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首页> 外文期刊>感染症学雑誌 >A case of Paragonimiasis westermanii complicated with migrating subcutaneous induration and multiple involvements in the liver
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A case of Paragonimiasis westermanii complicated with migrating subcutaneous induration and multiple involvements in the liver

机译：韦氏肺吸虫病并发皮下硬结迁移及肝脏多处侵犯一例

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A 33-year-old female was admitted to a hospital with chief complaints of abdominal pain, fever, cough and migrating subcutaneous induration. She had consumed half-cooked crabs 3 months ago. On admission, a mass in the abdominal wall, pleural effusion, a nodular shadow in the right upper lung on the chest X-ray and multiple low density areas in the liver on CT. Peripheral blood examination disclosed marked eosinophilia (5,300/mm3). Although we failed to detect any parasite eggs in stool, sputum and bronchogenic secretion, the immuno-serological test for parasites revealed an infection of paragonimus. Oral administration of praziquantel resulted in the disappearance of nodular shadow in the right upper lung, multiple low density areas on CT as well as migrating subcutaneous indurations. Migration of Paragonimus westermanii larvae to liver is known to be uncommon. Thus, the present case indicates an alternate migration route of the Paragonimus westermanii in humans.
机译：一名33岁的女性因腹部疼痛，发烧，咳嗽和皮下硬结迁移而入院。 3个月前，她吃了半熟的螃蟹。入院时，腹部X线检查见腹壁肿块，胸腔积液，右上肺有结节性阴影，肝脏CT见多个肝脏低密度区域。外周血检查发现嗜酸性粒细胞增多（5,300 / mm3）。尽管我们未能检测到粪便，痰液和支气管分泌物中的任何寄生虫卵，但对寄生虫的免疫血清学测试显示其感染了肺吸虫。口服吡喹酮导致右上肺结节性阴影消失，CT上多个低密度区域以及皮下硬结的迁移。众所周知，西agon对虾幼虫向肝脏的迁移并不常见。因此，目前的情况表明了帕氏对虾在人体内的另一种迁移途径。

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