苏州市输入性埃及血吸虫病1例

Imported schistosomiasis haematobia in Suzhou City: a case report

目的报告1例输入性埃及血吸虫病病例的诊治经过。方法收集患者病例资料,分析其临床资料、实验室诊断结果、流行病学调查、诊断及治疗。结果患者曾多次往返苏丹、埃及等地,有疫水接触史,回国后无明显诱因出现肉眼血尿,膀胱镜显示有新生物,病理切片可见大量浆细胞、嗜酸性粒细胞浸润的慢性肉芽肿性炎症,并可见寄生虫虫卵。胶体染料试纸条法(DDIA)血清免疫学检测阳性,尿液沉渣镜检发现埃及血吸虫虫卵。予以吡喹酮治疗1月后尿液中仍有虫卵,复治后治愈,无不良反应。结论应加强援非人员健康教育,提高自我防护意识;提高医疗和疾病预防控制机构专业人员非洲血吸虫病诊疗水平,以防止误诊、误治。

Objective To report the diagnosis and treatment of an imported case of schistosomiasis haematobia. Methods The patient’s medical records were collected, and the clinical features, laboratory diagnosis, epidemiological survey, diagnosis and treatment were analyzed. Results The patient had arrived to Sudan and Egypt for many times and had a history of contact with the infested water. After returning to China, the patient reported a gross hematuria with unknown causes. Cystoscopy showed neoplasms in the bladder, and pathologic examinations showed chronic granulomatous inflammation with infiltration of plenty of plasma cells, and parasite eggs. Serological test showed positive for the dipstick dye immunoassay, and the microscopic examination of urine sediment revealed Schistosoma haematobium eggs. Following praziquantel treatment for a month, S. haematobium eggs were still detected in the urine. The case was treated with praziquantel again and cured without adverse reactions. CCoonncclluu-sions Health education should be strengthened among China-aid-African workers to improve the awareness of self-protection.In addition, the diagnosis and treatment should be improved in medical professionals to achieve a timely definitive diagnosis.