人体寄生虫学：绦虫.pptVIP

**Casereport:Primaryhydatidcystofmuscle-Araresite**Afiftyyearladypresentedwithalargepainlessswellinginthethighforfourmonths.Therewasnohistoryoftrauma,feverorweightloss.Physicalexaminationrevealedadiffuse,nontendercysticswellingoccupyingnearlythewholeofthemedialaspectofthethighwithfixityofthemuscles.Onbloodexamination,thetotalleucocytecountwas7500cellsUL-1(2%eosinophils).ThepatientwassentforanMRIfortheexactlocalizationandextentofthemassandtoruleoutanyinvolvementofthebone.

**AroutineMRIexamination(1.5Tsymphony,Siemens)includedSTIRsequenceincoronalplaneandGRET2WandSET1Wsequencesinaxialplane.Thestudyrevealedalargemultiloculatedcysticlesioninthemedialcompartmentofthethighmainlyoccupyingtheadductormagnusmuscle.Itmeasured28.0x11.5x12.0cminsize.Multiplesmallerdaughtercystsandafreefloatingmembranewereseeninit.Adiagnosisofhydatidcystwasmade.Inferiorly,itwasencasingthesciaticnerve。UltrasoundguidedFNACwasdonewhichyieldedwhitishfluidwiththesmearshowinghookletsandpinkishhomogenouschitinousmaterialwithevidenceofsuperaddedinfection。Ultrasoundoftheabdomenandx-raychestwerenormal.大收肌细针吸取组织细胞**多房棘球绦虫Echinococcusmultilocularis导致泡球蚴病导致泡球蚴病“虫癌”**成虫主要寄生在狐等carnivores幼虫期寄生在啮齿类、食草类动物herbivores幼虫期也寄生于人体引起泡球蚴病致死性病变Causingfataldisease亦称：泡型包虫病多房性包虫病multilocularhedatiddisease.****致病特点1、泡球蚴为外生性2、该病百分之百原发病灶在肝脏，肝肿大96%，触诊肿块坚硬有结节感3、症状常似肝癌，“第二癌症”；病程可持续多年4、晚期因肝功能损害、衰竭致肝昏迷常见5、门静脉高压并发消化道大出血而死亡**泡球蚴病主要流行于北半球的高寒地区，我国以青海、甘肃、四川、新疆等地有流行。本病预防感染极其重要。消灭野鼠、个人防护目前的治疗药物：阿苯哒唑甲苯咪唑（大剂量）吡喹酮早期手术治疗**囊性和泡性棘球蚴**曼氏迭宫绦虫Spirometramansoni假叶目绦虫成虫寄生于犬、猫的小肠内，偶可寄生于人体幼虫——裂头