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[厄瓜多尔十二指肠钩虫引起的慢性重症贫血。经十二指肠镜检查确诊]

[Chronic and severe anemia caused by Ancylostoma duodenale in Ecuador. Diagnosis by duodenoscopy].

作者信息

Calvopiña Manuel, Flores Jessica, Guaman Isabel, Lara Gabriela, Abarca Jeyson

机构信息

Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad De Las Américas, Quito, Ecuador.

Servicio de Gastroenterología y Medicina Interna, Hospital "Eugenio Espejo", Quito, Ecuador.

出版信息

Rev Chilena Infectol. 2017 Oct;34(5):499-501. doi: 10.4067/S0716-10182017000500499.

DOI:10.4067/S0716-10182017000500499
PMID:29488595
Abstract

For 11 years, a 38-year-old male residing in a subtropical region of Ecuador, was repeatedly diagnosed with chronic anemia, and treated with blood transfusions in a hospital of province of Cotopaxi, Ecuador. He was transferred to Quito for severe anemia, having hemoglobin of 4 g/dL. Duodenoscopy was performed and adult nematodes, identified later as Ancylostoma duodenale, were observed. The patient was successfully treated with albendazole for five consecutive days and given blood transfusions. In the control visit at eight months, without anemia and no hookworm ova in the stool examined were found.

摘要

一名居住在厄瓜多尔亚热带地区的38岁男性,11年来多次被诊断为慢性贫血,并在厄瓜多尔科托帕希省的一家医院接受输血治疗。他因严重贫血(血红蛋白为4 g/dL)被转诊至基多。进行了十二指肠镜检查,观察到成虫线虫,后来鉴定为十二指肠钩虫。患者连续五天成功接受阿苯达唑治疗并接受了输血。在八个月后的复查中,未发现贫血,粪便检查也未发现钩虫虫卵。

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