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ID 16052
Eprint ID
16052
FullText URL
Thumnail 99_1491.pdf 1.28 MB
Title Alternative
Seven Cases of Human Fascioliasis in and around Okayama Prefecture
Author
Matsuoka, Hiroyuki
Tongu, Yasumasa
Aji, Toshiki
Ishii, Akira
Nakanishi, Toshio
Nakada, Hiroshi
Kishimoto, Nobuyasu
Nakatsuka, Takehisa
Kim, Hitoshi
Orita, Kunzo
Iijima, Takashi
Komiyama, Hiroshi
Abstract
We have examined seven cases of fascioliasis in and around Okayama prefecture. Five cases were from Okayama prefecture, one case was from Hiroshima prefecture and the other one was from Hyogo prefecture. There were many cattle pastured for milk or beef in the place from where the patients came. The main symptoms were epigastralgia, right hypochondralgia and fever. We suspected fascioliasis by eosinophilia and space occupied lesions in the liver which were demonstrated by abdominal computed tomography or ultrasonography. Three cases were confirmed of the diagnosis by detection of the eggs in the feces or in the duodenal contents. Three other cases were diagnosed by skin test and sero-immunological techniques such as the Ouchterlony method and immunoelectrophoresis. One case was ectopic fascioliasis; the parasite wandered subcutaneously in the abdomen and was excised from the skin of the left hypochondrium. Treatment was carried out with bithionol administered orally at a dose of 50mg/kg on alternate days for 10 to 15 doses. In some cases, praziquantel was used at a dose of 75mg/kg for three days combined with bithionol.
Keywords
肝蛭症
好酸球増多症
肝膿瘍
ビチオノール
人畜共通感染症
Published Date
1987-12-30
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume99
Issue
issue11-12
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
1491
End Page
1502
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/99/11-12/99_11-12_1491/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
Copyright© 岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma