幼儿缩小膜壳绦虫病一例

1. 一般情况 患儿，男，2周岁，15 kg，吉林省龙井人。因患儿家长在其粪便中多次发现白色带状虫体，而于2004年6月到延边大学医学院寄生虫学教研室就诊。该患儿于2004年5月首次被发现其稀便里有白色带状多节的细长虫体4个，在当地防疫站被诊断为小型绦虫病，即给患儿服用驱绦虫胶囊6粒。但在患儿粪便里未见虫体排出。患儿近2 d有轻度腹泻，且在粪便中又发现与上述形态相同的虫体２个。患儿食欲、情绪、睡眠均无异常。     

缩小膜壳绦虫病一例

患者 ,男性 ,43岁。因腹胀及腹泻 1年余 ,有时腹泻 1日数次 ,连续 2～ 3ｄ ,可自愈 ,自认为饮食不洁 ,消化不良 ,自购消炎药和助消化药服 ,可缓解 ,但反复发作 ,逐渐消瘦。曾在我院及其他医院就诊 ,作过血、尿、大便、Ｂ超及内窥镜检查未发现异常。曾诊断为“胆囊炎”和“胃肠植物神经功能紊乱”等 ,对症治疗 ,未见好转。于 1999年 4月腹痛、腹泻和腹胀加重 ,伴明显消瘦 ,头晕与失眠来院复诊。体检 :剑下脐周压痛 ,未扪及包块。查血 :Ｈｂ :90ｇ Ｌ、ＲＢＣ 3 4× 10 1 2 Ｌ、ＷＢＣ 5 6× 10 9 Ｌ、Ｎ 0 6、Ｌ 0 35、Ｅ 0 0 5。粪检查…     

The clinico-immunological characteristics of hymenolepiasis]

Clinical manifestations were observed only 16 out of 61 patients aged 15-32 years who had hymenolepiasis. Despite their degree, there was impaired dexylose absorption, lower serum lysozyme activity and higher serum complement activity, depressed immunological reactivity parameters (the count of T- and B-lymphocytes, their functional activity), decreased IgA titer and increased IgE titer in the sera in all the patients observed. Six months after the effective dehelminthization, varying immunodepression still remained in all the convalescents. There types of restoration of immunological reactivity were identified: torpid, reactive and highly reactive. The torpid type was significantly more frequently observed in patients with subclinical (asymptomatic) hymenolepiasis course than in patients with its clinical manifestation.