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患者女性,20岁,系中东到瑞典的移民。2年后,诊断为棘球蚴包囊,即采用甲苯咪唑治疗。因有晕厥和皮疹、嗜酸粒细胞升高及IgE血清浓度高的既往史,故同时加用强的松(10mg/天),以减轻患者的过敏反应。甲苯咪唑的用量逐步增加,到第10天达到每天40mg/kg。由于治疗期间,患者发热和肝大,于第17天停服甲苯咪唑和强的松。患者出现了溶组织内阿米巴抗体的滴度明显增加,作者认为是强的松使潜伏的阿米巴感染活化,从而出现发热和肝大的症状,用灭滴灵治疗阿米巴感染后,于第46天,患者又开始服
Female patient, 20 years old, immigrants from the Middle East to Sweden. Two years later, the diagnosis of echinococcosis cysts, the use of mebendazole treatment. Due to syncope and rash, eosinophilia and IgE serum concentrations in the past history, so at the same time with prednisone (10mg / day), to reduce the patient’s allergic reaction. The amount of mebendazole gradually increased to 40 mg / kg daily by day 10. Metabenzide and prednisone were discontinued on day 17 due to fever and hepatomegaly in patients during treatment. Patients appeared within the titers of E. histolytica antibody was significantly increased, the authors believe is prednisone latent amoebic infection activation, resulting in fever and liver symptoms, with metronidazole after treatment of amoeba infection On the 46th day, the patient started to take over again