脑包虫病，一种儿科疾病：两例报告及一例成功的五年随访

Cerebral echinococcosis, a pediatric disease: report of two cases with one successful five-year follow-up.

作者信息

Pearl M, Kotsilimobos D G, Lehrer H Z, Rao A H, Fink H, Zaiman H

出版信息

Pediatrics. 1978 Jun;61(6):915-20.

Abstract

Two cases of cerebral echinococcosis in children emphasize the need to consider the Echinococcus in the differential diagnosis of children with CNS signs and symptoms. One patient died because of delay in seeking medical attention. The other is now a 22-year-old college student with no evidence of recurrence more than five years after removal of Echinococcus cysts from both brain and liver. The newer modalities available for diagnosis are discussed. Therapy with mebendazole is reviewed; this relatively new, highly effective anthelmintic is well tolerated and has been apparently highly effective in a small number of cases.

摘要

两例儿童脑包虫病病例强调了在对有中枢神经系统体征和症状的儿童进行鉴别诊断时需考虑包虫病。一名患者因就医延迟而死亡。另一名患者现为一名22岁的大学生，在从脑和肝脏中摘除包虫囊肿五年多后，没有复发迹象。文中讨论了现有的新型诊断方法。回顾了甲苯达唑的治疗情况；这种相对较新的高效驱虫药耐受性良好，且在少数病例中显然效果显著。