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[一个家族中的四个包虫囊肿:家族筛查有必要吗?]

[Four Hydatid Cysts in One Family: Is Family Screening Necessary?].

作者信息

Karadağlı Eda, Gürses Dolunay, Akpınar Funda, Herek Özkan, Birsen Onur, Aydın Çağatay

机构信息

Pamukkale Üniversitesi Tıp Fakültesi, Pediatri Bölümü, Denizli, Türkiye.

出版信息

Turkiye Parazitol Derg. 2015 Dec;39(4):319-22. doi: 10.5152/tpd.2015.4318.

Abstract

Hydatid cyst is a parasitic infection mostly caused by Echinococcus granulosus. As transmission occurs from infected dogs, it is endemic in animal husbandry regions. Here four patients within the same family are presented. The first patient is a 10 year-old girl admitted with nausea, vomiting, and fever. On her physical examination, there were decreased respiratory sounds in the right lung, rales, and hepatomegaly. In the radiological examination, cysts were seen in both her lung and liver. After the confirmation of the diagnosis with a serological examination, surgical resection was performed, and albendazole treatment was given. On family screening, cysts were detected in the liver and spleen in her asymptomatic 6-year-old brother; in the lung, liver, spleen, and right kidney in her 33-year-old mother who had repeating abdominal pain; and in the liver and left kidney in her 33-year-old asymptomatic father. Hydatid cyst infection was serologically confirmed in all patients, and they were given albendazole and were surgically treated. In this case report, four patients in the same family and diagnosed as having hydatid cysts were presented. It was emphasized that once a hydatid cyst was diagnosed, family screening became important, in endemic regions in particular.

摘要

包虫囊肿是一种主要由细粒棘球绦虫引起的寄生虫感染。由于其传播途径是通过感染的犬类,在畜牧地区呈地方性流行。本文介绍了来自同一家庭的四名患者。第一名患者是一名10岁女孩,因恶心、呕吐和发热入院。体格检查发现,她右肺呼吸音减弱、有啰音,且肝脏肿大。影像学检查显示,她的肺部和肝脏均有囊肿。经血清学检查确诊后,进行了手术切除,并给予阿苯达唑治疗。在家庭筛查中,发现她6岁无症状的弟弟肝脏和脾脏有囊肿;她33岁反复腹痛的母亲肺部、肝脏、脾脏和右肾有囊肿;她33岁无症状的父亲肝脏和左肾有囊肿。所有患者均经血清学确诊为包虫囊肿感染,并给予阿苯达唑治疗及手术治疗。在本病例报告中,介绍了同一家庭中四名被诊断为患有包虫囊肿的患者。强调一旦诊断出包虫囊肿,家庭筛查就变得很重要,尤其是在地方性流行地区。

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