摘要
本文报道了1例疑因食用"嗍螺"引起的胸肺型合并脑型并殖吸虫病病例.该病例有咳嗽、胸痛、呼吸困难、发作性抽搐等临床表现;实验室检查嗜酸性粒细胞增多;胸部CT呈片状高密度影并双侧胸腔积液及右侧气胸表现;头颅CT和MRI呈低密度影和"隧道征"表现;并殖吸虫IgG抗体阳性;经吡喹酮抗虫治疗后病情明显改善.本病例报道旨在提高临床医生对并殖吸虫病的认知和理解,为并殖吸虫病的防治提供参考.
Abstract
This article reports one case of pulmonary and cerebral paragonimiasis caused by ingestion of the first inter-mediate host,the snail.The clinical symptoms,including cough,chest pain,difficulty breathing,and paroxysmal sei-zures,were present in this patient.Laboratory examination showed an increase in eosinophils.Chest CT exhibited patchy high-density shadows with bilateral pleural effusion and right pneumothorax.Head CT and MRI displayed low-density shadows and"tunnel signs".Paragonimus IgG antibodies were positive,and the condition improved significant-ly after treatment with praziquantel.This case report aims to improve the awareness and understanding of paragonimia-sis among clinical doctors,and provide reference for the prevention and treatment of paragonimiasis.
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