Pulmonary Miyazaki paragonimiasis
Introduction
Introduction to pulmonary hysterasis Pulmonary uterus is a lung disease caused by M. sinensis, which has a clinical difference from Westermani. basic knowledge Sickness ratio: 0.0001% Susceptible people: no special people Mode of infection: non-infectious Complications: pneumothorax, lung abscess
Cause
The cause of pulmonary hysterasis
(1) Causes of the disease
Miyazaki is the main pathogen, and patients have lived or traveled in areas where paragonimiasis is endemic, especially if they have raw or uncooked crabs or laks or drinking streams.
(two) pathogenesis
People are eaten by raw food, salted, drunk, and contaminated with paragonimiasis or river prawn. After the thorns are swallowed into the human body, the wall of the capsule is broken by the action of the digestive juice, and the worms escape and pass through the intestinal wall. The lungs destroy the lung tissue and form a sac.
Prevention
Lung Miyazaki's prevention of paragonimiasis
The same type of paragonimiasis. The disease can be obtained in the endemic areas or in the epidemic areas, through the contamination of raw or semi-raw stone crabs, oysters, marsh shrimp, red maiden or drinking water and utensils (knives, chopping boards). The key to preventing this disease is to prevent stone crabs, cockroaches and raw water that are not raw or half-baked, to prevent infection, to spit, to not urinate, and to prevent eggs from rushing into the stream with rainwater. Once the patient is ill, he should be treated thoroughly.
Complication
Complications of pulmonary hysterasis Complications, pneumothorax, lung abscess
Can form pleurisy, pneumothorax, lung abscess and so on.
Symptom
Lung Miyazaki paragonimiasi symptoms common symptoms chest pain, abdominal pain, shortness of breath, chest tightness
From the birth of crabs to the onset of about 1 month to about half a year. Abdominal symptoms such as abdominal pain occur 1 to 2 months before the onset of respiratory symptoms. According to the 31 cases reported in Japan, symptoms: chest pain 12 cases, cough There were 8 cases, 6 cases of back pain, 5 cases of shortness of breath, 3 cases of abdominal pain, 2 cases of chest tightness, 2 cases of blood stasis, 4 cases of asymptomatic, and 1 case of unknown.
1. According to clinical manifestations, the disease is mainly caused by chest pain and cough.
2. There are many hollow lesions in the lungs, and the lesions are polymorphic (circle, ellipse, rectangle and polygon).
3. The peripheral blood eosinophil count is high.
Examine
Examination of pulmonary hysterasis
Peripheral blood examination of eosinophils, 10% of 1 case, 10% to 20% of 6 cases, 20% to 30% of 6 cases, 30% to 40% of 6 cases, 40% to 50% of 4 cases, 1 case was 50% to 60%, 5 cases were 60% to 70%, and 2 cases were not recorded.
X-ray chest showed 24 cases of pleural effusion, 12 cases of pneumothorax, 5 cases of intrapulmonary shadow, 3 cases of pleural adhesion, and 2 cases of enlarged heart shadow.
Diagnosis
Diagnosis and diagnosis of pulmonary hysterasis in Miyazaki
Differential diagnosis
The differences with Wei's paragonimiasis are as follows:
1 The disease is chest pain, cough is the main symptom, while the latter is hemoptysis and blood stasis is more;
2 The chest radiograph is more common in the lungs, while the latter is mainly pneumothorax and pleural effusion;
3 peripheral blood eosinophil count, due to ectopic parasitic and fascinating habits of this disease, so the higher than the latter count, most cases higher than 30%, a few cases higher than 50%, even up to 70%, blood IgE There is almost a rise in the value. Suzuki Akira and others believe that the disease is different from the Wei's lung disease, and there are many hollow lesions in the lungs, polymorphisms (circle, ellipse, no plastic) and multi-room shape. The treatment of this disease is more difficult and time consuming than the latter.
