症例報告 栃木県内地域中核病院における寄生虫・衛生動物関連疾患症例の検討  [in Japanese] Parasitic diseases and other zoonoses in Ashikaga Red Cross Hospital, in Tochigi Prefecture, Japan  [in Japanese]

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Abstract

栃木県内の地域中核病院である足利赤十字病院において,寄生虫・衛生動物関連疾患の症例集積を行った。同院が移転開院した2011年7月以前の診療録を可能な限り過去に遡って検索し,最古1993年5月の診療録までを確認し,33例の寄生虫・衛生動物関連疾患を集積した。寄生虫症例として原虫症14例,蠕虫症13例を認めた。原虫症として,赤痢アメーバ症,ランブル鞭毛虫症,現在は真菌症に分類されるニューモシスチス肺炎を免疫機能低下例に認めた。三日熱マラリアは,5月にバヌアツ共和国内にて発症した20歳代女性に認め,若年女性を中心にアメーバ性角膜炎,膣トリコモナス症を認めた。蠕虫症として,裂頭条虫症,アニサキス症,回虫症に加え,健康診断で無症候性に蟯虫症・鉤虫症を認めた。衛生動物関連疾患として,飼い猫によるネコ引っ掻き病,パスツレラ症に加え,11月発症のツツガムシ病2例と,フィリピン国内で11月に罹患したデング出血熱を1例認めた。

A retrospective study revealed that parasitic diseases and other zoonoses were frequently encountered between 1993 and June 2011 in Ashikaga Red Cross Hospital, located in Tochigi Prefecture in Japan.Twenty-seven cases of parasitic diseases and six cases of zoonoses with variations were observed. Among 14 cases of protozoiasis, four cases of amebiasis, a case of giardiasis, and three cases of pneumocytosis were observed. There was one case of vivax malaria in a female patient who had suffered from high fever for over 2 weeks in Port Vila, Republic of Vanuatu, before moving to Ashikaga; in early June 2011, she was diagnosed with parasitemia as a peripheral blood sample showed a high density of gametocytes (0.5% (1.2 × 104 gametocytes/μL blood)). In addition, a case of amebic keratitis and four cases of trichomoniasis were observed. With regard to cestodiasis, three cases of diphyllobothriasis were caused by raw fish ingestion. Among 10 patients with nematodiasis, there were two cases of anisakiasis and six cases of ascariasis. Each case of ancylostomiasis and enterobiasis was diagnosed in asymptomatic patients at health check ups. In patients with other zoonoses, two had cat-scratch disease and one had pasteurellosis. Two male cases of tsutsugamushi disease, both infected in a low mountainous area near their houses in Ashikaga, were observed in winter. A case with dengue hemorrhagic fever, infected in Manila, Philippines, was admitted in December 2007. Severe pain in the right hypochondrial area plus backache were reported. Computed tomography revealed serum transudation in the right lung, in the abdomen (especially around the portal vein and gall bladder), and in the gluteal region.In conclusion, parasitic diseases and other zoonoses with variations are common and important diseases that require more attention in hospitals in Japan.

Journal

  • Jichi Medical University journal

    Jichi Medical University journal 34(-), 141-148, 2011

    Jichi Medical University

Codes

  • NII Article ID (NAID)
    110008922668
  • NII NACSIS-CAT ID (NCID)
    AA12194963
  • Text Lang
    JPN
  • Article Type
    Departmental Bulletin Paper
  • Journal Type
    大学紀要
  • ISSN
    1881-252X
  • NDL Article ID
    023691557
  • NDL Call No.
    Z19-965
  • Data Source
    NDL  NII-ELS  IR 
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