绦虫感染

最后审阅: 22 Aug 2023
最后更新: 15 Feb 2019

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
更多 关键诊断因素

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
其他诊断因素

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
更多 危险因素

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
更多 首要检查

需考虑的检查

  • 筛查结核病和类圆线虫病
更多 需考虑的检查

治疗流程

初步治疗

中枢神经系统疾病:伴颅内压增高

急症处理

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.

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