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患者为47岁家庭主妇。1年前粪便发现白色绦虫节片,于发现9个月后始采用氯硝柳胺治疗。在治疗前发现皮下肌肉结节,并觉严重阵发性头痛。住院后体检发现上肢、颈、前胸和腹壁等处有50个以上的皮下肌肉结节,神经系统无阳性发现,眼底检查正常。胸部、头颅及上肢软组织摄片未发现钙化点。结节活检取出2个直径约1cm大小的囊状虫体,镜检示内有含有4个吸盘和2排小钩的白色头节,因而诊断为猪囊尾蚴。血清ELISA检查,OD值明显增高,并于治疗后下降。脑CT检查示有多个环状增强的园形囊状病变。采用小剂量吡喹酮,300mg/天×
The patient is a 47-year-old housewife. White tapeworms were found in feces 1 year ago and were treated with niclosamide after 9 months. Subcutaneous muscle nodules were found prior to treatment and had severe paroxysmal headaches. Physical examination found that more than 50 subcutaneous muscle nodules in the upper limbs, neck, chest and abdominal wall after hospitalization, no positive neurological findings, fundus examination was normal. Chest, head and upper limb soft tissue radiographs found no calcification. Nodular biopsy removed two about 1cm in diameter, the size of the cystic worm body, the mirror display contains four sucker and two rows of small hook white head, which diagnosed as Cysticercus cellulosae. Serum ELISA examination, OD value was significantly higher, and decreased after treatment. Brain CT examination showed multiple annular cystic lesions enhanced Park. A low dose of praziquantel, 300 mg / day x