Aleksandra Lanocha, Barbara Zdziarska, Natalia Lanocha-Arendarczyk, Danuta Kosik-Bogacka, Renata Guzicka-Kazimierczak, Ewa Marzec-Lewenstein
Department of Haematology and Transplantology, Pomeranian Medical University, Unii Lubelskiej 1, 71-252 Szczecin, Poland.
Department of Biology and Medical Parasitology, Pomeranian Medical University, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.
Case Rep Infect Dis. 2016;2016:4070561. doi: 10.1155/2016/4070561. Epub 2016 May 22.
In industrialized countries, risk groups for parasitic diseases include travelers, recent immigrants, and patients with immunodeficiency following chemotherapy and radiotherapy and AIDS. A 66-year-old Polish male was admitted in December 2012 to the Department of Haematology in a fairly good general condition. On the basis of cytological, cytochemical, immunophenotypic, and cytogenetic analysis of bone marrow, the patient was diagnosed with acute myeloblastic leukemia. On the 7th day of hospitalization in the Department of Haematology, patient was moved to the Intensive Care Unit (ICU) due to acute respiratory and circulatory failure. In March 2013, 3 months after the onset of respiratory failures, a mature form of Ascaris spp. appeared in the patient's mouth. This report highlights the importance of considering an Ascaris infection in patients with low immunity presenting no eosinophilia but pulmonary failure in the central countries of Europe.
在工业化国家，寄生虫病的风险人群包括旅行者、新移民、化疗和放疗后以及艾滋病患者出现免疫缺陷的人群。一名66岁的波兰男性于2012年12月入住血液科，总体状况尚可。根据骨髓的细胞学、细胞化学、免疫表型和细胞遗传学分析，该患者被诊断为急性髓细胞白血病。在血液科住院的第7天，患者因急性呼吸和循环衰竭被转至重症监护病房（ICU）。2013年3月，呼吸衰竭发作3个月后，患者口腔中出现了成熟形态的蛔虫。本报告强调了在欧洲中部国家免疫力低下、无嗜酸性粒细胞增多但出现肺衰竭的患者中考虑蛔虫感染的重要性。
