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鞭节舌虫病:附一例报告
引用本文:张启宇 王炳夫. 鞭节舌虫病:附一例报告[J]. 中华内科杂志, 1996, 35(11): 747-749
作者姓名:张启宇 王炳夫
作者单位:杭州浙江医科大学附属邵逸夫医院内科
摘    要:报告1例鞭节舌虫病。据文献检索此系世界上第一例鞭节舌虫寄生于人体内并引起发病。该病临床特点为长期高热、腹痛、腹泻、肝脾肿大、轻度贫血;骨髓及周围血嗜酸性白细胞增高;全结肠多发性息肉样赘生物;肝细胞变性坏死和大量嗜酸性白细胞浸润。该病需与引起肝脾肿大,长期高热,腹痛腹泻等各种疾病相鉴别。该病的流行病学、发病机制、病理、自然病史,临床表现、诊断与鉴别诊断及治疗等都有待进一步研究

关 键 词:寄生虫病  鞭节舌虫

ARMILLIFERAGKISTRODONTISDISEASE:REPORTOFACASE
ZhangQiyu,WangBingfu,HuangMeihua,et al.. ARMILLIFERAGKISTRODONTISDISEASE:REPORTOFACASE[J]. Chinese journal of internal medicine, 1996, 35(11): 747-749
Authors:ZhangQiyu  WangBingfu  HuangMeihua  et al.
Affiliation:ZhangQiyu,WangBingfu,HuangMeihua,etal.SirRunRunShawHospital,ZhejiangMedicalUniversity,Hangzhou310016
Abstract:AcaseofArmiliferagkistrodontisdiseasewasreported.ArmiliferagkistrodontisisaspeciesoftheArmilifergenusoftheLinguatulidaorderandparasitizingagkistrodonacutus.Accordingtoliteraturereviewed,therehasbeennoreportofthisdiseasecausedbyinfectionofArmiliferagk-istrodontisinhumanbeingpriortothiscasealovertheworld.Theclinicalfeaturesofthisdiseasearelong-termhighfever,abdominalpain,diarrhea,mildanemia,hepatosplenomegaly,eosinophiliainbonemarrowandbloodandmultiplepolypsinthewholecolon.Thepathologicfeaturesoftheliverbiopsywasdegenerationandnecrosisofhepatocytesandobviousinfiltrationofeosinophils.Thisdiseaseshouldbediferentiatedfromseveralotherdiseaseswhichcanalsocausehepatomegaly,long-termhighfever,abdominalpainanddiarrhea.Mebendazoleisanefectivemedicationforthisdisease,butthelongtremefectofpraziquantelisnotcertain.Itisnecessarytomakefurtherstudiesontheepidemiology,etiolo-gy,pathology,naturalhistory,clinicalfeatures,diagnosis,differentialdiagnosisandtherapyofthisdisease.
Keywords:ParasiticdiseasesArmiliferagkistrodontis  
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