- 期刊
Subcutaneous Sparganosis - A Case Report and a Review of Human Sparganosis in Taiwan
皮下幼裂頭絛蟲病一病例報告及回顧台灣的人體幼裂頭絛蟲病
摘要
人體幼裂頭絛蟲病是一種由裂頭絛蟲之長尾幼蟲所感染的罕見寄生蟲病。此病長久以來一直被忽略，它的診斷經常是手術後無意間發現蟲體而確認。我們在此報告一個53歲的女性病人主訴近3個月來在右大腿發現一個逐漸增大的皮下結節，它在被認為是脂肪瘤的診斷下接受手術切除。病理檢查發現在真皮下層除了肉芽腫炎症反應，嗜伊紅性白血球浸潤及腔道形成外，並有一條典型的幼裂頭絛蟲。感染途徑極可能是由飲水引起。完全切除是唯一有效的治療方式。我們整理了先前在台灣發表過的19個病例並提供相關臨床資料。
關鍵字
無資料並列摘要
Human sparagnosis is a rare parasitic disease infected by plerocercoid larva (sparganum) of Spirometra species. It was usually diagnosed accidentally and has long been underestimated. In this report, we describe a 53-year-old woman presenting as an enlarging subcutaneous nodule in the right thigh for 3 months, which was excised in the belief that it was a lipoma. Characteristic sparganum accompanied by granulomatous inflammation, eosinophilic infiltrate and sinus tract in the subcutaneous tissue were discovered under microscopic examination of the excised tissue. Contaminated drinking water was presumed to be the infectious source. Complete excision is a curative treatment. We also review previously documented 19 human sparganosis in Taiwan to provide the clinical context for this report.
延伸閱讀
- Huang, C. H., Ho, J. C., Cheng, Y. W., Wu, W. M., Huang, S. L., & Wang, C. Y. (2009). 史帝文強生症候群及毒性表皮溶解症：南台灣病人流行病學回溯性研究. 中華皮膚科醫學雜誌, 27(1), 15-26. https://doi.org/10.29784/DS.200903.0002
- Yang, S. H., Ho, Y. H., Zhu, J. H., & Chu, S. Y. (2007). 臺灣東部兒童恙蟲病：一醫學中心十年案例分析. Acta Paediatrica Taiwanica, 48(6), 332-336. https://doi.org/10.7097/APT.200712.0332
- 蕭汎如、鄭雅文、李俊賢（2017）。石綿暴露工作者的職業健康檢查制度與惡性間皮瘤監測機制：國際經驗與台灣現況。台灣公共衛生雜誌，36(2)，187-196。https://doi.org/10.6288/TJPH201736105123
- 張峻瑋、陳珮臻（2020）。台灣地區松材線蟲新紀錄種Bursaphelenchus rainulfi（Nematoda：Parasitaphelenchiae）鑑定及其病原性探討。植物醫學，62(3)，31-39。https://doi.org/10.6716/JPM.202009_62(3).0004
- Kang, S. C., Chen, T. J., & Hwang, S. J. (2003). 人芽胞囊蟲在台灣某醫學中心門診體檢的分佈特性. 台灣家庭醫學雜誌, 13(3), 120-129. https://doi.org/10.7023/TJFM.200309.0120