摘要
回顾性分析复旦大学附属华山医院2005年8月～2009年8月脑曼氏裂头蚴病患者6例,分析其流行病学特点、临床表现、诊断方法和治疗情况。结果显示,有食用蛙肉、蛇肉史4例,外周血嗜酸粒细胞升高5例。6例患者的血液和脑脊液曼氏裂头蚴抗体均为阳性,头颅MRI均提示占位性病变。所有患者均经手术病理学检查和虫种鉴定确诊,经手术切除和吡喹酮治疗后痊愈。脑曼氏裂头蚴病临床上易误诊,需详细询问流行病学资料,及时取血进行曼氏裂头蚴抗体和头颅MRI检查,进一步通过手术病理及虫体鉴定确诊,经治疗后疗效确切。
A retrospective study was carried out to analyze 6 cases of cerebral sparganosis mansoni in Huashan Hospital from August 2005 to August 2009. The epidemiological features, clinical characteristics, therapeutic approaches and outcome of this disease were investigated. Among the patients, 4 cases had a history of eating raw frogs or snakes. 5 showed eosinophilia in peripheral blood, all with positive anti-Sparganum mansoni antibody in serum and cerebrospinal fluid. Cerebral MRI showed placeholder in all patients. Diagnosis was confirmed by pathological examination of operation and species identification. All patients were cured by operation removal and praziquantel treatment.
出处
《中国寄生虫学与寄生虫病杂志》
CAS
CSCD
北大核心
2010年第5期397-398,共2页
Chinese Journal of Parasitology and Parasitic Diseases
关键词
脑部
曼氏裂头蚴病
临床特点
诊断
Cerebral
Sparganosis mansoni
Clinical feature
Diagnosis
