小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 粪便中绦虫的节段
- 颅内压升高
- 惊厥
- 肝肿大
- 咳嗽
- 咯血
- 过敏反应
- 贫血
其他诊断因素
- 无症状
- 非特异性的肠道症状
- 睡眠障碍
- 头痛
- 皮疹
- 发热
- 视觉障碍
危险因素
- 生活在农场
- 卫生条件差
- 食用或者处理未煮熟的牛肉或猪肉
- 食用了未煮熟的淡水鱼或甲壳类动物
- 饮用被污染的水
- 养狗的人群
- 户外活动
- 儿童
诊断性检查
首要检查
- 粪检
- 全血细胞计数
- 酶联免疫电转移印记(enzyme-linked immunoelectrotransfer blot，EITB)
- 棘球绦虫酶联免疫吸附测定 (ELISA) 和蛋白质印迹血清学检测
- 超声
- 颅脑计算机体层成像
- 脑部/脊柱磁共振成像
需考虑的检查
- 筛查结核病和类圆线虫病
治疗流程
中枢神经系统疾病：伴颅内压增高
肠道疾病
中枢神经系统疾病：不伴有颅内压增高
肝或肺部病变
撰稿人
作者
Jose A. Serpa, MD, MS, CTropMed
Associate Professor of Medicine
Program Director
Infectious Diseases Fellowship
Baylor College of Medicine
Houston
TX
利益声明
JAS declares that he has no competing interests.
Andrew Chou, MD
Assistant Professor
Infectious Diseases
Baylor College of Medicine
Houston
TX
利益声明
AC declares that he has no competing interests.
鸣谢
Dr Jose A. Serpa and Dr Andrew Chou would like to gratefully acknowledge Dr Christina Coyle and Dr Maheen Saeed, previous contributors to this topic.
利益声明
CC is an author of several references cited in this topic. MS declares that she has no competing interests.
同行评议者
William A. Petri, Jr, MD, PhD, FACP
Chief and Professor of Medicine
Division of Infectious Diseases and International Health
University of Virginia Health System
Charlottesville
VA
利益声明
WAP declares that he has no competing interests.
Linda Kalilani, MBBS, MPhil, PhD
Epidemiologist
College of Medicine
University of Malawi
Zomba
Malawi
利益声明
LK declares that she has no competing interests.
Paul Roberts, MD
Assistant Professor
Family Medicine
Mayo Clinic
Jacksonville
FL
利益声明
PR declares that he has no competing interests.
鉴别诊断
- 中枢神经系统结核
- 阿米巴性脓肿
- 偏头痛
更多 鉴别诊断指南
- 脑囊虫病的诊断和治疗
- 寄生虫 - 囊虫病
更多 指南
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