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[阿苯达唑所致肝毒性:棘球蚴病治疗的安全替代方案]

[Hepatotoxicity due to albendazole: safe alternatives for echinococcosis therapy].

作者信息

Muana Wilhelm Laura, Bachmann Joschka, Cornberg Markus, Wedemeyer Heiner, Heinrich Bernd

机构信息

Klinik für Gastroenterologie, Hepatologie, Infektiologie und Endokrinologie, Medizinische Hochschule Hannover (MHH), OE 6810, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

出版信息

Inn Med (Heidelb). 2025 Feb;66(2):231-235. doi: 10.1007/s00108-024-01796-y. Epub 2024 Sep 23.

DOI:10.1007/s00108-024-01796-y
PMID:39313604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11799110/
Abstract

Infection with Echinococcus multilocularis leads to the clinical manifestation of alveolar echinococcosis. This is characterized by the formation of alveolar liver tumours, which usually disintegrate necrotically in the course of the disease. Pseudocysts are formed. Especially in the early stages, curative resection followed by long-term treatment with albendazole is recommended. However, the majority of patients are not amenable to curative surgery. In these cases, albendazole therapy is the first-choice treatment. We present a rare case of albendazole-associated hepatitis in a patient with inoperable Echinococcus multilocularis infection, with a favourable outcome following a change in treatment to mebendazole.

摘要

多房棘球绦虫感染会导致泡型棘球蚴病的临床表现。其特征为形成肺泡性肝肿瘤,在疾病过程中这些肿瘤通常会发生坏死崩解,形成假囊肿。特别是在疾病早期,建议进行根治性切除,随后长期使用阿苯达唑治疗。然而,大多数患者不适合进行根治性手术。在这些情况下,阿苯达唑治疗是首选治疗方法。我们报告了一例罕见的阿苯达唑相关性肝炎病例,该患者患有无法手术的多房棘球绦虫感染,在改用甲苯达唑治疗后取得了良好的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e76/11799110/77cace68dc10/108_2024_1796_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e76/11799110/93fb68991920/108_2024_1796_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e76/11799110/4d90bef452a6/108_2024_1796_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e76/11799110/77cace68dc10/108_2024_1796_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e76/11799110/93fb68991920/108_2024_1796_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e76/11799110/4d90bef452a6/108_2024_1796_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e76/11799110/77cace68dc10/108_2024_1796_Fig3_HTML.jpg

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本文引用的文献

1
Observed or Predicted Albendazole Hepatotoxicity as an Indication for a Resection Procedure in Hepatic Hydatid Disease - A Short Series of Cases.观察到或预测到的阿苯达唑肝毒性作为肝包虫病切除手术的指征——一组简短病例系列
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肺泡型棘球蚴病的综合诊断与治疗:德国312例患者的单中心长期观察研究
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WHO classification of alveolar echinococcosis: principles and application.世界卫生组织肺泡型棘球蚴病分类:原则与应用
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Chemotherapy of alveolar echinococcosis. Comparison of plasma mebendazole concentrations in animals and man.泡型包虫病的化疗。动物与人血浆中甲苯达唑浓度的比较。
Eur J Clin Pharmacol. 1981;20(6):427-33. doi: 10.1007/BF00542095.