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首页> 外文期刊>感染症学雑誌 >Gnathostomiasis caused by Gnathostoma spinigerum etiologically diagnosed upon extraction of the worm from the skin
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Gnathostomiasis caused by Gnathostoma spinigerum etiologically diagnosed upon extraction of the worm from the skin

机译：肠抑制瘤引起的肠鼻瘤锭剂在从皮肤中提取蠕虫后诊断

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摘要

We report a patient with gnathostomiasis in whom a specific diagnosis of Gnathostoma spinigerum infestation was made morphologically upon removal of the worm. A 47-Year-old Japanese male on a business trip to Vietnam ate fried frog with a Vietnamese friend in January 2002, the friend was diagnosed with gnathostomiasis in June 2002. The patient noted swelling of the right leg with migration to the right arm, prompting him to our hospital in February 2003. Hematologic examination showed eosinophilia, and specific anti-gnathostome antibody was detected by a dot enzyme-linked immunosorbent assay (Dot ELISA) in the serum. He was diagnosed as gnathostomiasis, and was given albendazole 400 mg b.i.d. On day 11 of therapy the patient removed a larval worm from the right palmar lesion by pinching with his nails. The worm was identified as G. spinigerum based on morphologic characteristics including number of hooklets on its head-bulb. When gnathostomiasis is suspected, albendazole should be administered before incision of the skin lesion.
机译：我们报告了患有肠肠球病的患者，在除去蠕虫后，形态地在形态上诊断GNATOSTOMS Scripigerum侵扰。一位47岁的日本男性在2002年1月与越南朋友越南朋友出差的日本男性，在2002年6月被诊断出患有脑肠瘤病的炒花。患者注意到右腿肿胀，迁移到右臂， 2003年2月促使他去医院。血液学检查显示嗜酸性粒细胞，通过血清中的点酶联免疫吸附测定（DOT ELISA）检测特异性抗Gnathostome抗体。他被诊断为GNATHOSTOMISIS，并给予阿贝扎唑400 mg B.I.D。在治疗的第11天，患者通过用他的指甲捏住，从右掌腿病变中取出了幼虫蠕虫。基于形态学特性，将蠕虫鉴定为G. scripigerum，包括其头灯泡上的包装数。当怀疑肠肠病时，Albendazole应在切口皮肤病变前给药。

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