温州市一起家庭聚集性并殖吸虫病调查

An Investigation on a Case of Family-clustered Paragonimiasis in Wenzhou City

2015年10月温州市泰顺县1家8人共同生食醉蟹引起家庭聚集性并殖吸虫病,其中1人未发病，7人在食后2--3个月间相继出现发热、咳嗽、咳痰、乏力、胸痛、腹痛等临床症状和体征。采集患者血清进行并殖吸虫抗体检测，5例阳性，1例弱阳性，1例阴性。综合7名患者流行病学史、临床症状、影像学资料及实验室检测结果，确定本次为家庭聚集性并殖吸虫病。

Paragonimus infection was reported in a family of 8 members after consuming wine-preserved raw crabs. Seven members developed symptoms of fever, cough, sputum, fatigueness, chest pain, and abdominal pain during 2-3 months after crab feeding, while one member was normal. Serum samples were collected from the 7 members for anti-paragonimus antibody test, with 5 members showing positive, 1 weakly positive and 1 negative. In view of the epidemiologieal history, clinical symptoms, imaging and laboratory test results, this case was diagnosed to be a family-clustered paragonimus infection.