Ngampolo I, Billhot M, Niang A, Epaud C, Riviere F, Le Floch H, Vaylet F, Milleron B, Margery J
Service de pneumologie, hôpital d'instruction des armées Percy, Clamart, France.
Rev Pneumol Clin. 2010 Oct;66(5):326-9. doi: 10.1016/j.pneumo.2010.07.006. Epub 2010 Sep 6.
We report on the case of a Senegalese woman who was hospitalised in Paris for dyspnea on exertion, revealing pulmonary fibrosis and arterial hypertension. With no evident etiology of this fibrosis, a surgical pulmonary biopsy was performed and revealed granulomatosis due to schistosomiasis. Diagnosis of chronic pulmonary schistosomiasis was obtained. The manifestations of the chronic pulmonary schistosomiasis include miliary and pulmonary arterial hypertension. Certain forms can lead to fibrosis as our case study illustrates and pose diagnostic problems outside parasitic endemic areas. Beside cases of acute schistosomiasis observed in tourists, the possibility of chronic forms of the disease in migrant originating from endemic areas should be recognised in industrialised countries.
我们报告了一名塞内加尔女性的病例，她因劳力性呼吸困难在巴黎住院，检查发现患有肺纤维化和动脉高血压。由于该纤维化没有明显病因，遂进行了外科肺活检，结果显示为血吸虫病所致的肉芽肿病。由此确诊为慢性肺血吸虫病。慢性肺血吸虫病的表现包括粟粒样病变和肺动脉高压。正如我们的病例研究所示，某些类型可导致纤维化，并在非寄生虫流行地区引发诊断问题。除了在游客中观察到的急性血吸虫病病例外，在工业化国家，也应认识到来自流行地区的移民中存在慢性血吸虫病的可能性。
