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伴有实体恶性肿瘤的强力副蛔虫感染:病例报告

Strongyloides hyperinfection in a patient with solid malignant tumor a case report.

机构信息

Assistant Professor, Department of Microbiology, Meenakshi Ammal Dental College, Chennai, Tamil Nadu, India.

Clinical Microbiologist, Department of Laboratory Medicine, MIOT International, Chennai, Tamil Nadu, India.

出版信息

Indian J Public Health. 2020 Jan-Mar;64(1):90-92. doi: 10.4103/ijph.IJPH_111_19.

Abstract

Strongyloides stercoralis is unique among the nematodes, in which it completes its life cycle inside a single human host by causing autoinfection in the host, and it causes hyperinfection leading to persistent and fatal disseminated infections in immunocompromised hosts. The present case report is about strongyloidiasis fatal hyperinfection in a patient with malignant tumor of the tongue on radiotherapy treatment, to highlight the need for clinical suspicion of strongyloidiasis in an immunocompromised host. As per the Centers for Disease Control and Prevention, the mortality in strongyloides hyperinfection syndrome is alarmingly high, a case fatality rate that is almost 90%. Hence, the clinicians should be well equipped to diagnose, treat, and also prevent the fatal consequences of this lethal nematode. Detailed workup for this parasitic infection is crucial, and this case report emphasizes that a simple wet mount stool microscopic examination can clinch the diagnosis.

摘要

粪类圆线虫是一种独特的线虫,它在单一宿主内通过引起自身感染完成其生命周期,并在免疫功能低下的宿主中引起超感染,导致持续和致命的播散性感染。本病例报告是关于一名接受舌部恶性肿瘤放疗的患者发生粪类圆线虫致死性超感染的情况,旨在强调在免疫功能低下的宿主中临床怀疑粪类圆线虫感染的必要性。根据疾病控制和预防中心的数据,粪类圆线虫超感染综合征的死亡率高得惊人,几乎达到 90%。因此,临床医生应该具备诊断、治疗和预防这种致命线虫的致命后果的能力。对这种寄生虫感染的详细检查至关重要,本病例报告强调,简单的粪便湿片显微镜检查即可确诊。

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