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絛蟲感染症:病例報告

Tapeworm Taeniasis- A Case Report

摘要


絛蟲感染症目前在國內較少見,但常發生在許多開發中國家。隨著國內外籍勞工人數增加,臨床醫師也應注意病患是否有寄生蟲感染。一名泰籍勞工,因外傷及胃腸不適、腹瀉到醫院求診,醫師除外傷處理外,還懷疑其有寄生蟲感染。經以三個星期的甲苯咪唑(Mebendazole) 治療後,糞便中排出長125公分含絛蟲頭節之蟲體。雖然Mebendazole 可有效治療許多寄生蟲感染,但在絛蟲感染症治療時,Mebendazole 用藥時間需要特別延長,並且確認絛蟲頭節是否排出。才能防止絛蟲引發的再次的感染。

並列摘要


Thought Taeniasis now is rarely found in Taiwan, it is one of the common parasitic infection in developing countries. As the number of immigrant workers is increasing in Taiwan, the clinicians need to take care and rule out the parasite infection. A Thailand immigration worker, who had a hand injury, complained of abdominal discomfort in association with mild diarrhea when seeking care at our hospital parasitic infection was suspected. After 3 weeks of mebendazole (100 mg, tid, for 6 days), adult tapeworm proglottids and gravid proglottids were found in the feces. The length of the tapeworm was more than 125 cm. The Mebendazole is highly effective in treating parasite infection within a few days, but for tapeworm infection several more weeks of treatment may be needed. To ensure eradication of tapeworm infection, identification of the scolex in the feces is important after treatment.

並列關鍵字

Taeniasis Mebendazole Immigrant workers Scolex Re-infection

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