粪类圆线虫感染中的十二指肠黏膜结节
Duodenal mucosal nodularity in Strongyloides stercoralis infection.
作者信息
Somani Sanjay Kumar, Goyal Richa, Awasthi Gurcharan
机构信息
Department of Gastroenterology, SPS Apollo Hospitals, Ludhiana, Punjab, India.
出版信息
Trop Gastroenterol. 2009 Jan-Mar;30(1):47-8.
A 22-year-old man presented with a two-year history of colicky upper abdominal and dyspnoea. His absolute eosinophil count (AEC) was 980/mm3. Chest x-ray revealed hilar prominence. An upper gastrointestinal endoscopy showed marked oedema and nodularity of duodenal mucosal folds. Duodenal biopsy disclosed heavy lymphoplasmacytic infiltrates in the lamina propria and sheets of eosinophils and rhabdtiform larvae of Strongyloides stercoralis in the crypts. The patient was not on steroids and his HIV ELISA was nonreactive. His IgG ELISA for Strongyloides stercoralis was positive. Nodular duodenal mucosa may thus be seen with Strongyloides stercoralis infection.
一名22岁男性，有两年的上腹部绞痛和呼吸困难病史。他的绝对嗜酸性粒细胞计数（AEC）为980/mm³。胸部X光显示肺门突出。上消化道内镜检查显示十二指肠黏膜皱襞明显水肿和结节状。十二指肠活检显示固有层有大量淋巴细胞和浆细胞浸润，隐窝中有嗜酸性粒细胞片和粪类圆线虫的杆状幼虫。该患者未使用类固醇，其HIV酶联免疫吸附测定（ELISA）呈阴性。他的粪类圆线虫IgG ELISA呈阳性。因此，粪类圆线虫感染可能会出现十二指肠黏膜结节状。
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