胸肺型合并脑型并殖吸虫病1例

A case of pulmonary and cerebral paragonimiasis

本文报道了1例疑因食用“嗍螺”引起的胸肺型合并脑型并殖吸虫病病例。该病例有咳嗽、胸痛、呼吸困难、发作性抽搐等临床表现;实验室检查嗜酸性粒细胞增多;胸部CT呈片状高密度影并双侧胸腔积液及右侧气胸表现;头颅CT和MRI呈低密度影和“隧道征”表现;并殖吸虫IgG抗体阳性;经吡喹酮抗虫治疗后病情明显改善。本病例报道旨在提高临床医生对并殖吸虫病的认知和理解,为并殖吸虫病的防治提供参考。

This article reports one case of pulmonary and cerebral paragonimiasis caused by ingestion of the first intermediate host,the snail.The clinical symptoms,including cough,chest pain,difficulty breathing,and paroxysmal seizures,were present in this patient.Laboratory examination showed an increase in eosinophils.Chest CT exhibited patchy high-density shadows with bilateral pleural effusion and right pneumothorax.Head CT and MRI displayed lowdensity shadows and"tunnel signs".Paragonimus IgG antibodies were positive,and the condition improved significantly after treatment with praziquantel.This case report aims to improve the awareness and understanding of paragonimiasis among clinical doctors,and provide reference for the prevention and treatment of paragonimiasis.