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目的通过对1例血吸虫病误报病例分析,提高临床医生对寄生虫病的认识。方法对病例的实验室诊断结果结合流行病学资料进行分析。结果患儿(5岁)因右脸、下肢浮肿,腹部膨隆入院,据日本血吸虫IgG抗体和肺吸虫抗体检测均为阳性,拟诊血吸虫病,治疗无效;经流行病学调查,患儿未到过血吸虫病流行区,但食用过山区溪蟹,按肺吸虫病治疗痊愈。结论寄生虫病的临床诊断应重视流行病学调查,减少误诊。
Objective To analyze the cases of misdiagnosis of one case of schistosomiasis so as to improve the understanding of clinicians on parasitic diseases. Methods The laboratory diagnostic results of cases combined with epidemiological data were analyzed. Results Children (5 years old) were infested by right cheeks, lower extremities edema and abdominal distension. According to the results of IgG antibodies and paragonimiasis antibodies of Schistosoma japonicum, they were all positive, and treatment of schistosomiasis was invalid. After epidemiological investigation, The prevalence of schistosomiasis, but consumption of mountain crabs, according to treatment of paragonimiasis cured. Conclusion The clinical diagnosis of parasitic diseases should pay attention to epidemiological investigation to reduce misdiagnosis.