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颚口线虫病在我国尚属少见。棘颚口线虫偶尔寄生于人体。该虫致病部位极为广泛 ,几乎遍及全身 ,受累部位可间歇性出现移行性肿块 ,常伴有局部水肿、疼痛 ,虫体移行可引起机械性损伤 ,如虫体停留在某一寄生部位 ,可形成以虫体为中心的脓肿及隧道样损害。该虫较易侵入眼、脑 ,并可引起嗜酸性粒细胞增多性脑脊髓炎 ,后果严重 ,甚至可导致死亡。本文详细地介绍了发生在北京地区首例病人的临床资料 ,并结合国内外文献 ,对该病进行了较为全面的阐述。该病例提示 :(1)医务工作者应加强对该病进行了解。 (2 )临床遇有可疑表现者 ,尤其有生食本虫第二中间宿主或转续宿主者 ,应考虑到本病的可能 ,并做进一步检查 (例如 :嗜酸性粒细胞计数、血红细胞沉降率等 ) ,能在病损部位查见虫体者即可以确诊。皮内实验和血清学试验亦可做辅助诊断。(3)近年来随着人们饮食习惯的改变 ,喜食烧、烤、涮或生食各种动物的人群增多 ,食源性寄生虫病病人亦有增多趋势 ,本病正是诸多食源性寄生虫病之一。
Jaws nematode disease is still rare in our country. Spine jaw nematode occasionally parasites in the human body. The worm pathogenic sites are extremely widespread, almost throughout the body, involving parts of intermittent transitional mass may occur, often accompanied by local edema, pain, migration of worms can cause mechanical damage, such as parasites stay in a parasitic site may be To form a worm-centric abscess and tunnel-like damage. The insects more easily invade the eyes, brain, and can cause eosinophilic encephalomyelitis, the consequences of serious, and even lead to death. This article describes in detail the first case of patients in Beijing clinical data, combined with domestic and foreign literature, a more comprehensive exposition of the disease. The case prompts: (1) medical workers should strengthen understanding of the disease. (2) Those who have suspicious clinical manifestations, especially the second intermediate host or re-host of raw insects, should consider the possibility of this disease and make further examination (for example, eosinophil count, erythrocyte sedimentation rate Etc.), can check the parasites in the lesion site that can be diagnosed. Intradermal experiments and serological tests can also do auxiliary diagnosis. (3) In recent years, with the change of people’s eating habits, the number of people who eat various kinds of animals such as roasted, roasted, shabu or raw food increases, and the number of foodborne parasitic diseases also increases. This disease is caused by many foodborne parasites One of the worm diseases.