Owatari S, Yukitake M, Sugawara K, Sakai J, Yamamoto H
Department of Respiratory Diseases, Iizuka Hospital, Fukuoka, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1994 May;32(5):476-9.
A 68-year-old woman and her 28-year-old son ate some rare fresh-water crabs (Eriocheir japonicus). The son became ill one month later with pleural effusion. After 10 months the mother's symptoms included cough, hemosputum and a nodular shadow on her chest X-ray. Eosinophilia was present and the Ouchterlony test showed strong bands toward Paragonimus westermani antigen in both patients. They were diagnosed as having Paragonimiasis westermani. The symptoms stopped after Bithionol administration and the bands of the Ouchterlony test also disappeared. The difference in the latent stage and clinical symptoms of these patients, who were infected at the same time, is interesting as it highlights the importance of observing other people who may have been infected with Paragonimus westermani.
一名68岁女性及其28岁儿子食用了一些生的淡水蟹（日本绒螯蟹）。一个月后，儿子患病，出现胸腔积液。10个月后，母亲出现咳嗽、咯血症状，胸部X光显示有结节状阴影。两人均出现嗜酸性粒细胞增多，双向琼脂扩散试验显示他们针对卫氏并殖吸虫抗原均呈现强条带。他们被诊断为感染了卫氏并殖吸虫。服用硫双二氯酚后症状消失，双向琼脂扩散试验的条带也消失了。这两名同时感染的患者在潜伏期和临床症状上的差异很有意思，因为它凸显了观察其他可能感染卫氏并殖吸虫者的重要性。
