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