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系统性红斑狼疮与乙肝合并感染患者发生心脏骤停:会是罪魁祸首吗?

Cardiac arrest in a case of systemic lupus erythematosus and hepatitis-B coinfection: Can be the culprit?

作者信息

Saurabh Kumar, Tak Vibhor, Nag Vijaya Lakshmi, Bohra Gopal Krishna

机构信息

Department of Microbiology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Department of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

Trop Parasitol. 2018 Jul-Dec;8(2):106-109. doi: 10.4103/tp.TP_42_18. Epub 2018 Dec 27.

DOI:10.4103/tp.TP_42_18
PMID:30693218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6329272/
Abstract

is one of the most important helminths causing neglected tropical diseases. Its ability to cause autoinfection can lead to chronic infections and hyper infection, especially in autoimmune cases and prove to be highly fatal. We report a case of systemic lupus erythematosus (SLE) having hepatitis-B coinfection, who presented with rash all over the body, recurrent nausea, vomiting, cough, loose stool, and joint pain for 1 month and was later on found to be infected with . He suffered a massive cardiac arrest during his hospital stay, which was efficiently managed. infection in cases of SLE and other immunocompromised conditions must be treated at the earliest, to prevent fatal cardiac arrests and other complications.

摘要

是引起被忽视热带病的最重要的蠕虫之一。其导致自身感染的能力可引发慢性感染和重度感染,尤其是在自身免疫性病例中,并且可能极具致命性。我们报告一例系统性红斑狼疮(SLE)合并乙型肝炎感染的病例,该患者全身出现皮疹、反复恶心、呕吐、咳嗽、腹泻及关节疼痛1个月,后来被发现感染了[此处原文缺失具体感染物名称]。他在住院期间发生了大规模心脏骤停,但得到了有效救治。对于SLE及其他免疫功能低下情况中的[此处原文缺失具体感染物名称]感染,必须尽早治疗,以预防致命性心脏骤停和其他并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d41/6329272/e1b611040c65/TP-8-106-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d41/6329272/2d45f210d997/TP-8-106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d41/6329272/e1b611040c65/TP-8-106-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d41/6329272/2d45f210d997/TP-8-106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d41/6329272/e1b611040c65/TP-8-106-g002.jpg

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Am J Case Rep. 2015 Sep 8;16:603-5. doi: 10.12659/AJCR.894110.
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Strongyloides stercoralis infection in patients with systemic lupus erythematosus: diagnosis and prevention of severe strongyloidiasis.
系统性红斑狼疮患者的粪类圆线虫感染:重度类圆线虫病的诊断与预防
Int J Rheum Dis. 2016 Jul;19(7):700-5. doi: 10.1111/1756-185X.12644. Epub 2015 Aug 10.
4
Strongyloides stercoralis Hyperinfection Syndrome Presenting as Severe, Recurrent Gastrointestinal Bleeding, Leading to a Diagnosis of Cushing Disease.以严重反复胃肠道出血为表现的粪类圆线虫超感染综合征,最终诊断为库欣病。
Am J Trop Med Hyg. 2015 Oct;93(4):822-7. doi: 10.4269/ajtmh.15-0355. Epub 2015 Jul 20.
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Novel approaches to the diagnosis of Strongyloides stercoralis infection.新型诊断方法用于粪类圆线虫感染的诊断。
Clin Microbiol Infect. 2015 Jun;21(6):543-52. doi: 10.1016/j.cmi.2015.04.001. Epub 2015 Apr 14.
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