Department of Respiratory Medicine, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.
J Thorac Dis. 2014 Jun;6(6):E120-4. doi: 10.3978/j.issn.2072-1439.2014.06.07.
Sparganosis mansoni is a parasitic disease caused by the larva of Spirometra mansoni. It occurs worldwide, but only a few patients show pulmonary involvement. Here, we present a case of pulmonary sparganosis mansoni in a non-endemic region. A 32-year-old Chinese woman presented with intermittent bloody phlegm, peripheral blood eosinophilia, and migratory patch shadows in both lungs. She had been misdiagnosed with eosinophilic pneumonia. She had a history of eating raw frogs, and the sparganum mansoni antibody was positive in both her blood and bronchoalveolar lavage fluid. Several sparganum mansoni were found in a frog sample that the patient provided. Consequently, she was diagnosed with pulmonary sparganosis mansoni. After two oral courses of praziquantel were administered, her symptoms and radiological lesions improved significantly. To our knowledge, this is the first case of pulmonary sparganosis mansoni occuring in Shanghai. Oral praziquantel is effective for the treatment of sparganosis mansoni, although its course of therapy may need to be repeated.
曼氏裂头蚴病是由曼氏迭宫绦虫幼虫引起的寄生虫病。它发生在世界各地，但只有少数患者出现肺部受累。在这里，我们报告了一个非流行地区的肺曼氏裂头蚴病病例。一名 32 岁的中国女性出现间歇性咯血、外周血嗜酸性粒细胞增多和双肺游走性斑片状阴影。她曾被误诊为嗜酸性粒细胞性肺炎。她有吃生青蛙的病史，其血液和支气管肺泡灌洗液中的曼氏裂头蚴抗体均为阳性。在患者提供的青蛙样本中发现了几条曼氏裂头蚴。因此，她被诊断为肺曼氏裂头蚴病。口服吡喹酮两个疗程后，她的症状和影像学病变明显改善。据我们所知，这是首例在上海发生的肺曼氏裂头蚴病。口服吡喹酮治疗曼氏裂头蚴病有效，尽管其疗程可能需要重复。
