CASE REPORTMEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 -
8355 136 fax: 84-8-8352543 email:
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MEDIC HOSPITAL
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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18/3/99: Ñau vuøng thöôïng vò.
66.bin
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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61.bin
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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MRI
24/3/99
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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MRI
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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MRI
109.bin
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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MRI
69.bin
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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MRI
63.bin
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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26/6/99 : Coâng thöùc baïch caàu:
Leucocytes = 6.800/mm3
N= 48%
E= 18%
L= 34%
GNATHOSTOMA (+) 1/800
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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NGUYEÃN Q. H. 41 TUOÅI, NAM, MANAGER
08/4/99 söng vuøng maù phaûi, caïnh tuyeán nöôùc boït mang tai
phaûi.
10/4/99 ñau vuøng haï söôøn phaûi
CBC:
Hct= 41,4 RBC 4.86 Plt 393
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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MRI
64.bin
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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MRI
03/5/99 söng maët trong ñuøi phaûi vaø maët trong ñuøi traùi
19/6/99 söng maët beân moâi phaûi
CBC: Leucocytes: 5700, N: 60% E: 10%
25/6/99 söng vuøng döôùi moâi phaûi
CBC: Leucocytes 9.400, E: 11%
28/6/99 Sero chaån ñoaùn:
GNATHOSTOMA döông tính 1/800
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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Eosinophilic menimgoencephalitis
19 named species
G. VIETNAMICUM: Le Van Hoa et al (1965) from the otter
Thailand, Malaysia, China, Japan, India, Java, Israel, Vietnam,
Philippines
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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MRI
MORPHOLOGY
110.bin
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MRI
CYCLE
111.bin
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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Skin: painful. Itchy, migratory swellings in the distal extremities
and periorbital areas
Ocular involument: iristis, palpebral edema
CNS: eosinophilic meningitis with myeloencephalitis
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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Sero diag. Elisa test
Surgical removal
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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angiostrongylus cantonensis
trichinosis: trichinelle spiralis
anisakiasis: anisakis simplex
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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Mebendazole 200mg q 3h for 6 days
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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MRI
EOSINOPHILIA
Increase in the total number of eosinophils in the peripheral blood
above 0.4 x 19(9)/litre
Total counts are more accurate than percentages
Eosinophile is sussestive of an understanding parasite infection,
and is associated with the migratry phase of such infection.
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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Angiostrongylus
Polyarteritis nodosa
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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TREMATODES
Schistosomiasis
Ecchinococcus multilocularis
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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NEMATODES
(ROUNDWORM)
Trichinosis
Anisakis simplex
MEDIC 254 Hoøa Haûo Q. 10 TP. Hoà Chí Minh ÑT: 8357284 - 8355 136
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1- Harison’s principles of Internal medicine 14th edition
2- Guide to antirigobial therapy, 29th edition, 1999 david XI
Gilbert, Robert C. Moellering, Merle A. Sande.
3- Basic clinical parasitology, 6th edition, Franklin A. Neva,
Harold W. Brawn
4- Medicine International No 37, Volume 11, 1997
5- Craig and Faust’s clinical parasitology 8th edition 1070
Schistosomiasis
migrans)
Trichinosis
