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组织病理学确诊累及肝脏的腹部血管圆线虫病:一例报告

Abdominal angiostrongyliasis with involvement of liver histopathologically confirmed: a case report.

作者信息

Quirós José Luis, Jiménez Ernesto, Bonilla Raúl, Arce Isabel, Hernández Cristian, Jiménez Yendry

机构信息

Department of Pathology, San Juan de Dios Hospital, Costa Rica.

出版信息

Rev Inst Med Trop Sao Paulo. 2011 Jul-Aug;53(4):219-22. doi: 10.1590/s0036-46652011000400008.

Abstract

Human abdominal angiostrongyliasis is a zoonotic disease caused by ingestion of the L3 larvae of Angiostrongylus costaricensis. The human infection gives rise to a pathological condition characterized by acute abdominal pain, secondary to an inflammatory granulomatous reaction, marked eosinophilia and eosinophilic vasculitis. Most commonly this disease is limited to intestinal location, primary ileocecal, affecting the mesenteric arterial branches and intestinal walls. We present one of the few cases reported around the world with simultaneous involvement of the intestines and liver, including proved presence of nematodes inside the hepatic arteriole.

摘要

人类腹部血管圆线虫病是一种人畜共患病,由摄入哥斯达黎加血管圆线虫的L3幼虫引起。人类感染会引发一种病理状况,其特征为急性腹痛,继发于炎症性肉芽肿反应、明显的嗜酸性粒细胞增多和嗜酸性血管炎。这种疾病最常见于肠道部位,主要是回盲部,影响肠系膜动脉分支和肠壁。我们报告了世界上为数不多的同时累及肠道和肝脏的病例之一,包括在肝小动脉内证实存在线虫。

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