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尼日利亚贝努埃州(中西部)的串珠带绦虫(在奥奇附近的阿约吉里村进行的一项村庄研究,距离贝宁城120公里)第一阶段

Armillifer armillatus in Bendel State (Midwest) Nigeria (a village study in Ayogwiri Village, near Auchi, 120 kilometres from Benin City) phase I.

作者信息

Azinge N O, Ogidi-Gbegbaje E G, Osunde J A, Oduah D

出版信息

J Trop Med Hyg. 1978 May;81(5):76-9.

PMID:566329
Abstract

Armillifer armillatus (Porocephalosis or tongue worm Disease) in Ayogwiri Village (near Auchi) 120 kilometres from Benin City in Bendel State (Midwest) Nigeria, first detected by us in 1975, was studied. It was first detected incidentally by X-ray which is usual. Confirmation of the diagnosis was made by the radiologist at Benin City Hospital. The focus of this infection was studied by "contact tracing" of the household of the subject. Initially the diagnosis was Miliary Tuberculosis and subsequently multiple calcified nymphs of Armillifer armillatus. Phase one of this study consisted of X-ray of the chest, abdomen and thighs, as well as a history and examination of all ten members of the household. Forty per cent had evidence of calcified nymphs, a finding hitherto regarded as incidental by radiologists. Unlike Paragonomiasis in Eastern Nigeria, the above disease is endemic, largely symptomless, and occurs in snake eating rather than in crab eating communities. There was no increase in snake consumption. Porocephalosis in this part of Nigeria is being reported for the first time. No case of Paragonomiasis has yet been found by us in this area despite a constant search for it since 1972 by sputum examination of all cases of haemoptysis as well as Radiologically in a hospital with a large Pulmonary TB Department where both diseases may occur.

摘要

对在尼日利亚中西部本德尔州贝宁城120公里处的阿约吉里村(靠近奥奇)发现的串珠状带形虫(孔头虫病或舌虫病)进行了研究,我们于1975年首次检测到这种疾病。它最初是通过常规的X光偶然发现的。贝宁城医院的放射科医生对诊断进行了确认。通过对该患者家庭进行“接触追踪”来研究这种感染的源头。最初诊断为粟粒性肺结核,后来发现是串珠状带形虫的多个钙化若虫。这项研究的第一阶段包括对胸部、腹部和大腿进行X光检查,以及对该家庭的所有十名成员进行病史询问和检查。40%的人有钙化若虫的迹象,放射科医生迄今一直认为这一发现是偶然的。与尼日利亚东部的并殖吸虫病不同,上述疾病是地方性疾病,大多无症状,发生在食蛇而非食蟹的社区。蛇的消费量没有增加。尼日利亚这一地区的孔头虫病是首次报告。自1972年以来,我们对所有咯血病例进行痰检,并在设有大型肺结核科的医院进行放射学检查,以期发现并殖吸虫病,但尽管一直在寻找,在该地区尚未发现任何并殖吸虫病病例,因为这两种疾病都可能在该医院发生。

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