Abstract:We analyzed and summarized the diagnosis and treatment of the first imported Rhodesian human African trypanosomiasis case in China.This may provide a scientific basis for prevention and treatment of imported trypanosomiasis case. The history of the case was investigated by epidemiological methods;the trypanosome was observed by microscope after Giemsa staining.Diagnosis and treatment was made also combined with clinical features and other accessory tests. Many trypanosomes were found in peripheral blood smear of the fever patient. Trypanosoma brucei rhodesiense(T.b.rhodesiense) was confirmed by sequencing and gene amplification, combined with epidemiological and clinical features. Course of trypanosomiasis was the first due to blood cells of cerebrospinal fluid ≤5 mm3. Suramin sodium was used for anti-trypanosome treatment. After the whole course, the patient recovered and discharged from hospital with symptoms disappeared and repeated negative blood smears. This is the first imported case of T.b.rhodesiense infection in China. We should strengthen the prevention and control of imported parasitosis case.
陈朱云, 谢汉国, 林耀莹, 张山鹰. 首例输入性布氏罗得西亚锥虫病病例分析[J]. 中国人兽共患病学报, 2018, 34(4): 388-390.
CHEN Zhu-yun, XIE Han-guo, LIN Yao-ying, ZHANG Shan-ying. First imported case of Rhodesian human African trypanosomiasis in China. Chinese Journal of Zoonoses, 2018, 34(4): 388-390.