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首页> 外文期刊>The Internet Journal of Tropical Medicine >Intestinal schistosomiasis acquired in Cameroon: A case report.
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Intestinal schistosomiasis acquired in Cameroon: A case report.

机译：喀麦隆获得的肠道血吸虫病：一例病例报告。

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We present the case of a 32 year old man from Cameroon who was referred for “isolated eosinophilia”. The diagnosis of intestinal schistosomiasis was suspected upon epidemiological factors and a positive serology. It was confirmed by a rectum mucosa biopsy. Treatment with praziquantel was successful and post therapeutic controls tests were within normal limits. Case Report The patient was born in Cameroon. He is 32 years old, married and has 2 children. He recently took a new job as clerk in a hospital in Paris, city where he has been living for 3 years without going back to Africa. He is referred for “isolated eosinophilia”, which was discovered in his pre-employment check up. In his family history his father died of myocardial infarction, in his surgical history he underwent an appendectomy when he was 12 and in his medical history he contracted typhoid fever at age 24. Currently, he is totally asymptomatic. The tropical diseases check-up performed on consultation day reveals the following:CBC: Eosinophilia (8% of WBCs)Parasitological stool exam: NegativeSchistosomal serology: Positive (1/400 using indirect immunofluoresence)Consequently, a rectum mucosa biopsy is requested, which shows living Schistosoma mansoni eggs. An oral treatment by praziquantel is given on an outpatient basis (a single dose of 40mg/kg). It is well tolerated clinically and biologically. Post therapeutic tests exhibit the following:
机译：我们介绍了一个来自喀麦隆的32岁男子的案例，该男子因“孤立的嗜酸性粒细胞增多症”而被转诊。根据流行病学因素和血清学检查阳性，怀疑诊断为肠道血吸虫病。经直肠粘膜活检证实。吡喹酮治疗成功，治疗后对照测试在正常范围内。病例报告该患者出生于喀麦隆。他今年32岁，已婚，有2个孩子。最近，他在巴黎的一家医院担任新职员，在那里他已经生活了3年，没有回到非洲。他被称为“孤立的嗜酸性粒细胞增多症”，这是在职前检查中发现的。在他的家族病史中，父亲死于心肌梗塞;在他的外科病史中，他12岁时进行了阑尾切除术;在他的病史中，他在24岁时患了伤寒。目前，他完全没有症状。会诊当天进行的热带疾病检查显示：CBC：嗜酸性粒细胞增多（WBC的8％）寄生虫粪便检查：阴性血吸虫血清学：阳性（1/400使用间接免疫荧光法）因此，需要进行直肠粘膜活检，这表明曼氏血吸虫卵。吡喹酮的口服治疗是在门诊进行的（单剂量40mg / kg）。在临床和生物学上都具有良好的耐受性。治疗后测试显示以下内容：

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