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寄生虫感染致外周血嗜酸性粒细胞增多的临床特点

刘晓芳 焦洋 范洪伟 黄晓明

协和医学杂志2016,Vol.7Issue(6):432-435,4.
协和医学杂志2016,Vol.7Issue(6):432-435,4.DOI:10.3969/j.issn.1674-9081.2016.06.006

寄生虫感染致外周血嗜酸性粒细胞增多的临床特点

Clinical Features of Eosinophilia Caused by Parasitic Infections

刘晓芳 1焦洋 2范洪伟 1黄晓明3

作者信息

  • 1. 中国医学科学院 北京协和医学院 北京协和医院普通内科,北京100730
  • 2. 中国医学科学院 北京协和医学院 北京协和医院感染内科,北京100730
  • 3. 浙江省奉化市人民医院老年科,浙江奉化315500
  • 折叠

摘要

Abstract

Objective To identify the clinical features of eosinophilia caused by parasitic infection . Methods We reviewed and analyzed the clinical characteristics, peripheral eosinophils count, species of parasites, and system involvement of 87 patients with parasitic infections who were diagnosed and admitted in Peking Union Medi-cal College Hospital (PUMCH) between January 2010 and December 2014.Results Of the 87 patients with parasitic infections, increased count of peripheral eosinophils occurred in 33.3%(29/87) patients, and hypereosinophilia with eosinophil count over 1.5 ×109/L in 14.9% (13/87) patients.Paragonimus westermani (100%), Schistosoma (83.3%), and Clonorchis sinensis (57.1%) were the three most common parasites leading to eosinophilia .The infected patients with pulmonary and digestive system involvement were more likely to develop eosinophilia , with the proportion of patients having eosinophilia being 85.7%and 50.0%, respectively, and the proportion of patients having hypereosinophilia being 28.6%and 33.3%, respectively.Conclusions The percentage of patients having eosinophilia among those with parasitic infections may vary with the species of parasites and in -volved organ .The differential diagnosis in hypereosinophilia should consider the possibility of parasitic infection .

关键词

寄生虫感染/嗜酸性粒细胞增多症

Key words

parasitic infection/eosinophilia

分类

医药卫生

引用本文复制引用

刘晓芳,焦洋,范洪伟,黄晓明..寄生虫感染致外周血嗜酸性粒细胞增多的临床特点[J].协和医学杂志,2016,7(6):432-435,4.

基金项目

北京市科技新星计划 ()

协和医学杂志

OACSTPCD

1674-9081

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