囊性包虫病:家庭筛查的重要性

B. Hekimoglu, Y. Akkas, B. Kocer
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摘要

在这个报告中,三个患有囊性包虫病的家庭成员有多器官受累。作为第一例病例,一名31岁男性,童年生活在一个饲养动物的家庭,以侧痛为主诉求医。他的放射检查显示肺和肝脏有囊性病变。切除肺内病变。肝内病变采用穿刺、抽吸、注射、呼吸(PAIR)治疗。第二个病例是第一个病例的兄弟,一名36岁男性。影像学检查发现肺、肝、脾有囊性病变。切除肺部病变,对肝、脾病变行PAIR治疗。最后一个病例是56岁的母亲。放射学检查显示左肺和肝有囊性病变。切除肺部病变,对肝脏病变进行PAIR治疗。所有患者均在阿苯达唑治疗下随访。总之,家庭扫描是一个重要的问题,特别是在社会经济发展中、农业普遍存在的流行地区。Klimik Dergisi 2018;31(2): 165 - 8。
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Cystic Echinococcosis: Importance of Family Screening
In this report, three family members with cystic echinococcosis having multiple organ involvements were presented. As the first case, a 31-year-old male who had a childhood in a family raising animals sought medical advice with the complaint of side pain. His radiologic examination revealed cystic lesions in lungs and liver. Lesions in the lung were resected. “Puncture, aspiration, injection, respiration (PAIR)” treatment was applied to lesions in the liver. The second case was the brother of the first one, a 36-year-old male. Cystic lesions in lungs, liver and spleen were detected on his radiologic imaging. Lesions in lungs were resected and PAIR treatment was applied to hepatic and splenic lesions. The last case was the 56-year-old mother. Her radiologic examination revealed cystic lesions in left lung and liver. Pulmonary lesion was resected and PAIR treatment was applied to lesions in the liver. All patients were followed up under albendazole treatment. In conclusion, family scanning is an important issue, especially in socioeconomically developing, endemic areas where farming is common. Klimik Dergisi 2018; 31(2): 165-8.
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