Basset D, Bazelly B, Fouret P, Roux P, Broquie G, Lancastre F
Med Trop (Mars). 1986 Oct-Dec;46(4):405-8.
The authors report on one case of pulmonary bilharziosis at Schistosoma mansoni observed in a West-Indian female showing an impairing of her general condition with fever and dyspnea. Diagnosis was brought out by a pulmonary biopsy, after thoracotomy. Treatment by praziquantel was remarkably efficient. Scarcity of symptomatic cases and paucity of pulmonary radiological pictures are opposite of the frequency of pathological lesions in this parenchyma. The authors discuss the physiopathology of pulmonary bilharziosis in both their invading phase and state phase, as well as their frequency. They come to the conclusion that both parasitological examination of stools and biopsy of mucous membrane of rectum are simple, reliable and harmless implements of diagnosis.
作者报告了一例在一名西印度女性中观察到的曼氏血吸虫所致的肺血吸虫病病例，该患者出现全身状况受损，伴有发热和呼吸困难。经开胸术后进行肺活检确诊。吡喹酮治疗效果显著。有症状病例的稀缺以及肺部放射影像的缺乏与该实质中病理病变的频率相反。作者讨论了肺血吸虫病在侵入期和静止期的病理生理学以及其发生频率。他们得出结论，粪便寄生虫学检查和直肠黏膜活检都是简单、可靠且无害的诊断方法。
