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一例致命性播散性类圆线虫病伴肠梗阻。

A case of fatal disseminated strongyloidiasis accompanied with intestinal obstruction.

作者信息

Heydarian Peyman, Mobedi Iraj, Mohaghegh Mohamad Ali, Hosseini Abozar, Chegini Fatemeh Goudarzvand, Esboei Bahman Rahimi

机构信息

Department of Medical Parasitology and Mycology, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.

Cellular and Molecular Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Oxf Med Case Reports. 2019 Oct 14;2019(10):omz087. doi: 10.1093/omcr/omz087. eCollection 2019 Oct.

Abstract

is an endemic parasite in some regions including the tropical and subtropical areas with high humidity. Most infections are asymptomatic with nonspecific signs and symptoms, making the final diagnosis complicated. Here, we report a patient referred to our hospital with signs consistent with sepsis, intestine obstruction, which finally died with the diagnosis of strongyloidiasis. The patient was from northern parts of Iran which are considered as endemic areas for . In conclusion, there is an important message in this history, i.e. physicians should be aware of specific and non-specific signs of strongyloidiasis especially in people living in endemic areas to make an accurate final diagnosis by proper clinical and paraclinical examinations.

摘要

在包括湿度高的热带和亚热带地区在内的一些区域,它是一种地方性寄生虫。大多数感染是无症状的,伴有非特异性体征和症状,这使得最终诊断变得复杂。在此,我们报告一名转诊至我院的患者,其体征与败血症、肠梗阻相符,最终被诊断为类圆线虫病而死亡。该患者来自伊朗北部,该地区被认为是类圆线虫病的流行区。总之,这段病史传达了一个重要信息,即医生应了解类圆线虫病的特异性和非特异性体征,尤其是对于生活在流行区的人群,以便通过适当的临床和辅助检查做出准确的最终诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a456/6792121/20930f572f7c/omz087f1.jpg

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