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Eosinophilic acute appendicitis caused by Strongyloides stercoralis and Enterobius vermicularis in an HIV-positive patient.一名HIV阳性患者中由粪类圆线虫和蠕形住肠线虫引起的嗜酸性粒细胞性急性阑尾炎。
BMJ Case Rep. 2012 Mar 27;2012:bcr0120125670. doi: 10.1136/bcr.01.2012.5670.
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本文引用的文献

1
Incidental parasitic infestations in surgically removed appendices: a retrospective analysis.手术切除阑尾中的偶然寄生虫感染：一项回顾性分析。
Diagn Pathol. 2007 May 24;2:16. doi: 10.1186/1746-1596-2-16.
2
A rare cause of acute appendicitis: parasitic infection.急性阑尾炎的一种罕见病因：寄生虫感染。
Scand J Infect Dis. 2005;37(10):757-9. doi: 10.1080/00365540510012161.
3
Appendicitis and infections of the appendix.阑尾炎及阑尾感染
Semin Diagn Pathol. 2004 May;21(2):86-97. doi: 10.1053/j.semdp.2004.11.003.
4
Strongyloides appendicitis: unusual etiology in two siblings with chronic abdominal pain.类圆线虫性阑尾炎：两名慢性腹痛患儿的罕见病因
J Pediatr Surg. 2003 Sep;38(9):E8-10. doi: 10.1016/s0022-3468(03)00415-9.
5
Strongyloides stercoralis infection as a cause of acute granulomatous appendicitis in an HIV-positive patient in Athens, Greece.希腊雅典一名HIV阳性患者中，粪类圆线虫感染作为急性肉芽肿性阑尾炎的病因。
Scand J Infect Dis. 2002;34(11):856-7. doi: 10.1080/0036554021000026943.
6
The clinical and economic correlates of misdiagnosed appendicitis: nationwide analysis.误诊阑尾炎的临床和经济关联：全国性分析
Arch Surg. 2002 Jul;137(7):799-804; discussion 804. doi: 10.1001/archsurg.137.7.799.
7
The pathology of acute appendicitis.急性阑尾炎的病理学
Ann Diagn Pathol. 2000 Feb;4(1):46-58. doi: 10.1016/s1092-9134(00)90011-x.
8
Eosinophilic appendicitis. Demonstration of Strongyloides stercoralis as a causative agent.嗜酸性阑尾炎。粪类圆线虫作为病原体的证明。
Arch Pathol Lab Med. 1981 Mar;105(3):148-9.
9
Enterobius vermicularis and acute appendicitis.蛲虫与急性阑尾炎。
Acta Chir Scand. 1985;151(8):705-7.
10
Appendicitis and Enterobius vermicularis.阑尾炎与蛲虫病
Scand J Gastroenterol. 1991 Mar;26(3):336-8. doi: 10.3109/00365529109025051.

一名HIV阳性患者中由粪类圆线虫和蠕形住肠线虫引起的嗜酸性粒细胞性急性阑尾炎。

Eosinophilic acute appendicitis caused by Strongyloides stercoralis and Enterobius vermicularis in an HIV-positive patient.

作者信息

Cruz Dennis Baroni, Friedrisch Bruno Kras, Fontanive Junior Vilmar, da Rocha Vívian Wünderlich

机构信息

Medicina, UNISC-Universidade de Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil.

出版信息

BMJ Case Rep. 2012 Mar 27;2012:bcr0120125670. doi: 10.1136/bcr.01.2012.5670.

DOI:10.1136/bcr.01.2012.5670
PMID:22605801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3316801/
Abstract

A 29 year old female HIV-positive patient presented in emergency with acute right lower quadrant abdominal pain, fever, tenderness and positive Blumberg sign. Laboratorial tests revealed eosinophilia, anaemia and leukocytosis. She underwent exploratory laparotomy followed by appendectomy. The pathological analysis of the appendix revealed acute appendicitis, accentuated eosinophilia and infestation by Strongyloides stercoralis and Enterobius vermicularis. She did well after surgery and adequate treatment. To the authors' knowledge, this is the first case of eosinophilic acute appendicitis caused by these two parasitic worms reported in the medical literature.

摘要

一名29岁的HIV阳性女性患者因急性右下腹腹痛、发热、压痛及布鲁氏征阳性而急诊入院。实验室检查显示嗜酸性粒细胞增多、贫血和白细胞增多。她接受了剖腹探查术，随后进行了阑尾切除术。阑尾的病理分析显示为急性阑尾炎、嗜酸性粒细胞增多加剧以及粪类圆线虫和蛲虫感染。术后经过适当治疗，她恢复良好。据作者所知，这是医学文献中报道的首例由这两种寄生虫引起的嗜酸性粒细胞性急性阑尾炎病例。