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[一名主诉慢性腹泻患者的粪类圆线虫感染]

[Strongyloides stercoralis in a patient complaining of chronic diarrhea].

作者信息

Culha Gülnaz, Savaş Lütfü, Onlen Yusuf

机构信息

Mustafa Kemal Universitesi, Tip Fakültesi, Parazitoloji Anabilim Dali, Hatay, Turkey.

出版信息

Turkiye Parazitol Derg. 2006;30(4):293-5.

Abstract

In this study, a case of Strongyloides stercoralis infection in a 38-year-old patient with complaints of chronic diarrhea and stomach ache is presented. His history showed that the patient who has been a mechanic for 25 years is a farmer as well. S. stercoralis larvae were found during the parasitological examination of the patient's stool samples taken 3 times. The patient was given Albendazol (400 mg a day) for fifteen days. After the patient started to take Albendazol, there was a reduction in the number of parasites in the stool examined on the fifth day. In the stool examinations made on the tenth day, fifteenth day and after the treatment ended, no parasites were seen. When the treatment was completed, all the complaints of the patient disappeared. It was found that no investigation of parasitic infection had been made previously and he had been given different treatments. For this reason, it is important to investigate the possibility of parasitic infection in patients with chronic diarrhea.

摘要

本研究报告了一例38岁患者感染粪类圆线虫的病例,该患者主诉慢性腹泻和胃痛。其病史显示,这位当了25年机械师的患者也是一名农民。在对患者三次采集的粪便样本进行寄生虫学检查时发现了粪类圆线虫幼虫。患者接受了15天的阿苯达唑治疗(每天400毫克)。患者开始服用阿苯达唑后,在第五天检查的粪便中寄生虫数量减少。在第十天、第十五天以及治疗结束后的粪便检查中,未发现寄生虫。治疗完成后,患者的所有症状均消失。发现此前未对该患者进行过寄生虫感染调查,且他曾接受过不同的治疗。因此,对慢性腹泻患者调查寄生虫感染的可能性很重要。

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