Paredes Patricia, Atiaja Janeth, Lanas Santiago
Servicio de Pediatría, Hospital General del Seguro Social-Ambato, Ecuador.
Servicio de Gastroenterología, Hospital General del Seguro Social-Ambato, Ecuador.
Rev Chilena Infectol. 2016 Oct;33(5):589-592. doi: 10.4067/S0716-10182016000500017.
Intestinal parasites are a common pathology in the pediatric practice, constituting a major public health problem. Currently their epidemiology, especially in countries like Ecuador where there are populations and communities where health services are scarce or difficult to access. We report the case of a child with chronic grade 3 malnutrition, from Sarayacu province of Pastaza, Ecuador an endemic area in several parasitosis. The clinical features were lower gastrointestinal bleeding added to chronic anemia and eosinophilia. The patient underwent surgery, colectomy right after finding at colonoscopy mass at the small intestine and colon, which ends with the symptoms. We get to the subsequent diagnosis histopathological analysis in which found peritoneal invasion of Strongyloides stercoralis larvae filariform. This article shows a general perspective on the gastrointestinal bleeding in pediatrics and relevant data about the strongyloidiasis.
肠道寄生虫病是儿科临床常见的病理状况,构成了一个重大的公共卫生问题。目前其流行病学情况,尤其是在厄瓜多尔这样的国家,当地存在一些人群和社区,卫生服务匮乏或难以获得。我们报告一例来自厄瓜多尔帕斯塔萨省萨拉亚库市的患有重度慢性营养不良的儿童病例,该市是多种寄生虫病的流行地区。临床特征为下消化道出血伴慢性贫血和嗜酸性粒细胞增多。患者在结肠镜检查发现小肠和结肠有肿物后接受了手术,即右半结肠切除术,术后症状消失。我们通过后续的组织病理学分析得出诊断,发现粪类圆线虫丝状蚴侵犯了腹膜。本文展示了儿科胃肠道出血的总体情况以及关于类圆线虫病的相关数据。