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阿苯达唑治疗肺泡型包虫病:两例患者短期治疗后疗效良好的报告。

Albendazole therapy in alveolar hydatid disease: a report of favorable results in two patients after short-term therapy.

作者信息

Wilson J F, Rausch R L, McMahon B J, Schantz P M, Trujillo D E, O'Gorman M A

出版信息

Am J Trop Med Hyg. 1987 Jul;37(1):162-8. doi: 10.4269/ajtmh.1987.37.162.

DOI:10.4269/ajtmh.1987.37.162
PMID:3605498
Abstract

Albendazole was administered preoperatively to two patients with active alveolar hydatid disease for 58 and 84 days. Vesicles of larval Echinococcus multilocularis obtained from surgical tissues were inoculated into red-backed voles for in vivo testing viability. No proliferation of the larval cestode had occurred when the animals were dissected three months post-inoculation. These findings suggest that short-term therapy with albendazole was effective in killing the larval cestode in these two cases. Albendazole was found to be hepatotoxic but resulting transaminase abnormalities have been reversible. Close monitoring of liver function and hematology is essential in patients under albendazole therapy.

摘要

对两名患有活动性肺泡型包虫病的患者在术前给予阿苯达唑治疗,疗程分别为58天和84天。将从手术组织中获取的多房棘球绦虫幼虫囊泡接种到红背田鼠体内进行活力的体内测试。接种三个月后解剖动物时,未见幼虫绦虫增殖。这些发现表明,在这两例病例中,阿苯达唑短期治疗可有效杀死幼虫绦虫。发现阿苯达唑具有肝毒性,但由此导致的转氨酶异常是可逆的。在接受阿苯达唑治疗的患者中,密切监测肝功能和血液学指标至关重要。

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引用本文的文献

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Abdominal Cystic Echinococcosis Treated with Albendazole. A Pediatric Cohort Study.阿苯达唑治疗小儿腹部囊性棘球蚴病:一项队列研究
PLoS One. 2016 Sep 2;11(9):e0160472. doi: 10.1371/journal.pone.0160472. eCollection 2016.
2
Serological monitoring of progression of alveolar echinococcosis with multiorgan involvement by use of recombinant Em18.用重组 Em18 对多器官受累的泡型包虫病进展进行血清学监测。
J Clin Microbiol. 2009 Oct;47(10):3191-6. doi: 10.1128/JCM.01111-09. Epub 2009 Aug 5.
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Effect of amphotericin B on larval growth of Echinococcus multilocularis.
两性霉素B对多房棘球绦虫幼虫生长的影响。
Antimicrob Agents Chemother. 2003 Feb;47(2):620-5. doi: 10.1128/AAC.47.2.620-625.2003.
4
Diagnosis and treatment of human hydatidosis.人类包虫病的诊断与治疗
Br J Clin Pharmacol. 1993 Jun;35(6):565-74. doi: 10.1111/j.1365-2125.1993.tb04182.x.
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Alveolar hydatid disease. Review of the surgical experience in 42 cases of active disease among Alaskan Eskimos.肺泡型包虫病。阿拉斯加爱斯基摩人42例活动性疾病手术经验回顾。
Ann Surg. 1995 Mar;221(3):315-23. doi: 10.1097/00000658-199503000-00015.
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Effects of Isoprinosine on Echinococcus multilocularis and E. granulosus metacestodes.异丙肌苷对多房棘球绦虫和细粒棘球绦虫幼虫的作用。
Parasitol Res. 1995;81(4):329-33. doi: 10.1007/BF00931540.
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