腹血管圆线虫病：风湿科医生必须了解什么？

Abdominal angiostrongyliasis: what does the rheumatologist must know about it?

机构信息

Division of Rheumatology, Department of Internal Medicine, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil.

出版信息

Int J Rheum Dis. 2009 Sep;12(3):267-71. doi: 10.1111/j.1756-185X.2009.01421.x.

DOI:10.1111/j.1756-185X.2009.01421.x

PMID:20374358

Abstract

Abdominal angiostrongyliasis (AA) is a disease caused by Angiostrongylus costaricensis, a nematode that can infect humans accidentally through the ingestion of larvae. Worms live inside intestinal small vessels and can lead to gastrointestinal symptoms and bowel necrosis in otherwise healthy patients. Therefore, abdominal angiostrongyliasis may be important in the differential diagnosis with systemic vasculitides and other rheumatic diseases with vascular involvement. We report a case of abdominal angiostrongyliasis in an 18-year-old woman presenting with necrosis of the terminal ileum.

摘要

腹血管圆线虫病（AA）是由食入幼虫而意外感染的一种线虫 Angiostrongylus costaricensis 引起的疾病。虫体寄生在肠道小血管内，可导致无其他基础疾病的患者出现胃肠道症状和肠坏死。因此，腹血管圆线虫病可能在与系统性血管炎和其他伴有血管受累的风湿性疾病的鉴别诊断中具有重要意义。我们报告了一例 18 岁女性病例，表现为末端回肠坏死。