Ohtomo H, Hioki A, Ito A, Kajita K, Ishizuka T, Okuyama M, Miura K, Kagei N, Hayashi S
Jpn J Antibiot. 1983 Mar;36(3):632-7.
Mesocestoides tapeworm is a common cestode in carnivorous mammals, but human infection with the tapeworm of this genus have been infrequent. We have recently observed the 13th case of human infection with Mesocestoides lineatus in Japan. A 35-year-old man living in Gifu prefecture was admitted to our University Hospital with chief complaints of general fatigue and discharge of cestode segments in his stool. The patient gave a history of drinking blood and eating the raw liver of a snake Agkistrodon halys for medicinal purposes as same as the previous cases of all reported in Japan. The segments were identified as those of M. lineatus. He was treated orally 3 g of paromomycin sulfate. Stool examination after treatment with paromomycin sulfate revealed no evidence of parasitism. The present case may be the 2nd to have been successfully treated with paramomycin sulfate and the 21st case of Mesocestoides tapeworm infection in man described in the literature.
中殖孔绦虫是肉食性哺乳动物中常见的绦虫，但人类感染该属绦虫的情况并不常见。我们最近在日本观察到第13例人体感染线状中殖孔绦虫的病例。一名居住在岐阜县的35岁男子因全身乏力和粪便中排出绦虫节片为主诉症状入住我校医院。该患者有饮蛇血和食用蝮蛇生肝脏用于药用的病史，与日本此前报道的所有病例相同。这些节片被鉴定为线状中殖孔绦虫的节片。他口服了3克硫酸巴龙霉素进行治疗。硫酸巴龙霉素治疗后粪便检查未发现寄生虫感染迹象。本病例可能是第二例成功用硫酸巴龙霉素治疗的病例，也是文献中描述的第21例人体中殖孔绦虫感染病例。
