Liu Luyao, Ji Yuanhao, Feng Lanlan, Wang Tao, Li Xiaoning, Yang Jinsun
Department of Infectious Diseases, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, 241001, People's Republic of China.
Department of Clinical Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, 241001, People's Republic of China.
Infect Drug Resist. 2025 Jul 11;18:3449-3458. doi: 10.2147/IDR.S534848. eCollection 2025.
Despite the decreasing prevalence of parasitic infections, infection remains a clinical concern in endemic regions. Humans acquire this infection by consuming raw or undercooked beef containing cysticerci. This study presents a case of infection, reviews relevant literature, and underscores the importance of clinical awareness.
We report the case of a 24-year-old female with diarrhea and white nodules in stool, with a history of travel to a -endemic region. The patient was successfully treated with traditional Chinese deworming therapy comprising pumpkin seeds and betel nuts, resulting in complete symptom resolution. Diagnosis was confirmed by morphological examination of expelled tapeworms, histological staining of proglottids, and molecular analysis.
A PubMed search for "" identified 92 articles, of which 8 with comprehensive clinical data were included. Eleven cases, including the present one, were analyzed for clinical presentation, treatment, and outcomes. Among the 11 patients, 10 had a history of consuming raw or undercooked beef. Primary symptoms included diarrhea, abdominal pain, and vomiting. When affected the biliary system or duodenal papilla, patients had elevated ALT, AST, ALP, and TBL levels, with severe complications like gallbladder perforation requiring surgery. Treatment options included praziquantel, clonidine, albendazole, and traditional Chinese medicine, showing favorable efficacy. Surgery was required in severe cases with positive outcomes.
This study suggests infection should be considered in differential diagnosis of patients with diarrhea and relevant travel history. When parasitizing the intestinal or biliary tract, it can induce corresponding symptoms. The patient responded well to appropriate medical treatment, including traditional Chinese medicine, with favorable outcomes. Surgical intervention was performed when necessary.
尽管寄生虫感染的患病率在下降，但在流行地区，感染仍是一个临床关注的问题。人类通过食用含有囊尾蚴的生牛肉或未煮熟的牛肉而感染这种疾病。本研究报告了一例感染病例，回顾了相关文献，并强调了临床意识的重要性。
我们报告了一例24岁女性病例，该患者有腹泻和粪便中有白色结节的症状，有前往某流行地区的旅行史。患者接受了由南瓜籽和槟榔组成的传统中药驱虫治疗，症状完全缓解。通过对排出的绦虫进行形态学检查、对节片进行组织学染色以及分子分析确诊。
在PubMed上搜索“[疾病名称]”，共识别出92篇文章，其中8篇包含全面的临床数据。包括本病例在内的11例病例被分析了临床表现、治疗方法和治疗结果。在这11例患者中，10例有食用生牛肉或未煮熟牛肉的历史。主要症状包括腹泻、腹痛和呕吐。当[疾病名称]影响胆道系统或十二指肠乳头时，患者的谷丙转氨酶（ALT）、谷草转氨酶（AST）、碱性磷酸酶（ALP）和总胆红素（TBL）水平升高，严重并发症如胆囊穿孔需要手术治疗。治疗选择包括吡喹酮、可乐定、阿苯达唑和传统中药，疗效良好。严重病例需要手术治疗，效果良好。
本研究表明，对于有腹泻和相关旅行史的患者，在鉴别诊断时应考虑[疾病名称]感染。当它寄生在肠道或胆道时，可诱发相应症状。患者对包括传统中药在内的适当治疗反应良好，预后良好。必要时进行手术干预。
