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[盘尾丝虫——儿童肿块的罕见病因]

[Onchocerca volvulus--a rare cause of a mass in children].

作者信息

Pressman A, Kandelis Y, Bachar Y, Mogilner G

机构信息

Dept. of Pediatric Surgery, Bnei-Zion Medical Center, Technion, Haifa.

出版信息

Harefuah. 1998 Jan 1;134(1):31-2, 78.

PMID:9517276
Abstract

The parasite Onchocerca volvulus is well-known in its endemic areas in South and Central America and West Africa. It is transmitted to man by simulium flies and causes systemic infection with skin, lymphatic and ophthalmic manifestations and can cause blindness (river blindness). Treatment with Ivermectin is effective but sometimes there is need for surgical intervention to prevent or treat complications. We describe an 11-year-old girl, a new immigrant from Ethiopia, who had a firm mass in her left thigh, caused by Onchocerca volvulus. It was completely excised. This is a very rare condition in Israel, which must be considered in patients coming from endemic areas.

摘要

盘尾丝虫这种寄生虫在南美洲、中美洲和西非的流行地区广为人知。它通过蚋蝇传播给人类,会引发全身性感染,出现皮肤、淋巴和眼部症状,还可能导致失明(河盲症)。伊维菌素治疗有效,但有时需要手术干预来预防或治疗并发症。我们描述了一名11岁女孩,她是来自埃塞俄比亚的新移民,其左大腿有一个由盘尾丝虫引起的坚实肿块。该肿块已被完全切除。这在以色列是一种非常罕见的病症,对于来自流行地区的患者必须予以考虑。

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