Maekawa Yoshiyuki, Sakamoto Takahiko, Umezu Kentaroh, Ohashi Noburoh, Harada Yorikazu, Matsui Hikoroh
Division of Cardiovascular Surgery, Nagano Children's Hospital, Azumino, Nagano, Japan.
Gen Thorac Cardiovasc Surg. 2012 Jul;60(7):446-8. doi: 10.1007/s11748-012-0024-4. Epub 2012 May 29.
Ascaris lumbricoides is the most common parasite affecting humans, especially in countries and regions with lower socio-economic conditions. A 2-year-old female child underwent right pulmonary angioplasty using cardiopulmonary bypass. Serious hyperthermia continued after surgery, and, therefore, a re-exploration of the mediastinum was performed because mediastinitis was suspected. No evidence of wound infection was revealed. Ascaris lumbricoides was subsequently isolated from her stool. The patient had no further hyperthermia throughout her hospitalization and was discharged uneventfully on post-operative day 12. The probable origin of the fever was an A. lumbricoides infection and ascariasis may cause the occurrence of serious hyperthermia during the perioperative period. Ascaris lumbricoides infection may, therefore, cause high-grade fever after cardiac surgery.
蛔虫是影响人类最常见的寄生虫，尤其是在社会经济条件较差的国家和地区。一名2岁女童在体外循环下接受了右肺血管成形术。术后持续出现严重高热，因此，由于怀疑纵隔炎，对纵隔进行了再次探查。未发现伤口感染迹象。随后从她的粪便中分离出蛔虫。患者在住院期间未再出现高热，并于术后第12天顺利出院。发热的可能原因是蛔虫感染，蛔虫病可能在围手术期导致严重高热的发生。因此，蛔虫感染可能导致心脏手术后出现高热。
