[片形吸虫病一例].
[A case of fascioliasis].
发表日期:2023
作者:
Akihiro Ueda, Masayuki Miyazaki, Emiri Miyazaki, Makoto Hara, Yuichi Tachibana, Tetsuro Akashi
来源:
Parasites & Vectors
摘要:
一名38岁的稻农因腹痛到医院就诊。计算机断层扫描 (CT) 显示肝脏肿瘤,磁共振成像 (MRI) 显示乏血管肿瘤,均位于第 4 段。因此,他被诊断为肝脓肿。十天后,CT显示第8段有新的肝肿瘤,但第4段的肝肿瘤大小已减小。由于嗜酸性粒细胞增多,他被怀疑患有寄生虫病。酶联免疫吸附试验显示血清片形吸虫抗体水平较高。该患者被诊断患有片形吸虫病并接受三氯苯达唑治疗。治疗后,CT显示肝脏肿瘤缩小了。嗜酸性粒细胞增多和多发性病变是寄生虫病的特征性表现。
A 38-year-old rice farmer visited a hospital for abdominal pain. Computed tomography (CT) showed a liver tumor and magnetic resonance imaging (MRI) revealed a hypovascular tumor, both in segment 4. Thus, he was diagnosed with liver abscess. Ten days later, CT showed a new liver tumor in segment 8, but the size of the liver tumor in segment 4 had decreased. He was suspected with parasitic disease because of eosinophilia. Enzyme-linked immunosorbent assay showed a high level of serum Fasciola antibody. The patient was diagnosed with fascioliasis and was treated with triclabendazole. Post-treatment, CT revealed that the liver tumors had shrunk. Eosinophilia and multiple lesions were characteristic findings of parasitic disease.