重度感染蛇舌状虫病1例

蛇舌状虫病(armilliferiosis)是由蛇舌状虫感染所引起的一类舌形虫病(pentamiasis),是一种少见的动物源性人畜共患寄生虫病。我院近日收治1例重度蛇舌状虫感染患儿,报告如下。     

重度感染串珠蛇舌状虫病一例

蛇舌状虫病（annilliferiasis）是舌形虫病的一类，也是一种罕见的人兽共患寄生虫病，在人体，蛇舌状虫感染数量较少时，绝大多数病例为无症状或亚临床表现，仅在尸检或外科手术时发现，我院收治1例重度感染的串珠蛇舌状虫若虫，且具有较长期的发热，腹痛，腹水等临床症状，报告如下。     

儿童弓型虫病

早在1907年Nicoll 等就发现了弓型虫(Toxoplasm,也译为弓浆虫和弓型体)。1983年Wolf 和他的同事在纽约见到一例死于脑炎的新生儿,在他的脑中发现弓型虫,引起人们注意,认为弓型虫有经过胎盘先天感染的可能性。弓型虫是全球性分布的常见寄生虫,据估计,全世界约有十亿人受感染,欧美的感染率在21—50%,巴黎地区则高达82%有人估计,在美国,每年至少发生3000例先天性弓型虫病(或称为先天性弓型虫综合征)。专家们认为先天性弓型虫病己成为人类最严重的先天性感染疾病,其严重程度己远远超过先天性风疹综合征。近二、     

儿童常见寄生虫病的药物治疗

寄生虫病是危害人类健康的常见病，对儿童往往影响更大。我国是寄生虫病流行相对严重的国家，特别在广大农村，是一个不可忽视的公共卫生问题。常见的寄生虫病可分为蠕虫病和原虫病两大类，蠕虫病包括：①线虫病：即蛔虫、蛲虫、钩虫、鞭虫、旋毛虫、丝虫病和管圆线虫感染等；②绦虫病：如猪(牛)肉绦虫、囊虫病、棘球蚴虫病(包虫病)等；③吸虫病：如血吸虫、华支睾吸虫、并殖吸虫和姜片虫感染等。原虫病则包括：疟原虫、阿米巴原虫、弓形虫、贾第鞭毛虫(梨形虫)、滴虫；内脏利什曼原虫(黑热病)和隐孢子虫感染等。     

寄生虫病

021753城市托幼机构烧虫病防治效果分析/区博文…//中国儿童保健杂志一2002,10(l)一61~62 通过对江门市区托幼机构13年晓虫病防治效果分析,探讨城市托幼机构烧虫的防治方法。方法:通过采用定期查治、加强健康教育和健全卫生制度等综合防治措施,控制烧虫病的传播和流行.结果:江门市区自1988~200。年持续13年在托幼机构中开展蜕虫病的普查普治,共检查129 549人次,查治烧虫感染者14 278人次,使该病感染率从1988年的42.87%稳步下降至·2000年的2.90%,达到国内的先进水平,并发现学龄前幼儿蜕虫感染率随年龄组增大而升高、夏秋季较春冬季高。结论:…     

寄生虫病

94一600 zJ、儿胆道内一9条蛔虫l例l王兴华/z中华小儿外科杂志一1994,15(2)一86 941601山西省武乡县儿童烧虫感染率的调查/梁玉萍…刀山西医学院学报一1994,25(1)一32一33 烧虫病是儿童肠道寄生虫病中最常见病之一,尤以在集体生活中的儿童感染率为高。我们采用透明胶纸拭子法对山西省武乡县3一10岁的儿童烧虫感染率进行了调查,同时调查了烧虫感染的年龄分布,以便提出防治重点。该县10岁以下儿童感染率为34.7%,其中7一10岁儿童感染率高达45.1%。表2参l(原文提要) 941602小儿癫痛型脑囊虫病7例报告/肖明琼…/门店床儿科杂志一1993,11(6)一400…     

寄生虫病

034,54伊宁市儿t少年肠道寄生虫防治效果分析/赵蓉莉…//中国学校卫生一2003,24(2)一190~191 集体监侧5 109人次,集体驭虫2941。人.防治前监侧2 615人.检出感染389人,感染率为14.9%.防治后监侧2 492人,感染19。人.感染率为7.6写。汉族学生感染率为5.5%,少数民族学生为9.4%.少数民族学生常见感染虫种有:姻虫、带缘虫、烧虫、鞭虫、兰氏贾第报毛虫,溶组织阿米巴、结肠内阿米巴.表1(张忠) 034,55小儿姐虫病井发中毒性胶病侠诊分析/刘云样//临床误诊误治一2003,16(1)一22 034,S‘开封市城乡学食JLt雄虫盛染润查/王国英一//河南大学学报(医学科…     

寄生虫病

940112幼儿园儿童烧虫感染情况调查/王士愕…//潍坊医学院学报一1993,14(4)一301 940113长治市小学生烧虫病普查普治情况报告及流行趋势分析/姜贞…刀长治医学院学报一1993,7(2)一122一124 用透明胶纸粘卵法对长治市10所小学校8 439名小学生进行了烧虫病检查,4 017份样本中发现娩虫卵。所有感染者均采用复方甲苯咪哇治疗,经抽样复查,一次用药后94%的服药者烧虫卵转为阴性.并对流行原因及流行趋势进行了分析,提出了预防性建议。(原文提要) ,940114广西壮族自治区儿童晓虫感染情况的调查/甘耀成…刀中国寄性虫学与寄生虫病杂志一1993,11(3)一2…     

