云南省首次爆发流行巨片形吸虫感染10例

目的:探讨云南省爆发的巨片形吸虫感染的发病情况、临床表现及该病的流行病学、影像学、生化特点.方法:对我院2011-12/2012-02收治的10例感染巨片形吸虫患者临床资料进行分析和总结.结果:巨片形吸虫感染人体在国内外少见,主要以高热起病,均有嗜酸性粒细胞增高,伴有不同程度的消化系症状,肝脏损伤等表现.感染的10例病例具有相似的临床表现、流行病学特征、影像学、生化特点,病程也相近.结论:巨片形吸虫感染人体少见,这给临床诊治带来较大的困难,临床工作中极易误诊,所以在临床工作中遇到类似病例需要引起重视.

First outbreak of Fasciola gigantica infection in Yunnan province:An clinical analysis of 10 cases

AIM:To investigate the incidence,clinical manifestations,epidemiology,imaging and biochemical characteristics,diagnosis,and treatment of fascioliasis by analyzing an outbreak of Fasciola gigantica infection in Binchuan County,Dali Prefecture,Yunnan Province.METHODS:The clinical data for 10 patients with Fasciola gigantica infection who were treated at our hospital from December 2011 to February 2012 were analyzed.RESULTS:Fasciola gigantica infection in humans is rare both in China and abroad.Main clinical manifestations include high fever,increased eosinophils,varying degrees of gastrointestinal symptoms,and liver injury.Our 10 cases had similar clinical manifestations,epidemiological characteristics,imaging and biochemical charac-teristics,and disease course.CONCLUSION:Fasciola gigantica infection is rare and is easily misdiagnosed.Attention should be paid to patients with suspected symptoms.