人类比翼线虫病(附3例报告)

Mammomonogamus laryngeus (Human syngamosis) infection: the three case report in China.

目的：提高对人类比翼线虫病——一种罕见的人体寄生虫疾病的认识。方法：报告国内首次同时发生的３例人类比翼线虫病。结果：该病的临床特点为刺激性咳嗽、咯血和消瘦，抗生素治疗无效；纤维支气管镜可发现气道内蠕动的鲜红色血丝状物。结论：本病的发现提示临床上对一些不明原因的慢性咳嗽、咯血、消瘦，病前有进食未煮熟食物的患者，应注意到人类比翼线虫病的存在。痰或纤支镜检查发现比翼线虫可确诊。

Objective: To improve the understanding of Mammomonogamus laryngeus infection——a rare parasitic disease in human. Method: Three cases of mammomonogamus laryngeus infection were firstly reported in China. Results: Clinical manifestation included irritable nonproductive cough, bloody sputum, and weight loss. Antibiotic treatment was ineffective; the bloody red worms were found by fiberbronchoscopy. Conclusions: The Mammomonogamus laryngeus infection should be suspected, if patients with a history of eating uncooked food have the above symptoms of unknown reason. The diagnosis can be confirmed by finding bloody red yshaped worm in sputum or by fiberbronchoscopy examination.