外籍人员输入性埃及血吸虫病1例

doi:10.12140/j.issn.1000-7423.2024.04.020

摘要/Abstract

摘要：

患者，男，19岁，尼日利亚籍，温州某大学留学生。2023年10月23日于温州国际旅行卫生保健中心进行入境健康体检，自述无任何不适症状。血常规检查示嗜酸粒细胞百分比升高（15.9%）；血清免疫球蛋白检测示IgM抗体升高（2.37 g/L）；尿常规检查显示隐血阳性（2 +），蛋白阳性（1 +），红细胞计数增多（360个/μl），白细胞计数增多（255个/μl）；尿沉渣镜检发现埃及血吸虫虫卵，可孵化出毛蚴，尿沉渣核酸检测结果为埃及血吸虫阳性。B超显示膀胱壁轻微增厚。流行病学调查显示，患者曾在尼日利亚湖中游泳，有接触疫水史。结合实验室检查和流行病学调查，确诊为境外输入性埃及血吸虫病。10月27日患者接受口服砒喹酮治疗，30 mg/(kg·d)，3次/d，连续2 d。于11月13日随访复查，尿沉渣镜检未发现虫卵。

关键词: 埃及血吸虫病, 输入性, 入境健康体检, 外籍人员

Abstract:

A 19-year-old male patient of Nigerian nationality, an international student of a university in Wenzhou, came to Wenzhou International Travel Healthcare Centre for entry medical examination on October 23, 2023, and reported no symptoms of discomfort. The blood routine test showed an increased percentage of eosinophils (15.9%), and the serum immunoglobulin test showed elevated levels of IgM antibodies (2.37 g/L). The urine routine test showed positive occult blood (2 +), positive protein (1 +), and elevated counts of both red blood cells (360 RBCs per μl) and white blood cells (255 WBCs per μl). Schistosoma haematobium eggs were found in the urine sediment by microscopy, and miracidia were hatched from the eggs. Nucleic acid testing of the urine sediment confirmed a positive result for S. haematobium. The B-ultrasonic showed slight thickening of the bladder wall. Epidemiological investigation suggested that the patient might have been exposed to contaminated water while swimming in lakes in Nigeria. Based on laboratory examination and epidemiological investigation, the patient was diagnosed as imported schistosomiasis haematobia. On October 27, the patient took orally praziquantel, 30 mg/(kg·d), 3 times a day for 2 consecutive days. A follow-up examination on November 13 revealed no eggs in the urine sediment.

Key words: Schistosomiasis haematobia, Imported, Entry medical examination, Foreigner

中图分类号:

R532.21

李睿, 虞莹莹, 卓婉君, 杨寿旺, 陈林碧, 黄奕树. 外籍人员输入性埃及血吸虫病1例[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(4): 547-549.

LI Rui, YU Yingying, ZHUO Wanjun, YANG Shouwang, CHEN Linbi, HUANG Yishu. A case of imported schistosomiasis haematobia from a foreigner[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2024, 42(4): 547-549.

图/表 2

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