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6例曼氏裂头蚴脑内感染病例临床分析

[Clinical analysis of 6 cases with cerebral sparganosis mansoni].

作者信息

Chen Xian-Han, Shi Guang-Feng

机构信息

Emergency Department, Ningbo No.1 Hospitol, Ningbo 315010, China.

出版信息

Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2010 Oct 30;28(5):397-8.

Abstract

A retrospective study was carried out to analyze 6 cases of cerebral sparganosis mansoni in Huashan Hospital from August 2005 to August 2009. The epidemiological features, clinical characteristics, therapeutic approaches and outcome of this disease were investigated. Among the patients, 4 cases had a history of eating raw frogs or snakes. 5 showed eosinophilia in peripheral blood, all with positive anti-Sparganum mansoni antibody in serum and cerebrospinal fluid. Cerebral MRI showed placeholder in all patients. Diagnosis was confirmed by pathological examination of operation and species identification. All patients were cured by operation removal and praziquantel treatment.

摘要

进行了一项回顾性研究,以分析2005年8月至2009年8月在华山医院收治的6例曼氏裂头蚴病脑型病例。对该病的流行病学特征、临床特点、治疗方法及转归进行了调查。患者中,4例有食用生蛙或蛇史。5例外周血嗜酸性粒细胞增多,血清及脑脊液中抗曼氏裂头蚴抗体均为阳性。脑部MRI显示所有患者均有占位性病变。通过手术病理检查及虫种鉴定确诊。所有患者经手术摘除及吡喹酮治疗后均治愈。

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