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Red network moment June 18 news (correspondent Su Qingmei) 37-year-old chef Master Kong, not long ago because of "chest pain for more than 20 days" to Changsha Traditional Chinese Medicine Hospital (Changsha Eighth Hospital) for treatment, improve chest CT examination, indicating right lung infection, right pleural effusion; blood routine suggests that eosinophils are significantly elevated, the rest of the indicators are normal. After symptomatic treatment such as anti-infection and cough and sputum reduction, there was no significant change in the shadow of the right lung and the effusion on the right side of the chest CT compared with before, and the blood routine still showed a significant increase in eosinophils.
It seems that the commonplace "lung infection" has not worked well after treatment, and Master Kong is very worried. Liu Dan, head of the Department of Respiratory Medicine, and Dong Ying, deputy chief physician, once again asked Master Kong in detail about his past medical history. He finally recalled the sight of raw river crabs in August last year. Subsequently, the relevant tests were improved to indicate that the lung fluke IgG antibody and the liver fluke IgG antibody were positive, and the lung fluke disease was considered in combination with imaging and related data, and the liver fluke infection was possible. After oral treatment with praziquantel, Master Kong's symptoms improved significantly, and a repeat chest CT showed that the effusion was significantly absorbed. The disease that has plagued him for many days has been cured, and Master Kong sincerely thanks the respiratory medicine medical staff for their patience, care and care.
Considering that Master Kong's raw eating of river crabs during the dinner party caused this disease, Liu Dan further communicated and learned that his colleague Master Su was also diagnosed with lung trematodiasis in December last year, and also ate river crab raw during the dinner.
Coincidentally, in mid-May, Chef Wang, a 37-year-old chef, was hospitalized in the respiratory medicine department of the hospital for "coughing and coughing sputum for more than 4 months, aggravated for 1 week", and the routine eosinophils were significantly elevated, chest CT suggested lung infection, and a small amount of pleural effusion on both sides. Based on the previous cases of lung trematodiasis, Master Wang's condition attracted the attention of deputy chief physician Ge Chao and attending physician Liu Zhenxue, and immediately asked in detail about the medical history, learned that he had eaten river crab raw, immediately improved the parasite antibody detection, and was diagnosed with lung fluke disease, and the symptoms were significantly alleviated after symptomatic treatment.
Liu Dan said that lung fluke disease, also known as co-breeding trematodiasis, is an important foodborne zoonotic helminthiasis caused by the parasitism of wilson's and Sys's co-breeding trematodes in the host lungs or the migration between various organs in the body. People are infected by raw, pickled, drunk or semi-raw cystic crabs, snails or cockroaches, as well as raw food of meta-host meat containing cystics, or drinking raw water.
The possibility of this disease should be considered when eating raw or underripe brook crabs, snails or cockroaches in endemic areas, chest pain or rust-colored sputum or wandering nodules and unexplained epilepsy, and eosinophilia. Clinical manifestations are early inflammatory responses, such as fever, cough, chest pain, headache, vomiting and other symptoms, accompanied by abdominal pain and diarrhea or pain in the liver area, and later symptoms of chest cavity and pericardial effusion, hepatomegaly, and brain damage. The lungs are the most common parasitic site of Wei's cohozoa, cough, bloody sputum, chest pain are the most common, and the typical sputum is tan and can last for several years. Chosozoma spp. causes chest pain and more fluid effusion, while coughing and bloody sputum are less common. The key to preventing this disease is to not eat raw or eat half-cooked brook crabs, sichuan roll snails or cockroaches.