of eating undercooked freshwater fish raised in Beijing 10 days before admission and reported no travel during the previous year. Blood examination showed eosinophila and ultrasonography detected multiple hypoechoic areas in the liver and spleen. Western blot test detected specific antibodies to the larvae of Gnathostoma spinigerum. Cutaneous and visceral larva migrations associated with G. spinigerum were diagnosed. Twenty-three cases in 12 provinces have been reported in the Chinese literature but none have been reported in English.
一名59岁女性因匐行疹和红斑性斑块伴高热及全身症状前来就诊。她在入院前10天有食用北京养殖的未煮熟淡水鱼史,且报告前一年无旅行史。血液检查显示嗜酸性粒细胞增多,超声检查在肝脏和脾脏发现多个低回声区。蛋白质印迹试验检测到针对棘颚口线虫幼虫的特异性抗体。诊断为与棘颚口线虫相关的皮肤和内脏幼虫移行症。中国文献报道了12个省份的23例病例,但英文文献中尚无报道。