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免疫功能低下患者中致死性粪类圆线虫再感染。

Lethal Strongyloides stercoralis superinfection in an immunocompromised patient.

机构信息

Department of Nephrology Gregorios Vosnides, Laiko General Hospital, Athens, Greece.

出版信息

Ren Fail. 2010 Jul;32(6):750-2. doi: 10.3109/0886022X.2010.486490.

DOI:10.3109/0886022X.2010.486490
PMID:20540646
Abstract

In this article, we describe the case of a 49-year-old male gypsy on hemodialysis that was referred to our center due to high fever, breathlessness, and productive cough with bloody sputum. Forty-five days before hospitalization, he was treated for vasculitis with prednisolone and intravenous cyclophosphamide. Soon after admission he was resuscitated and intubated after a cardiac arrest. A large worm load of Strongyloides stercoralis larvae was identified in the sputum. The patient was treated with thiopental 25 mg/kgBW/12 h through a Levine tube and died 24 h later.

摘要

本文报道了一例 49 岁男性吉普赛透析患者,因高热、呼吸困难和带血痰的脓性咳嗽而被转至我院。45 天前因血管炎给予泼尼松龙和静脉环磷酰胺治疗。入院后不久即发生心脏骤停,经心肺复苏后气管插管。痰液中发现大量粪类圆线虫幼虫。患者通过 Levine 管给予硫喷妥钠 25mg/kgBW/12h 治疗,并于 24 小时后死亡。

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