浙江省1例猪带绦虫感染的诊断与治疗

Yan Feng, Wei Ruan, Xin-jin Lou, Li-nong Yao
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引用次数: 0

摘要

目的:对浙江省一起地方性带绦虫感染病例进行诊断和治疗,并对虫种进行鉴定。方法:收集本病发病、临床特点、治疗过程等资料,进行流行病学调查。用肛门透明纸拭子检测卵。槟榔和南瓜籽用于驱虫。对排出的线虫进行形态观察、细胞色素C氧化酶1(COX1)基因的PCR扩增和测序。结果:流行病学结果显示,患者近2年未出过浦江县,无生吃猪肉、牛肉及动物内脏史。但她经常吃烧烤和火锅,偶尔也吃生蔬菜。在其肛周皮肤上发现带绦虫卵。经形态学观察,排出的虫疑似牛带绦虫或亚洲带绦虫。PCR扩增的COX1条带长度为832 bp,与saginata带绦虫(GenBank登录号:AB107239.1)、亚洲带绦虫(GenBank登录号:AB107235.1)和猪带绦虫(GenBank登录号:AB066485.1)的COX1同源性分别为99%、96%和88%。结论:根据临床特征、流行病学资料及测序结果,确认该病例为猪带绦虫局部感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Diagnosis and treatment of a local case of Taenia saginata infection in Zhejiang Province].

Objective: To diagnose and provide treatment for a local case of taenia infection in Zhejiang Province and identify the species of the worm.

Methods: The information of disease onset, clinical feature and therapeutic process was collected and epidemiological investigation was carried out. The anal cellophane swab was used to detect the eggs. Areca and pumpkin seeds were used for deworming. Morphological observation, PCR amplification and sequencing of cytochrome C oxidase 1(COX1) gene were performed for the discharged worm.

Results: The epidemiological results showed that the patient did not go outside Pujiang County in the past two years, and had no history of eating raw pork, beef or animal offal. But she often had barbecues and hot-pot food, occasionally with raw vegetables. Taenia eggs were found on her perianal skin. The discharged worm was suspected to be Taenia saginata or Taenia asiatica by morphological observation. PCR amplification of COX1 resulted in a band of 832 bp, which was 99%, 96% and 88% homologous to COX1 of Taenia saginata (GenBank accession number: AB107239.1), Taenia asiatica (GenBank accession number: AB107235.1) and Taenia solium (GenBank accession number: AB066485.1), respectively.

Conclusion: According to the clinical feature, epidemiological information and sequencing results, this case is confirmed to be a local infection of Taenia saginata.

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