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粪类圆线虫:一名孕妇罕见且严重的病例表现

Strongyloides stercoralis: a rare and severe presentation in a pregnant woman.

作者信息

Beltrán Rosel Antonio, Sanjoaquín Conde Isabel, Pérez Muñoz Ana, Alcalá Purificación Mateo, Marta Carlo B, Irigoyen von Sierakowski Alvaro

机构信息

Department of Microbiology, Lozano Blesa University Hospital. Zaragoza, Spain.

Department of Infectious Diseases, Lozano Blesa University Hospital. Zaragoza, Spain.

出版信息

New Microbiol. 2020 Jan;43(1):44-46. Epub 2019 Dec 9.

Abstract

Strongyloides stercoralis is a parasitic nematode with a worldwide distribution. It can go from an asymptomatic infection to a life-threatening hyperinfection syndrome. Here, we report a case of intestinal obstruction due to S. stercoralis in a pregnant woman. This condition, as well as severe strongyloidiasis in pregnant women, is seldomly reported. In this case, Human T-lymphotropic Virus 1 (HTLV-1) coinfection was confirmed, a well-known risk factor for a more severe presentation of strongyloidiasis. We suggest that HTLV status should be screened in every severe S. stercoralis infection, or when, despite a correct treatment, a relapse is observed.

摘要

粪类圆线虫是一种分布于全球的寄生线虫。它可从无症状感染发展为危及生命的超感染综合征。在此,我们报告一例孕妇因粪类圆线虫导致肠梗阻的病例。这种情况以及孕妇中的严重类圆线虫病很少被报道。在该病例中,确诊为人嗜T淋巴细胞病毒1型(HTLV - 1)合并感染,这是类圆线虫病更严重表现的一个众所周知的危险因素。我们建议,在每例严重的粪类圆线虫感染中,或在尽管进行了正确治疗仍观察到复发时,都应筛查HTLV状态。

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