湖南省一例包虫病。
A case of echinococcosis in Hunan Province.
机构信息
Department of Parasitology, School of Basic Medical Science, Central South University, Changsha 410013.
Department of General Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2022 Jun 28;47(6):823-828. doi: 10.11817/j.issn.1672-7347.2022.210766.
Echinococcosis is mainly prevalent in the agricultural and pastoral areas in the northwest of China, but it is relatively rare in Hunan Province. Here, we reported the clinical data of a case of echinococcosis in Hunan Province. The patient was an 11-year-old male, who sought treatment at the Second Xiangya Hospital of Central South University due to abdominal mass. According to the symptoms, signs, and laboratory examinations, he was initially diagnosed as "intra-abdominal mass" and "spleen cyst". Subsequently, he underwent abdominal massive occupying resection and splenectomy. Postoperative pathological examination revealed the cuticle and germinal layer of hydatid and protoscolex, which was consistent with characteristics of echinococcosis. In addition, the serological examination showed that the specific anti-hydatid IgG antibody was positive. Combined with the patient's condition, he was given praziquantel treatment. After a month of follow-up, the patient was asymptomatic.
包虫病主要流行于中国西北的农牧区，但在湖南省较为少见。本文报道了湖南省 1 例包虫病的临床资料。患者为 11 岁男性，因腹部包块就诊于中南大学湘雅二医院。根据症状、体征及实验室检查，初步诊断为“腹腔占位”“脾囊肿”。后行腹部巨大占位切除术+脾切除术。术后病理检查见包虫的皮层及生发层、原头节，符合包虫病特征。此外，血清学检查示特异性抗包虫 IgG 抗体阳性。结合患者病情，给予吡喹酮治疗。随访 1 个月后，患者无不适。
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