Auer H, Aspöck H, Picher O, Ploier R, Tulzer W
Wien Klin Wochenschr. 1981 May 29;93(11):360-6.
Two cases of human fascioliasis in Austria (a 3-year-old boy and a 4-year-ond girl) are reported. A description is given of the clinical picture and the diagnostic procedures employed in the two cases. The importance of the serodiagnosis of fascioliasis is demonstrated, especially in the case of liver flukes; 4 different serological tests, partly of high sensitivity, were performed. After unsuccessful therapy with Resochin both children were treated with dehydroemetine; after a 4-week interval during which no eggs of Fasciola were found in several stool samples from either child, ova were yet again detected in the faces of the boy. The problems concerning the chemotherapy of fascioliasis are discussed.
报告了奥地利的两例人体片形吸虫病病例(一名3岁男孩和一名4岁女孩)。描述了这两个病例的临床表现和所采用的诊断程序。证明了片形吸虫病血清诊断的重要性,尤其是在肝吸虫病的情况下;进行了4种不同的血清学检测,部分检测具有高灵敏度。在用氯喹治疗无效后,两个孩子均接受了去氢依米丁治疗;在间隔4周期间,两个孩子的多次粪便样本中均未发现片形吸虫卵,但在男孩的粪便中再次检测到了虫卵。讨论了片形吸虫病化疗方面的问题。