免疫学的に診断された皮膚顎口虫症の最近の1症例

概要

論文の詳細を見る
A case of skin gnathostomiasis was reported with special reference to the immunological diagnosis. A 50-years-old male swallowed some alive loaches 2 months before suffering skin complaints. Creeping eruption was first observed on the upper abdominal region, then on the right side of the axilla and chest, with high degree of leucocytosis (16,800/mm^3) and eosinophilia (72.5%). The operation was performed to obtain worms and for definite diagnosis. But no worm was found in the creeping eruption on the right side of the chest. These creeping eruptions disappeared within one week without any therapy, but a new eruption appeared on the back 3 months after the disappearance and it also disappeared within one week. Immunological diagnosis was carried out with enzyme-linked immunosorbent assay (ELISA) and Ouchterlony's double diffusion tests. Cross reactions were observed among wide range of helminth antigens, especially of nematode antigens, but these reactions were eliminated by the absorption of patient serum with these helminth antigens, and the case was diagnosed by Ouchterlony's test as a skin gnathostomiasis. The new type of gnathostomiasis occurring recently in Japan was disscussed.
長崎大学熱帯医学研究所,Institute of Tropical Medicine, Nagasaki Universityの論文
1982-03-31