湖南省包虫病1例

A case of echinococcosis in Hunan Province

包虫病主要在中国西北部的农牧地区流行,在湖南省十分少见。现报告1例在湖南省的包虫病的临床资料。该患者为11岁男性,因发现腹部肿块至中南大学湘雅二医院就诊。根据其症状、体征及实验室检查,患者被初步诊断为“腹腔内肿物”和“脾囊肿”,随后行腹腔巨大占位切除术及脾切除术。术后病理检查发现棘球蚴的角皮层和生发层,并见原头蚴,符合包虫病的特征。血清学检查也发现特异性抗包虫IgG抗体阳性。结合患者的病情,给予其吡喹酮治疗。1个月后随访患者无不适症状。

Echinococcosis is mainly prevalent in the agricultural and pastoral areas in the northwest of China,but it is relatively rare in Hunan Province.Here,we reported the clinical data of a case of echinococcosis in Hunan Province.The patient was an 11-year-old male,who sought treatment at the Second Xiangya Hospital of Central South University due to abdominal mass.According to the symptoms,signs,and laboratory examinations,he was initially diagnosed as“intra-abdominal mass”and“spleen cyst”.Subsequently,he underwent abdominal massive occupying resection and splenectomy.Postoperative pathological examination revealed the cuticle and germinal layer of hydatid and protoscolex,which was consistent with characteristics of echinococcosis.In addition,the serological examination showed that the specific anti-hydatid Ig G antibody was positive.Combined with the patient’s condition,he was given praziquantel treatment.After a month of follow-up,the patient was asymptomatic.