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全球化的世界,全球化的疾病:一例阿米巴病相关性结肠穿孔的病例报告。

Globalised world, globalised diseases: A case report on an amoebiasis-associated colon perforation.

作者信息

Redaèlli Marcus, Mahmoohdzad Jawad, Lang Rahim, Schencking Martin

机构信息

Marcus Redaèlli, Institute of General Practice, University of Düsseldorf's Medical School, 40225 Düsseldorf, Germany.

出版信息

World J Clin Cases. 2013 May 16;1(2):79-81. doi: 10.12998/wjcc.v1.i2.79.

DOI:10.12998/wjcc.v1.i2.79
PMID:24303471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3845938/
Abstract

In 2010 the World Health Organisation estimated the number of infections with Entamoeba histolytica at about 50 million cases including 100000 fatal courses. In most cases this infection is a subclinical event with few or none symptoms noticeable for the patient. Courses of this disease and incidence of this parasite in industrialised nations are not yet fully investigated. Our case reports about a 68-year-old male patient from Turkey who lives for more than 30 years in Germany and had not been abroad during the past 2 years. Resistant asymptomatic amoebic dormant bodies caused an emergency-laparoscopy and revealed the seldom complication of a colon perforation. In the age of globalisation all providers in the health care systems are urged to acquaint themselves also with non-typical syndromes for the countries they work in order to reduce preventable morbidity respectively mortality rates.

摘要

2010年,世界卫生组织估计溶组织内阿米巴感染病例数约为5000万例,其中包括10万例致死病例。在大多数情况下,这种感染是亚临床事件,患者几乎没有或没有明显症状。工业化国家中这种疾病的病程和该寄生虫的发病率尚未得到充分研究。我们的病例报告是关于一名68岁的男性患者,他来自土耳其,在德国生活了30多年,过去两年没有出过国。耐药性无症状阿米巴休眠体导致了急诊腹腔镜检查,并发现了罕见的结肠穿孔并发症。在全球化时代,医疗保健系统中的所有从业者都被敦促了解他们工作所在国家的非典型综合征,以分别降低可预防的发病率和死亡率。

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引用本文的文献

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本文引用的文献

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The investigation of Entamoeba histolytica prevalence in some villages of Sivas by ELISA method.采用酶联免疫吸附测定(ELISA)法对锡瓦斯一些村庄的溶组织内阿米巴流行情况进行调查。
Turkiye Parazitol Derg. 2011;35(1):6-9. doi: 10.5152/tpd.2011.02.
2
A case of fulminant amebic colitis with multiple large intestinal perforations.一例伴有多个大肠穿孔的暴发性阿米巴结肠炎病例。
Int Surg. 2010 Oct-Dec;95(4):356-9.
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Entamoeba histolytica infection and secreted proteins proteolytically damage enteric neurons.溶组织内阿米巴感染和分泌蛋白的蛋白水解作用损伤肠神经元。
Infect Immun. 2010 Dec;78(12):5332-40. doi: 10.1128/IAI.00699-10. Epub 2010 Sep 20.
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A ten year (1999-2008) retrospective study of amoebiasis in University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia.对马来西亚吉隆坡马来亚大学医学中心(UMMC)1999年至2008年十年间阿米巴病的回顾性研究。
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Epithelial cell apoptosis facilitates Entamoeba histolytica infection in the gut.上皮细胞凋亡有助于溶组织内阿米巴在肠道中的感染。
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Fulminant amebic colitis mimicking pseudomembranous colitis.酷似伪膜性结肠炎的暴发性阿米巴结肠炎。
Gastrointest Endosc. 2010 Feb;71(2):400-1; discussion 401. doi: 10.1016/j.gie.2009.09.009. Epub 2009 Oct 27.
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Fulminant amebic colitis with lower GI bleed with liver abscess.
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Amebic perforation of small bowel: an unexpected localization of a fatal complication.小肠阿米巴穿孔:一种致命并发症的意外部位
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9
Antiamoebic drugs for treating amoebic colitis.用于治疗阿米巴结肠炎的抗阿米巴药物。
Cochrane Database Syst Rev. 2009 Apr 15(2):CD006085. doi: 10.1002/14651858.CD006085.pub2.
10
Amebic perforation of the colon: rare and frequently fatal complication.结肠阿米巴穿孔:罕见且常为致命性并发症。
World J Surg. 2004 Sep;28(9):926-9. doi: 10.1007/s00268-004-7503-4.