Chiappe Alfredo, Arteaga Kovy, Resurrección Cristhian, Ñavincopa Marcos, Ticona Eduardo
Hospital Nacional Dos de Mayo, Lima, Perú.
Servicio de Enfermedades Infecciosas y Tropicales, Universidad Nacional Mayor de San Marcos, Lima, Perú.
Rev Chilena Infectol. 2016 Oct;33(5):572-575. doi: 10.4067/S0716-10182016000500014.
Ascaris lumbricoides is considered the largest intestinal nematode with a higher incidence in the childhood, representing a truly medical and public health problem, principally in undeveloped countries. We present the case of an 83 year old man, born and coming from the amazon region, without any relevant previous history of disease, admitted in the emergency department of our hospital for presenting intestinal obstruction and also presumptive biliary obstruction due to multiple balls of parasites, requiring immediate surgical intervention. We emphasize the need of consider this etiologic possibility in the differential diagnosis, that in this particular case, wasn't suspected in the first place.
蛔虫被认为是最大的肠道线虫,在儿童中发病率较高,这是一个真正的医学和公共卫生问题,主要存在于不发达国家。我们报告一例83岁男性病例,该患者出生于亚马逊地区,此前无任何相关疾病史,因出现肠梗阻以及疑似由多个寄生虫团块导致的胆道梗阻,被收治入我院急诊科,需要立即进行手术干预。我们强调在鉴别诊断中需要考虑这种病因可能性,在这个特殊病例中,一开始并未怀疑到这一点。