Clonorchiasis misdiagnosed as hepatic tumor: a case report
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摘要:
<正>肝吸虫病起病隐匿,早期临床症状不典型,没有特异性体征[1],轻症者常无症状,虫卵检出率低,易漏诊、误诊。现将1例曾被误诊为肝占位(肝内胆管细胞癌可能性大)的肝吸虫病的病例报道如下。1病例资料患者女性,54岁,内蒙古乌兰浩特人,因"咳嗽、咳痰1个月,发现肝脏占位性病变10 d"于2017年4月8日入院。患者缘于2017年3月无明显诱因出现咳嗽,偶有咳痰,就诊于乌兰
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Key words:
- fasciola hepatica /
- liver diseases, parasitic /
- liver neoplasms /
- diagnostic errors /
- case reports
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[1]LU Y, XU XN, FENG Z.Liver flukes associated diseases of liver and gall[J].Int J Med Parasit Dis, 2007, 34 (2) :107-113. (in Chinese) 卢艳, 许学年, 冯正.肝吸虫与肝胆疾病[J].国际医学寄生虫病杂志, 2007, 34 (2) :107-113. [2]HUANG JY, FANG XH.The relationship between clonorchis sinensis infection and the hepatobiliary diseases[J].J Trop Med, 2010, 10 (2) :226-228. (in Chinese) 黄嘉殷, 方小衡.华支睾吸虫感染与肝胆疾病的关系[J].热带医学杂志, 2010, 10 (2) :226-228. [3]YANG YC, LI SL, TAN YG, et al.Infection status of Haplorchis taichui in the population and freshwater fish in liver fluke endemic areas of Guangxi[J].J Appl Prev Med, 2012, 18 (2) :75-77. (in Chinese) 杨益超, 李树林, 谭裕光, 等.广西肝吸虫流行区人群及淡水鱼扇棘单睾吸虫感染调查[J].应用预防医学, 2012, 18 (2) :75-77. [4]LIANG DR.CT manifestations of clonorchiasis sinensis[J].Guangxi Med J, 2011, 33 (5) :638-640. (in Chinese) 梁德壬.肝吸虫病的CT表现[J].广西医学, 2011, 33 (5) :638-640. [5]CHEN HE, JIANG TJ, YANG JQ, et al.CT diagnosis of clonorchis sinensis hepatopathy (analysis of 139 cases) [J].Chin J Radiol, 1995, 29 (9) :620-623. (in Chinese) 陈惠恩, 姜泰俊, 杨健勤, 等.华支睾吸虫肝病的CT诊断:附139例报告[J].中华放射学杂志, 1995, 29 (9) :620-623. [6]YU Q, ZHAO LJ, TU K, et al.A case of hepatic paragonimiasis[J].J Clin Hepatol, 2017, 33 (1) :165-166. (in Chinese) 余琴, 赵礼金, 涂奎, 等.肝肺吸虫病1例报告[J].临床肝胆病杂志, 2017, 33 (1) :165-166. [7]TIAN MF, HAN B.The clinical value of the detections of CA199, CA125, CA153 and CEA in malignant tumors[J].J Clin Exp Med, 2010, 9 (7) :483-485. (in Chinese) 田满福, 韩波.检测CA199、CA125、CA153及CEA在肿瘤诊断中的意义[J].临床和实验医学杂志, 2010, 9 (7) :483-485. [8]LIM MK, JU YH, FRANCESCHI S, et al.Clonorchis sinensis infectionand increasing risk of cholangiocarcinoma in the republic of Korea[J].Am J Trop Med Hyg, 2006, 75 (1) :93-96. [9]BOUVARD V, BAAN R, STRAIF K, et al.Review of human carcinogens-Part B:biological agents[J].Lancet Oncol, 2009, 10 (4) :321-322. [10]WU W, CHEN J, ZENG S, et al.Molecular cloning, expression, and characterization of cclophilin A from Clonorchis sinensis[J].Parasitol Res, 2011, 109 (2) :345-351. [11]LI T, YANG M, CHEN JT, et al.Expression, localization and enzymatic activity study on the thioredoxin peroxidase of Clonorchis sinensis[J].J Trop Med, 2014, 14 (8) :975-979, 983. (in Chinese) 李婷, 杨梅, 陈金桃, 等.华支睾吸虫硫氧还蛋白过氧化物酶的表达定位及其酶活性的研究[J].热带医学杂志, 2014, 14 (8) :975-979, 983. [12]HE JY, LIU ZG, QIN EQ, et al.One case of clonorchiasis[J].Infect Dis Info, 2007, 20 (1) :62-63. (in Chinese) 何江英, 刘志国, 秦恩强, 等.华支睾吸虫病1例报告[J].传染病信息, 2007, 20 (1) :62-63. [13]FURST T, KEISER J, UTZINGER J.Global burden of human food-bornetrematodiasis:a systematic review and meta-analysis[J].Lancet Infect Dis, 2012, 12 (3) :210-221.
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