寄生虫引起的嗜酸性粒细胞性胸腔积液：病例报告
Parasite-Induced Eosinophilic Pleural Effusion: A Case Report
DOI: 10.12677/acm.2025.1551686, PDF,   
作者: 王如雪*：天津医科大学研究生院，天津；钱雪娇#：天津市第一中心医院呼吸与危重症医学科，天津
关键词: 寄生虫；胸腔积液；嗜酸性粒细胞增多；Parasite； Pleural Effusion； Eosinophilia
摘要: 寄生虫引起的胸腔积液案例较少，因此临床上误诊率及漏诊率较高。本篇主要汇报一种罕见的寄生虫，即类圆线虫引起的胸腔积液，胸膜寄生虫感染。在这里我们报告一则罕见的病例，77岁老年女性因胸闷憋气9天入院，胸CT提示双侧胸腔积液，胸腔积液引流液病理提示嗜酸性粒细胞增多，查类圆线虫血清ELISA法IgG抗体阳性。后患者经出院后规律服用抗寄生虫药物阿苯达唑，胸闷憋气症状明显好转，复查超声提示胸腔积液量明显减少。本研究旨在表明寄生虫感染在引起嗜酸性胸腔积液中的重要性。
Abstract: There are few cases of pleural effusion caused by parasites, so the clinical misdiagnosis rate and missed diagnosis rate are high. This paper reports a rare parasite, the pleural effusion caused by Strongyloides. Here, we report a rare case of a 77-year-old woman who held her breath for 9 days due to chest tightness. On admission to hospital, chest CT indicated bilateral pleural effusion, the pathology of pleural effusion drainage fluid indicated eosinophilia, and strongyloid-like serum IgG antibody was positive by ELISA. After discharge, the patient regularly took the antiparasitic drug albendazole, the symptoms of chest tightness and suffocation were significantly improved, and reexamination ultrasound indicated that the amount of pleural effusion was significantly reduced. The aim of this study was to demonstrate the importance of parasitic infection in causing eosinophilic pleural effusion.
文章引用：王如雪, 钱雪娇. 寄生虫引起的嗜酸性粒细胞性胸腔积液：病例报告[J]. 临床医学进展, 2025, 15(5): 2854-2859. https://doi.org/10.12677/acm.2025.1551686

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