Masseau A, Hervier B, Leclair F, Grossi O, Mosnier J-F, Hamidou M
Service de médecine interne, CHU de Hôtel-Dieu, place, Alexis-Ricordeau, 44093 Nantes, France.
Rev Med Interne. 2005 Aug;26(8):661-3. doi: 10.1016/j.revmed.2005.05.003.
Parasitic infection can present with many different clinical manifestations.
A 77 year-old Russian woman, who's been living in France since 50 years was admitted for polyarthritis, myalgia, fever, abdominal pain, and eosinophilia simulating polyarterisis nodosa. Before admission, she was treated by steroids for polymyalgia rheumatica. The diagnosis of Strongyloides stercoralis was performed by parasitologic analysis of feces and colic biopsies. The outcome was favourable under treatment by ivermectine and steroid withdrawal.
S. stercoralis can be associated with reactive arthritis. Case reports of S. stercoralis infection mimicking systemic vasculitis are exceptionnal.
寄生虫感染可表现出多种不同的临床表现。
一名77岁的俄罗斯女性，自50年前起一直生活在法国，因多关节炎、肌痛、发热、腹痛和嗜酸性粒细胞增多症入院，症状类似结节性多动脉炎。入院前，她因风湿性多肌痛接受了类固醇治疗。通过粪便寄生虫学分析和结肠活检确诊为粪类圆线虫感染。在接受伊维菌素治疗并停用类固醇后，病情好转。
粪类圆线虫可与反应性关节炎相关。类圆线虫感染模拟系统性血管炎的病例报告极为罕见。
