Diphyllobothriasis Latum: The First Child Case Report in Taiwan

廣節裂頭絛蟲感染是一種腸道的寄生蟲感染，常是食入含有廣節裂頭絛蟲的全尾幼蟲的生淡水魚肉而感染。我們報告一個八歲大的男孩主訴在排便時發現蟲體。其他症狀包括將近一年的輕微腹痛。實驗室檢查並無發現貧血或維他命B12的缺乏。確定診斷是由觀察生殖節片中有與廣節裂頭絛蟲特徵相符的玫瑰花瓣形狀的子宮及典型的卵蓋和蟲卵大小。此病人在近一年中有食用未煮熟魚肉的經歷，其感染源可能為鮭魚。我們使用praziquantel治療這病人，治療後他排出約183公分的蟲體。廣節裂頭絛蟲感染通常流行在北方高緯度的地方。這病人是台灣第一例的小兒病例報告。

關鍵字

兒童病例；廣節裂頭絛蟲症；廣節裂頭絛蟲

並列摘要

Diphyllobothriasis latum is an intestinal parasitosis caused by the ingestion of mostly raw freshwater fish containing plerocercoids of Diphyllobothrium latum. We report an 8-year-old boy who came to our hospital with the complaint of a tapeworm hanging from the anus after defecation. The other symptom was mild abdominal cramping for a period of 1 year. The laboratory examination did not reveal anemia or vitamin B12 deficiency. Examination of gravid proglottids with rosette-like central uterus and typically operculated eggs of D. latum confirmed the diagnosis. The morphologic characters of proglottids and eggs size are compatible with D. latum. The patient had a history of eating uncooked fish for 1 year. Salmonids may be the infection source. He was treated with two doses of praziquantel and passed about 183 cm in length of all proglottids. There is a high prevalence of diphyllobothriasis latum in the northern temperate areas, but it is very rare in children. This patient is the first child case reported in Taiwan.

並列關鍵字

child case ； diphyllobothriasis ； Diphyllobothrium latum

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Diphyllobothriasis Latum: The First Child Case Report in Taiwan

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