Eat steak five meters long tapeworm netizens
According to a report in the Chutian Metropolis Daily on March 14, after eating a five-ripe steak five months ago, Mr. Zhou in Ruian, Wenzhou, Zhejiang Province, suffered from frequent diarrhea. After inspection, it was found that Mr. Zhou may have a parasitic worm in his body. Yesterday, under the guidance of the provincial and municipal disease control staff at the third level, Mr. Zhou took pumpkin seeds, betel nut soup and diarrheal drugs and excreted a 5.2-meter-long tapeworm.
How did the bug get into the stomach?
Mr. Zhou, 35, is usually in good health and has no habit of eating raw meat. His stomach has tapeworms, which are mainly related to eating raw meat or fish. After thinking about it, all Mr. Zhou can think of is the five-ripe steak he ate at a western restaurant five months ago: the steak is bloodshot and tastes much more tender than the usual fully cooked one.
Not long after eating the five-ripe steak, Mr. Zhou found that he often had diarrhea from time to time. At first, he thought it was a bad stomach, and Mr. Zhou didn't care much. Until the end of February this year, Mr. Zhou accidentally found that there was a white object more than 20 centimeters long in his feces, which looked a bit like a bamboo joint.
Mr. Zhou brought the white "bamboo joint" to the hospital, but the hospital said it could not be checked and suggested that he go to the disease control department for relevant tests.
Ni Qingxiang, deputy director of the Wenzhou Center for Disease Control and Disinfection and Vector Control, conducted a microscopic examination of the white "bamboo joint" brought by Mr. Zhou. The results showed that the "bamboo joint" was a huge intestinal parasite - a pregnant joint with tapeworm (containing eggs). The most likely infection of the parasite for Mr. Zhou was the steak five months ago.
Some tapeworms can grow up to 8 meters. "Raw steaks contain tapeworm larvae, cysticercosis, which can grow into adults six to eight weeks after entering the human body." The tapeworm is divided into Taenia solium and Taenia bovis, said Ni Qingxiang. Adults of Taenia solium can reach 2 to 4 meters, while taenia bovis can grow to 4 to 6 meters, or even 8 meters.
Tapeworm disease is mainly a disease caused by pork tapeworm or beef tapeworm parasitizing in the human small intestine. The shape of this worm is flat and long, like noodles. The eggs hatch in the bovine intestine and can circulate throughout the body with blood circulation. They grow into cystic larvae. Once people eat beef containing cystic larvae or food contaminated by cystic larvae, they will develop into adults in the small intestine after 3 months, and their lifespan can reach more than 60 years.
The following measures should be taken to prevent and control taeniasis: (1) Pay attention to personal hygiene, improve diet and hygiene habits, meat must be cooked thoroughly, lettuce and
Knives and cutting boards for cooked vegetables with tapeworm should be separated, and they should be washed clean after use to prevent contamination. (2) Strengthen the inspection and processing of meat. If there is no live cysticercosis in the meat eaten, it is impossible for humans to be infected with tapeworm. Therefore, meat inspection and processing should be strengthened. (3) Strengthen the work of slaughterhouses, and it is strictly forbidden to sell beef with tapeworm larvae. (4) Strengthen the feeding and management of cattle. In order to prevent cattle infection, toilets should be separated from cattle houses to prevent cattle from eating human feces. (5) Treat patients in a timely manner. Commonly used traditional Chinese medicines include betel nut, pumpkin seeds, dragon sprouts, and western medicines include aminosalamide (myrrin) and piquinone. The specific usage is as follows: 1) Areca nut and pumpkin seeds: take 60 to 80 grams of pumpkin seeds on an empty stomach in the morning (crushed first), and then take 60 to 80 grams after 2 hours; 200 ml of areca nut decoction (areca nut should be first, soaked and then fried); take magnesium sulfate after half an hour, and excrete worms about 3 to 4 hours after taking the whole medicine. The cure rate of this drug is over 90%, and the side effects are small. (The above is for adults, the dosage should be reduced for children) 2) Dragon bud grass: leaf bud whole powder 0.7 to 0.8 g/kg body weight
Eat steak five meters long with worms, the man eats steak to satisfy his appetite and eats tapeworms
Tapeworm nexus or leaf bud extract 40 mg/kg body weight, take it once on an empty stomach, and then take magnesium sulfate after 1.5 hours, and the worm body can be excreted within 48 hours. 3) Niclosamide: The dosage for adults is 2 to 3 grams, taken in 2 installments, with an interval of 1 hour. The dosage for children should be reduced as appropriate. 4) Praziquantel: 10 mg/kg body weight, the total amount should not exceed 0.5 grams. Take it once in the morning on an empty stomach, and take laxatives after 1 to 2 hours. On the day of taking the medicine or the next day, fragmented worms and segments will be discharged. Dizziness, nausea, abdominal pain, measles, etc. may occur after taking the medicine. Individual electrocardiogram changes may occur. Therefore, when taking the medicine, you should follow the doctor's advice or be hospitalized. The latent period of symptoms and signs is about 3 months from swallowing bovine cysticercosis to the appearance of worm segments or eggs in feces. The severity of symptoms is related to the number of parasites in the body. In mild cases, there may be no symptoms, in severe cases, the symptoms are obvious and even death due to complications. The discovery of white segments in feces is the most common symptom and often becomes the main complaint of patients when they visit the doctor. Pregnancy segments are more common than stool, accompanied by fecal excretion, and often automatically crawl out of the anus with a single or two or three segments connected, make short-term peristalsis around the anus, and slide to the perineum or thighs. Patients feel itchy and uncomfortable anus. Almost 100% of patients have this symptom. Abdominal pain is the most common gastrointestinal symptom, seen in about half of cases. Abdominal pain can be in the upper abdomen, around the umbilical or no fixed position, can be dull pain, dull pain, tingling, biting pain or burning, and a few patients may have colic. In addition, nausea (15.7% to 46%), vomiting (11%), diarrhea (10% to 50%), etc. Decreased appetite or hyperactivity are more common. Neurological symptoms such as dizziness, nervousness, insomnia, epileptic seizures and syncope, as well as allergic pruritus, urticaria, and nodular pruritus also appeared in a few patients