关于立克次体病治疗问题的答复

近几年我们地区地方性斑疹伤寒和羌虫病的病例较多，而治疗立克次体病的首选抗生素为四环素、氯霉素，此两种抗生素副作用较大，四环素禁用于8岁以下儿童，氯霉素对骨髓的抑制作用又很明显，我们应该怎样选择抗生素。     

小儿贾第虫病

兰伯贾第虫是最常见的一种肠寄生虫。全世界罹病率为7%～40%。众所周知,贾第虫感染可无症状或无特异表现。多数病人诊断基于粪便检查。新鲜便涂片可查到活动的裂殖体。另外,Ridley浓集法可查贾第虫胞囊,倘连续3日留便检查,则更为准确。然而,目前即使对有胃肠道症状者,诊断亦延误过长,在确诊前做了许多不必要的检查。本文回顾性研究的目的在于研究最终确诊此病所普遍应用的有效程序及效益。     

Comparison of patients with Kawasaki disease with retropharyngeal edema and patients with retropharyngeal abscess

Kawasaki disease with retropharyngeal edema (KD with RPE) is a rare complication, and it is diagnosed by neck CT. Most reported cases had a delayed diagnosis because those patients' conditions were misdiagnosed as retropharyngeal abscess (RPA). The purpose of this study was to differentiate KD with RPE from RPA. We performed a retrospective case–control study comparing children with KD with RPE to those with RPA hospitalized at the tertiary pediatric hospital in Tokyo between 2005 and 2011. The 39 patients revealing RPE on neck CT were divided into two groups: group A was classified as KD (n?=?21) and group B was classified as non-KD (n?=?18). Patients in group B were finally evaluated as having RPA clinically and were treated with antibiotic therapy. A significantly higher proportion of patients in group B complained of dysphagia (11 patients vs. 5 patients; p?=?0.0170) and neck pain (17 patients vs. 12 patients; p?=?0.0106). Neck CT revealed a ring enhancement (16 patients vs. no patients; p?<?0.0001) and mass effect in a greater proportion of patients in group B (11 patients vs. 1 patient; p?<?0.0003). Conclusion: Careful attention to manifestations and close analyses of CT imaging may allow clinicians to differentiate KD with RPE from RPA.     

Patients with moyamoya disease presenting with movement disorder

Moyamoya disease is a rare cerebrovascular disease characterized by idiopathic bilateral stenosis or occlusion of bilateral internal carotid arteries and the development of characteristic leptomeningeal collateral vessels at the base of the brain. Typical presentations include transient ischemic attacks or stroke, and hemorrhage. Presentation with movement disorders is extremely rare, especially in the pediatric population. The authors describe the cases of 4 children with moyamoya disease who presented with movement disorders. Among 446 patients (118 pediatric) with moyamoya disease surgically treated by the senior author, 4 pediatric patients had presented with movement disorders. The clinical records, imaging studies, surgical details, and postoperative clinical and imaging data were retrospectively reviewed. The initial presenting symptom was movement disorder in all 4 patients: chorea in 2, hemiballismus in 1, and involuntary limb shaking in 1. All the patients had watershed infarcts involving the frontal subcortical region on MR imaging. Additionally, 1 patient had a ganglionic infarct. Single-photon emission computed tomography studies showed frontoparietal cortical and subcortical hypoperfusion in all patients. Three patients had bilateral disease, whereas 1 had unilateral disease. All the patients underwent superficial temporal artery-middle cerebral artery bypass. Postoperatively, all 4 patients had complete improvement in their symptoms. The SPECT scans revealed normal perfusion in 3 patients and a small residual perfusion deficit in 1. Movement disorders are a rare presenting feature of moyamoya disease. Hypoperfusion of the frontal cortical and subcortical region was seen in all patients, and the symptomatology was attributed to ischemic dysfunction and imbalance in the cortical-subcortical-ganglionic-thalamic-cortical circuitry. Combined revascularization with superficial temporal artery-middle cerebral artery bypass and encephaloduroarteriosynangiosis leads to excellent results.     

Treatment with probucol of children with familial hypercholesterolaemia

Nine children with familial hypercholesterolaemia, age range 2 to 12 years, were treated with a low cholesterol diet and probucol (10 mg/kg/day). The year before, the children received, as only treatment, a low fat-cholesterol diet. During this period their mean plasma total cholesterol level fell from 8.2 +/- 1.45 mmol/l to 7.17 +/- 0.84 mmol/l (12.6%). This level was further reduced to 5.92 +/- 0.63 mmol/l (17.1%) after the addition of probucol. Plasma high density lipoprotein cholesterol levels were lowered in absolute terms but not in relation to total cholesterol. No apparent side effects were observed. However, the use of probucol should be restricted for the moment to severe cases of hypercholesterolaemia as the long-term excretion of the drug in children is not yet known.