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目的介绍福建省首例蠊缨滴虫(Lophomonias blattarum)感染病例。方法对支气管肺泡灌洗液镜检。结果患者“感冒”月余,首诊对症治疗无效;后到福建省某医院治疗,CT检查见双肺弥漫性病变、双肺门及纵膈多发肿大淋巴结、双侧胸膜肥厚粘连,对支气管肺泡灌洗液(BALF)镜检,见大量可活动虫体,送省CDC寄生虫病防治科鉴定,经直接涂片和瑞氏染色观察,诊断为蠊缨滴虫,并对蠊缨滴虫的形态进行描述。结论对某些“感冒”治疗无效者应考虑蠊缨滴虫感染。
Objective To introduce the first case of Lophomonas blattarum infection in Fujian Province. Methods Bronchial alveolar lavage fluid microscopy. Results Patients “cold ” more than months, the first diagnosis of symptomatic treatment is invalid; after a hospital in Fujian Province, CT examination showed diffuse lung disease, double hilar and mediastinal lymph nodes, bilateral pleural thickening adhesions, Bronchial alveolar lavage fluid (BALF) microscopic examination, see a large number of movable parasites sent to the provincial CDC parasitic disease prevention and control section identified by direct smear and Wright’s stain was diagnosed as cockroach Trichomonas, and cockroaches Trichomonas morphology described. Conclusion Infection with certain “cold” treatments should be considered for T. cockroach infection.