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囊虫病在我国北方并不少见,但本例患者多次被误诊,确诊后在用吡喹酮治疗过程中发生严重过敏性休克,现报导如下:庄××,女,22岁,1983年9月25日入院。近4月来劳动后四肢肌肉酸痛,休息后缓解。近2月症状加重,不规则发热,下肢逐渐增粗,行走困难,多次误诊为风湿热、原因不明假性肌肥大等,经肌肉活检后确诊为囊虫病。确诊后,追问病史,8月前曾食“米珠肉”,5月前曾在大便中发现白色带状节片。体检:全身皮下似可扪及散在高粱米
Cysticercosis is not uncommon in northern China, but patients in this case were misdiagnosed many times, severe allergic shock occurred during the treatment with praziquantel after diagnosis, are reported as follows: Zhuang × ×, female, 22 years old, 1983 September 25 admission. In the past 4 months after work limbs muscle soreness, rest and ease. Nearly 2 months of symptoms, irregular fever, lower extremities gradually thicker, difficult to walk, many misdiagnosed as rheumatic fever, unexplained false muscle hypertrophy, diagnosed as cysticercosis by muscle biopsy. After the diagnosis, the history of the questioning, before August eaten “rice ball meat”, in May before the stool found in white ribbon. Physical examination: whole body can be palpable scattered subcutaneous sorghum rice