Master Xie, a 55-year-old from Sichuan who lives in Hangzhou, returned to his hometown for a period of time four months ago due to his father's illness.
After returning to Hangzhou during the Spring Festival this year, there was loss of appetite and fatigue, accompanied by mild abdominal pain and diarrhea. In the past three days, he went to the hospital for cold and fever.
Ultrasound imaging showed that Master Xie's left liver had been "hollowed out" and turned into a large pus ball, reaching 19 cm× 18 cm× 12 cm in size.
Conservative treatment in the hospital was ineffective, and doctors underwent left hepatic resection of the patient. Postoperative pathological examination confirmed the diagnosis of Chodyristica sinensis liver abscess.
After the operation, Master Xie recalled that in his hometown in Sichuan, he ate sauerkraut fish once, and the fish fillets were soaked in hot water for tens of seconds, and the local area was a severely affected area of liver flukes, and there was a habit of eating raw or semi-raw fish fillets, which was commonly known as "fish raw" by the locals.
Chinese testicular flukes referred to as Chinese testicular flukes, also known as liver flukes, adult parasitism in the human body's liver and bile ducts, and liver, can cause Chinese mycodychiasis, also known as liver fluke disease.
The raw fish eaten by Master Xie is not thoroughly cooked and disinfected, and the cysticer cysticer fillets containing the last inactivated liver flukes enter the body from the mouth and grow in large quantities in the patient's liver along the bile duct parasitism.
Acute symptoms: allergic reactions and gastrointestinal discomfort, fever, stomach pain, bloating, loss of appetite, limb weakness, liver pain.
Chronic symptoms: fatigue, epigastric discomfort, loss of appetite, anorexia, indigestion, abdominal pain, diarrhea, liver pain, dizziness, etc. are more common. Common signs are hepatomegaly, mostly in the left lobe, soft, with mild tenderness.
Severe cases are accompanied by dizziness, weight loss, puffiness and anemia, and can cause cirrhosis and ascites in the late stage.
One. General treatment and symptomatic treatment
For patients with severe infections with severe malnutrition and cirrhosis, supportive therapies such as strengthening nutrition, protecting the liver, correcting anemia, etc., should be given first, and deworming should be given when the general condition improves.
Two. Deworming therapy
1. The preferred drug is praziquantel, which has the advantages of high efficacy, low toxicity, light response, absorption, metabolism and excretion in the body.
2. Albendazole can be selected, also known as intestinal worm clearance, which also has a relatively good curative effect on this disease.
Three. Surgical treatment
Patients with acute or chronic cholecystitis, cholelithiasis, or biliary obstruction should be treated surgically.
1. Control of the source of infection: that is, control the patients found, timely carry out liver fluke treatment, and avoid continuing to excrete pathogens containing liver fluke eggs.
2. Control the transmission route: that is, pay attention to dietary hygiene, and avoid fish and shrimp raw fish containing liver fluke cysticercles from entering the human body.
Do a good job in fecal management to avoid human feces directly flowing into rivers and rivers to pollute fish and shrimp.
3. Protect susceptible people: Healthy people avoid eating raw fish and shrimp. Do not eat sashimi, sashimi.
Usually eat fish meat food must be cooked before eating, so as to effectively avoid parasite infection.
Lu Renlang Chinese medicine said that with simple words to describe medical knowledge, recognize you close to medicine, close to health!