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经内镜活检确诊的肠道毛细线虫病。

Intestinal capillariasis diagnosed by endoscopic biopsy.

作者信息

Ha Minsu, Jun Dong-Ha, Kim Jung Ho, Kim Yoon Jae, Kwon Kwang An, Park Dong Kyun, Ku Yang Suh

机构信息

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea.

出版信息

Clin Endosc. 2013 Nov;46(6):675-8. doi: 10.5946/ce.2013.46.6.675. Epub 2013 Nov 19.

DOI:10.5946/ce.2013.46.6.675
PMID:24340265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3856273/
Abstract

Many new parasitic infections have emerged in Korea, with >35 new species appearing since the 1980s. Among them, Capillaria species are unique for contributing to morbidity in many countries as well as in Korea. Since the first reported case of a 41-year-old male patient diagnosed with intestinal capillariasis in 1991, a total of six cases have been reported thus far. In this case report, we present another imported case of intestinal capillariasis in Korea, in which a 42-year-old male patient presented with intractable diarrhea and weight loss. The diagnosis was confirmed by biopsy of the ileum. The pathognomonic radiographic presentation of a ribbon-like appearance in a small bowel series was crucial in raising an early suspicion of capillariasis and in deciding to perform diagnostic biopsy.

摘要

韩国出现了许多新的寄生虫感染病例,自20世纪80年代以来已出现35种以上新物种。其中,毛细线虫属物种在许多国家以及韩国导致发病,颇为独特。自1991年首次报告一例41岁男性患者被诊断为肠道毛细线虫病以来,迄今为止共报告了6例。在本病例报告中,我们介绍了韩国另一例输入性肠道毛细线虫病病例,一名42岁男性患者出现顽固性腹泻和体重减轻。通过回肠活检确诊。小肠造影中呈带状外观的特征性影像学表现对于早期怀疑毛细线虫病并决定进行诊断性活检至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df40/3856273/d3be98970938/ce-46-675-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df40/3856273/883bb1bac15f/ce-46-675-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df40/3856273/89152b638379/ce-46-675-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df40/3856273/d3be98970938/ce-46-675-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df40/3856273/883bb1bac15f/ce-46-675-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df40/3856273/89152b638379/ce-46-675-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df40/3856273/d3be98970938/ce-46-675-g003.jpg

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本文引用的文献

1
An indigenous case of intestinal capillariasis with protein-losing enteropathy in Korea.韩国一例伴有蛋白丢失性肠病的本土肠毛细线虫病病例。
Korean J Parasitol. 2012 Dec;50(4):333-7. doi: 10.3347/kjp.2012.50.4.333. Epub 2012 Nov 26.
2
Serious diarrhea with weight loss caused by Capillaria philippinensis acquired in China: a case report.中国获得性菲律宾毛细线虫引起的严重腹泻伴体重减轻:一例报告
BMC Res Notes. 2012 Oct 5;5:554. doi: 10.1186/1756-0500-5-554.
3
Human intestinal capillariasis in Thailand.泰国的人体肠道毛细线虫病。
World J Gastroenterol. 2008 Jan 28;14(4):506-10. doi: 10.3748/wjg.14.506.
4
Human intestinal capillariasis (Capillaria philippinensis) in Taiwan.台湾的人体肠道毛细线虫病(菲律宾毛细线虫)
Am J Trop Med Hyg. 2006 May;74(5):810-3.
5
Clinical features of human intestinal capillariasis in Taiwan.台湾人体肠道毛细线虫病的临床特征
World J Gastroenterol. 2004 Aug 15;10(16):2391-3. doi: 10.3748/wjg.v10.i16.2391.
6
Capillaria philippinensis: an emerging parasite causing severe diarrhoea in Egypt.
J Egypt Soc Parasitol. 1999 Aug;29(2):483-93.
7
Human intestinal capillariasis (Capillaria philippinensis) in Taiwan.台湾的人体肠道毛细线虫病(菲律宾毛细线虫)
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1998 Mar-Apr;39(2):82-5.
8
A case of intestinal capillariasis in the Republic of Korea.大韩民国的一例肠道毛细线虫病病例。
Am J Trop Med Hyg. 1993 Apr;48(4):542-6. doi: 10.4269/ajtmh.1993.48.542.
9
Human intestinal capillariasis in an area of nonendemicity: case report and review.
Clin Infect Dis. 1993 Nov;17(5):909-12. doi: 10.1093/clinids/17.5.909.
10
Two cases of intestinal capillariasis in Korea.韩国的两例肠道毛细线虫病病例。
Korean J Parasitol. 1994 Mar;32(1):43-8. doi: 10.3347/kjp.1994.32.1.43.