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一个4岁的孩子患有巨大的脑水囊:一个病例报告

Aylin Dizi Işık¹, Özcan Sönmez², Pınar Canizci Erdemli¹

¹Division of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University School of Medicine, İstanbul, Türkiye.

Iranian journal of parasitology

|April 24, 2024

概括

一个罕见的儿童巨型13厘米大脑水囊的病例呈现. 成功的手术切除和阿尔本达治疗凸显了在神经病例中考虑球菌病的重要性.

科学领域:

神经学神经学
寄生虫学的寄生虫学
儿科儿科儿科

背景情况:

乙球菌病是一种全球性 cestode 感染,通常会影响肝脏和肺部.
大脑受影响很少见,这会给诊断带来挑战,特别是在儿科病例中.

研究的目的:

报告一个罕见的儿童患者巨型内水囊的病例.
强调在儿童神经系统疾病的差异诊断中考虑球菌病的重要性.

主要方法:

一个有神经症状的4岁男孩的案例介绍.
诊断成像包括头骨磁共振成像 (MRI) 和超声波.
手术切除囊和组织病理学检查.
通过口服阿尔本达治疗进行医疗管理.

主要成果:

一个巨大的13厘米的大脑水囊被识别出来,并成功地在没有破裂的情况下去除了细胞核.
组织病理学证实了水囊的诊断.
没有eosinophilia或阳性间接凝血试验,以检测 echinococcosis.
在肝脏中发现了额外的囊性病变;没有检测到其他深部器官的参与.

结论:

虽然在儿童中很少见,但必须在神经症状的差异诊断中考虑内水病.
及时诊断和手术干预对于有利的结果至关重要.
治疗包括囊切除和抗寄生虫疗法,特别是在特有地区.

关键词:

大脑水性囊大脑水性囊埃奇诺可可菌病 (echinococcosis) 是一种可怕的疾病.液性囊是一种水性囊.

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