【摘要】 回顾分析宜昌市首例包虫病病例的诊断过程。患者外科囊肿切除术摘除20 cm×15 cm×12 cm巨大囊肿,内容物为大量白色膜状物,囊肿摘除物检获大量棘球绦虫的幼虫,病原学诊断为囊型包虫病。国家疾控中心有关专家对患者进行了感染来源的追溯调查,认为该例患者至少在10年前与携带棘球绦虫虫卵的狗的皮毛密切接触而被传染。传播链的形成可能与当地引进外来种羊、种牛、宠物狗和当地居民有普遍饲养家犬习惯有关,属本地感染病例。该病例为湖北宜昌市首例包虫病病例。更多还原

【Abstract】 Diagnosis and follow-up of the first case of hydatid disease in the City of Yichang was analyzed retrospectively.A huge cyst 20 cm× 15 cm× 12 cm was removed from the patient and contained a large number of white membranes.The cyst contained Echinococcus larvae.Etiological diagnosis was cystic-hydatid disease.Cyst samples were sent to the Hubei CDC and Huazhong University of Science & Technology for diagnosis.An expert with the national CDC retrospectively studied the origins of the infection and surmised that the patient had been infected by close contact with the hair of a dog bearing Echinococcus eggs 10 years prior.A transmission chain may have been formed by the introduction of alien species of sheep,cattle,and pet dogs and the common custom among local residents of breeding dogs.This case was the first case of autochthonous infection in Yichang.更多还原