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一名居住在东京的日本女性的脊柱棘球蚴病：非流行地区的诊断挑战及公共卫生影响

Spinal Echinococcosis in a Japanese Woman Living in Tokyo: Diagnostic Challenges in Non-endemic Areas and Public Health Implications.

作者信息

Katsuno Takashi, Sugiura Yuriko, Morishita Momoko, Osaki Shuhei, Suzuki Manabu, Takasaki Jin, Iikura Motoyasu, Izumi Shinyu, Hojo Masayuki, Sugiyama Haruhito

机构信息

Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan.

Department of Musculoskeletal Oncology, National Cancer Center Hospital, Japan.

出版信息

Intern Med. 2025 Mar 15;64(6):971-977. doi: 10.2169/internalmedicine.3713-24. Epub 2024 Aug 10.

DOI:10.2169/internalmedicine.3713-24
PMID:39135255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11986315/
Abstract

Echinococcosis, caused by Echinococcus spp., often affects the lungs and liver, and spinal involvement is rare. Echinococcus multilocularis is prevalent in Japan, particularly in Hokkaido. We herein report a rare case of spinal echinococcosis in a 31-year-old woman who was diagnosed in Tokyo. Spinal echinococcosis is uncommon and often leads to misdiagnoses. The patient likely contracted the disease via contaminated fresh produce transported from an endemic region. This study emphasizes the diagnostic challenges of spinal echinococcosis in non-endemic regions and highlights the public health concerns related to the spread of infections in non-endemic areas.

摘要

由棘球绦虫属引起的棘球蚴病常累及肺部和肝脏，累及脊柱的情况罕见。多房棘球绦虫在日本流行，尤其是在北海道。我们在此报告一例罕见的脊柱棘球蚴病病例，患者为一名31岁女性，在东京被诊断出此病。脊柱棘球蚴病并不常见，常导致误诊。患者可能是通过食用从流行地区运来的受污染新鲜农产品而感染此病。本研究强调了非流行地区脊柱棘球蚴病的诊断挑战，并突出了与非流行地区感染传播相关的公共卫生问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/d7135c1a2538/1349-7235-64-0971-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/9713a273473e/1349-7235-64-0971-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/bef06eabd233/1349-7235-64-0971-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/69c74566ddee/1349-7235-64-0971-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/864c456ab08e/1349-7235-64-0971-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/9ffe266ada5f/1349-7235-64-0971-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/82fecc6bd4ab/1349-7235-64-0971-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/d7135c1a2538/1349-7235-64-0971-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/9713a273473e/1349-7235-64-0971-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/bef06eabd233/1349-7235-64-0971-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/69c74566ddee/1349-7235-64-0971-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/864c456ab08e/1349-7235-64-0971-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/9ffe266ada5f/1349-7235-64-0971-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/82fecc6bd4ab/1349-7235-64-0971-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0d/11986315/d7135c1a2538/1349-7235-64-0971-g007.jpg

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