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中国一名15岁晚期日本血吸虫病男孩的经验教训:病例报告

Lessons from a 15-year-old boy with advanced schistosomiasis japonica in China: a case report.

作者信息

Song Langui, Wu Xiaoying, Ning An, Wu Zhongdao

机构信息

Department of Parasitology of Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, 510080, China.

Key Laboratory of Tropical Disease Control (SYSU), Ministry of Education, Guangzhou, 510080, China.

出版信息

Parasitol Res. 2017 Jul;116(7):1787-1791. doi: 10.1007/s00436-017-5473-3. Epub 2017 May 16.

Abstract

Schistosomiasis is a chronic, parasitic disease caused by flukes (trematodes) of the genus Schistosoma, which presents the most important global burden of the 17 neglected tropical diseases listed by the World Health Organization. China has made great achievements in schistosomiasis control, and now China is planning to move forward, to eliminate schistosomiasis within 2020, but the fact cannot be denied that the possibility of schistosome infection is still there in some endemic due to its zoonotic nature as well as wide distribution of its intermediate hosts (snails). Thus, how to interrupt the transmission in areas with distribution of schistosomes and intermediate snails becomes a very serious challenge that China is facing. In this paper, it is reported an advanced schistosomiasis japonica case of a 15-year-old boy which is extremely rare in the current schistosomiasis control in China. Thus, it is supposed to strengthen health education of school children and to train professional physicians of local hospitals.

摘要

血吸虫病是一种由血吸虫属吸虫(吸虫纲)引起的慢性寄生虫病,是世界卫生组织列出的17种被忽视的热带病中全球负担最为严重的疾病。中国在血吸虫病防治方面取得了巨大成就,目前正计划进一步努力,在2020年内消除血吸虫病,但不可否认的是,由于血吸虫病的人畜共患性质以及中间宿主(钉螺)分布广泛,在一些流行地区仍存在血吸虫感染的可能性。因此,如何在有血吸虫和中间钉螺分布的地区阻断传播,成为中国面临的一项非常严峻的挑战。本文报道了一名15岁男孩的晚期日本血吸虫病病例,这在当前中国血吸虫病防治中极为罕见。因此,应加强在校学生的健康教育,并培训当地医院的专业医生。

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