Clinical Research Institute of Hydatid Disease, Qinghai Provincial People's Hospital, Xining 810007, China.
State Key Laboratory of Plateau Ecology and Agriculture, Qinghai University, Qinghai Academy of Animal Sciences and Veterinary Medicine, Qinghai University, Xining 810016, China.
Korean J Parasitol. 2021 Jun;59(3):311-317. doi: 10.3347/kjp.2021.59.3.311. Epub 2021 Jun 21.
The present study reports a rare case of Taenia saginata infection, which was initially diagnosed as acute cholecystitis in a Tibetan patient at the Qinghai-Tibetan Plateau pastoral area, China. A 45-year-old female was initially diagnosed with acute cholecystitis at a hospital in China. She had a slight fever, weight loss and constipation and complained of pain in the upper abdomen and left back areas. Increase of monocyte, eosinophil and basophil levels were shown. Taenia sp. eggs were detected in a fecal examination. An adult tapeworm approximately 146 cm in length, whitish-yellow color, was collected from the patient after treatment with traditional Chinese medicine. The adult tapeworm had a scolex and proglottids with genital pores. The scolex was rectangular shape with 4 suckers and rostellum without hooklet. The cox1 gene sequence shared 99.5-99.8% homology with that of T. saginata from other regions in China. The patient was diagnosed finally infected with T. saginata by morphological and molecular charateristics.
本研究报告了一例罕见的囊尾蚴感染病例，该病例最初被诊断为中国青海高原牧区的一名藏族患者的急性胆囊炎。一名 45 岁女性最初在中国的一家医院被诊断为急性胆囊炎。她有轻微的发热、体重减轻和便秘，并主诉上腹部和左背部疼痛。单核细胞、嗜酸性粒细胞和嗜碱性粒细胞水平升高。粪便检查发现了带绦虫卵。在接受中药治疗后，从患者体内取出一条长约 146 厘米、呈灰白色的成虫，成虫有头节和节片，有生殖孔。头节呈长方形，有 4 个吸盘和没有小钩的顶突。COX1 基因序列与来自中国其他地区的囊尾蚴的同源性为 99.5-99.8%。根据形态学和分子特征，最终诊断该患者感染了囊尾蚴。
