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[一名法国旅行者中与输卵管血吸虫病相关的连续异位妊娠]

[Successive ectopic pregnancies associated with tubal shistosomiasis in a French traveler].

作者信息

Laroche Justine, Mottet Nicolas, Malincenco Marianna, Gay Catherine, Royer Pierre Yves, Riethmuller Didier

机构信息

Service de Gynécologie, Hôpital Nord Franche Comté, Belfort, France.

Service de Gynécologie, Hôpital Régional Universitaire de Besançon, France.

出版信息

Pan Afr Med J. 2016 Jan 26;23:18. doi: 10.11604/pamj.2016.23.18.8845. eCollection 2016.

DOI:10.11604/pamj.2016.23.18.8845
PMID:27200124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4856511/
Abstract

Schistosomiasis is the second endemic parasitic disease in the world and is a common cause of urogenital infections. Ectopic pregnancies due to tubal obstruction by schistosoma's eggs are usually reported in Africa. Schistosomiasis also affects travelers but infection of the female genital tract is less frequently described. We report an unusual clinical case of two successive ectopic pregnancies with tubal schistosomiasis in a French woman, seven years after a travel to Mali. The first event was discovered after histologic examination of salpingectomy and the second event required a controlateral salpingotomy with an injection of methotrexate, two months later.

摘要

血吸虫病是世界上第二大地方性寄生虫病,是泌尿生殖系统感染的常见病因。由血吸虫卵导致输卵管阻塞引起的异位妊娠在非洲较为常见。血吸虫病也会感染旅行者,但女性生殖道感染的报道较少。我们报告了一名法国女性在前往马里旅行七年后,连续两次因输卵管血吸虫病发生异位妊娠的罕见临床病例。第一次是在输卵管切除术后的组织学检查中发现的,第二次则在两个月后需要对侧输卵管切开术并注射甲氨蝶呤。

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Female Genital Schistosomiasis: A Neglected among the Neglected Tropical Diseases.女性生殖器血吸虫病:被忽视的热带病中的一种被忽视疾病。
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Diagnosis and management of complicated urogenital schistosomiasis: a systematic review of the literature.复杂泌尿生殖系统血吸虫病的诊断与治疗:文献系统评价。
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本文引用的文献

1
Bilateral tubal gestation associated with schistosomiasis in an african woman.一名非洲女性双侧输卵管妊娠合并血吸虫病
Case Rep Obstet Gynecol. 2014;2014:674514. doi: 10.1155/2014/674514. Epub 2014 Dec 14.
2
Genital schistosomiasis in European women.欧洲女性的生殖器血吸虫病。
ISRN Obstet Gynecol. 2011;2011:242140. doi: 10.5402/2011/242140. Epub 2011 Jun 9.
3
Tubal schistosomiasis in Brazilian women: a case report.巴西女性的输卵管血吸虫病:一例报告。
Prague Med Rep. 2009;110(3):250-4.
4
Recurrent ectopic pregnancy due to Schistosoma hematobium.由埃及血吸虫引起的复发性异位妊娠。
J Obstet Gynaecol. 2008 May;28(4):461-2. doi: 10.1080/01443610802164896.
5
Schistosomiasis among travelers: new aspects of an old disease.旅行者中的血吸虫病:一种古老疾病的新情况
Emerg Infect Dis. 2006 Nov;12(11):1696-700. doi: 10.3201/eid1211.060340.
6
Ectopic schistosomiasis in a returned traveler.一名归国旅行者的异位血吸虫病
J Travel Med. 2004 Jul-Aug;11(4):251-2. doi: 10.2310/7060.2004.19010.
7
Genital schistosomiasis.生殖器血吸虫病
Int J STD AIDS. 2001 Sep;12(9):609-11. doi: 10.1258/0956462011923651.
8
Female genital schistosomiasis.女性生殖器血吸虫病
J Travel Med. 2000 Jan;7(1):30-2. doi: 10.2310/7060.2000.00008.
9
[Tubal bilharziasis].[输卵管血吸虫病]
J Gynecol Obstet Biol Reprod (Paris). 1993;22(8):848-50.