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钩虫感染作为复发性胰腺炎的意外病因。

Hookworm infestation as unexpected cause of recurrent pancreatitis.

作者信息

Tseng Li-Ming, Sun Cheuk-Kay, Wang Tzong-Luen, Lin Aming Chor-Ming

机构信息

Emergency Department, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

Department of Gastroenterology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

出版信息

Am J Emerg Med. 2014 Nov;32(11):1435.e3-4. doi: 10.1016/j.ajem.2014.03.046. Epub 2014 Apr 3.

Abstract

Parasite infestation is still associated with significant morbidity and mortality. Hookworm infestation is a very rare cause of pancreatitis. This parasitic infestation might be asymptomatic. Acute pancreatitis as a result of the hookworms migrating into the ampulla of Vater with chronic inflammation was a very rare complication. Were port a case of hookworm infestation that was associated with significant complication of recurrent pancreatitis. The patient was treated with mebendazole. He was asymptomatic and had gained weight at the 3-month follow-up. Our case demonstrates that pancreatitis secondary to hookworm infection can occur and may resolve after anthelmintic treatment.

摘要

寄生虫感染仍然与显著的发病率和死亡率相关。钩虫感染是胰腺炎非常罕见的病因。这种寄生虫感染可能无症状。钩虫迁移至 Vater 壶腹并伴有慢性炎症导致的急性胰腺炎是一种非常罕见的并发症。我们报告一例与复发性胰腺炎严重并发症相关的钩虫感染病例。患者接受了甲苯达唑治疗。在 3 个月的随访中,他无症状且体重增加。我们的病例表明,钩虫感染继发的胰腺炎可能发生,且驱虫治疗后可能缓解。

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