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幼虫移行症 (Larva migrans)

幼虫移行症 (Larva migrans). 一些线虫的幼虫在侵入人体后不能进一步发育为成虫,但能在内脏中或皮肤下移行活动,造成机体不同程度的损害,这种现象称为幼虫移行症。 分为: 内脏幼虫移行症 (visceral larva migrans) (眼幼虫移行症 (ocular larva migrans) ) 皮肤幼虫移行症 (cutaneous larva migrans). 内脏幼虫移行症 (visceral larva migrans). 主要病原为:犬弓首线虫(犬蛔虫)、猫弓首线虫(猫蛔虫)、棘颚口线虫

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幼虫移行症 (Larva migrans)

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  1. 幼虫移行症 (Larva migrans) 一些线虫的幼虫在侵入人体后不能进一步发育为成虫,但能在内脏中或皮肤下移行活动,造成机体不同程度的损害,这种现象称为幼虫移行症。 分为: 内脏幼虫移行症(visceral larva migrans)(眼幼虫移行症(ocular larva migrans)) 皮肤幼虫移行症(cutaneous larva migrans)

  2. 内脏幼虫移行症(visceral larva migrans) • 主要病原为:犬弓首线虫(犬蛔虫)、猫弓首线虫(猫蛔虫)、棘颚口线虫 • 主要特征:嗜酸性粒细胞增高,肝肿大,急性肺炎等,根据寄生部位的不同而引起相应的症状。如进入脊髓和脑可引起脑脊髓炎,可致死亡。

  3. 皮肤幼虫移行症(cutaneous larva migrans) • 主要病原:巴西钩虫、犬钩虫、锡兰钩虫、棘颚口线虫 • 主要特征:皮肤出现匐行疹或间歇出现皮下游走性包块,皮肤发红、水肿,有灼热感、痒感。

  4. 粪类圆线虫 (Strongyloides stercoralis) • 是一种兼性寄生虫(有自生世代和寄生世代) • 寄生世代中,成虫寄生在宿主的小肠内,幼虫可侵入肺、脑、肝、肾等组织器官,引起粪类圆线虫病(strongyloidiasis) • 是一种机会致病性寄生虫,当机体免疫力下降或缺乏时,可致播散性超度感染

  5. 粪类圆线虫丝状蚴

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