Clinical features of 14 cases of cerebral schistosomiasis in Jiangxi Province
10.16250/j.32.1374.2017062
- VernacularTitle:江西省14例脑型血吸虫病临床特点
- Author:
Yun XU
1
;
hong Zhi GONG
;
qun Hui XIE
Author Information
1. 江西省寄生虫病防治研究所 南昌330096
- Keywords:
Cerebral schistosomiasis;
Clinical feature;
Jiangxi Province
- From:
Chinese Journal of Schistosomiasis Control
2017;29(6):740-742,760
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical features of cerebral schistosomiasis. Methods The clinical data of fourteen patients with cerebral schistosomiasis from March 2010 to March 2016 were collected and analyzed retrospectively. Results The schistosomiasis immunological tests of sera and cerebrospinal fluids from the fourteen patients were all positive. Eosinophils increased in ten cases,and the proportion was 5.1％-60.3％. Schistosoma eggs were found in seven cases by the fecal Kato-Katz method. Fourteen cases were all infected with Schistosome japonicum. Twelve cases were diagnosed as chronic type,and two cas-es as acute type. Thirteen patients received medical treatment,of which twelve were cured,and one improved. One patient re-ceived the surgical resection of the lesion. Conclusion The clinical manifestations of cerebral schistosomiasis mainly include seizure,headache,dizziness and fever. In the enhanced head magnetic resonance imaging(MRI),the lesions are clustered and merged into lumps,which is the characteristic image of cerebral schistosomiasis japonica. The praziquantel treatment can achieve a good prognosis.
