頁籤選單縮合
題 名 | 以陰囊單一結節為表現之班氏絲蟲--一罕見病例報告=Wuchereria Bancrofti Presented as a Solitary Nodule on Scrotum--A Rare Case Report |
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作 者 | 李志宏; 黃高彬; 吳介山; 余幸司; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 19:1 2001.03[民90.03] |
頁 次 | 頁22-29 |
分類號 | 415.291 |
關鍵詞 | 陰囊單一結節; 班氏絲蟲; Wuchereria bancrofti; Solitary scortal nodule; Inguinal filariasis; |
語 文 | 中文(Chinese) |
中文摘要 | 班氏絲蟲感染是導致淋巴絲蟲病的主要原因。它是由帶有感染性絲蟲幼蟲蚊蟲叮咬人體所引起。它的分佈是世界性,從熱帶到亞熱帶都有它的蹤跡,分佈在非洲、東南亞、中國南方、南太平洋群島、印度、中美洲、南美洲北部,新幾內亞、土耳其等國家。台灣自1970後因環境衛生改善已較少出現,離島方面食用鹽加入DEC更使得本土病例大為減少。我們報告一個境外移入病例,以相當罕見的單一陰囊結節為表現。他是一個美國人,移居台灣已有多年,這幾年他到過南美、肯亞、土耳其及美國等地。最近一年來,他發現陰囊出現一外表鮮紅並逐漸增大皮下結節,因此到我們門診求診。病人身體並無其他不適,病人沒有陰囊或下肢水腫,其他理學檢查也沒有特殊發現。在幫他做皮膚切片時,從皮下發現一隻不具活動性班氏絲蟲雌成蟲。DEC引發試驗在患者血液中並未發現有微絲蟲,但抗原的ELISA卻有較高異常值。在兩週累積劑量7400mg DEC治療後,ELISA值略有降低。治療過程中,身體沒有特別不適。一直到目前,病人在門診已半年追蹤,沒有復發,也沒有什麼後遺症。 |
英文摘要 | Wuchereria bancrofti infection is a major cause of lymphatic filariasis. It was mediated by the mosquitoes with infected larva. It has a worldwide range in tropical and subtropical countries, distributing in Africa, Southern-East Asia, Pacific islands, India, northern South America, New Guinea, central America, Turkey, etc. It has been rarely found in Taiwan area after the improvement of hygiene and environment since 1970 with exception in neighboring islands. DEC-added salt in Quemoy islands further helped eradicate the parasites. Here we reported a case who is an American immigrated into Taiwan for a long time He had ever traveled to South America, Kenya, Turkey, and back to United States in recent years. He visited our OPD because of a solitary, erythematous, progressively enlarged subcutaneous nodule on his scrotum for 1 year. No other special finding could be noted in physical examination. We removed a nonvital adult female worm of Wuchereria bancrofti during the skin biopsy. Although the thick smear obtained following the administration of DEC did not show any microfilaria at all, the antigen-based ELISA revealed positive finding. After 2 weeks course therapy of DEC totally 7400mg, the ELISA value declined. No adverse side effect was noted during the treatment course. NO sequela or evidence of recurrence was noted after 6 months of follow up. This is a case of Wuchereria bancrofti with an unusual presentation of a solitary scrotal nodule without lower leg or scrotal edema. |
本系統中英文摘要資訊取自各篇刊載內容。