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班氏丝虫微丝蚴引起右肩部软组织丝虫性肉芽肿是丝虫病特殊临床表现之一,合并横纹肌肉瘤更属罕见,我院遇到一例,报告如下:男性,79岁,住院号3576。因右肩部肿块伴疼痛6个月于1981年6月29日入院。患者于1981年1月感右肩部起一小肿块伴针刺样疼痛,一月后局部渐肿胀,伴发热,肩关节活动受限。经抗生素治疗肿胀局限于右肩前外侧,皮肤发红,低热。4月13日院外曾拍片右肩关节骨质无改变。局部红肿不退,有波动。住院前一周在大队卫生所切开引流,有血性液体涌出,置纱布条填塞而中止手术,疑为肿瘤而转我院,门诊行肿块穿刺
The filariasis granulomatosis of soft tissue on the right shoulder caused by filamentous silkworm bancroftia fischeri is one of the special clinical manifestations of filariasis. The complication of rhabdomyosarcoma is even rare. One case was encountered in our hospital. The report is as follows: Male, 79 years old, hospitalization number 3576. He was admitted to the hospital on June 29, 1981 due to a mass of his right shoulder with pain for 6 months. In January 1981, the patient felt a small lump with acupuncture-like pain in the right shoulder, local swelling gradually after January, with fever, limited shoulder activity. Swelling by antibiotic treatment is limited to the front and the outside of the right shoulder, and the skin is red and low in heat. On April 13th, there was no change in the bone of the right shoulder joint. Local redness does not retreat, there are fluctuations. One week before hospitalization, he was incised and drained at the Brigade Health Center. Bloody fluid gushed out. He placed a gauze pad to stop the operation. The patient was suspected to be a tumor and transferred to our hospital.