Yusof S, Zhao Y, Quah J, Eu C E Ernest, Wang L M
Department of General Surgery, Changi General Hospital, 2 Simei Street 3, S529889, Singapore.
Department of General Surgery, Changi General Hospital, 2 Simei Street 3, S529889, Singapore.
Int J Surg Case Rep. 2020;71:151-154. doi: 10.1016/j.ijscr.2020.04.032. Epub 2020 May 11.
Intestinal parasitic infections are a health burden to developing countries, but can also become more prevalent worldwide, even in developed countries, with the advent of globalization. While most of these infections are benign, some may be associated with acute infections with high morbidity and mortality rates.
A 36 years old patient presented with toxic megacolon with poly-helminthic infections, likely a result of raw food ingestion. She subsequently required multiple surgeries with a total colectectomy and small bowel resection, and ended up with an end-ileostomy.
Intestinal polyparasitism has been reported in undeveloped countries, but it appears that such a trend can be found in developed countries as well. Clinicians, especially those practicing in countries with large expatriate or immigrant worker populations, should be aware of this trend and adjust treatment protocols accordingly.
Even in countries whereby intestinal parasitic infections are not common, clinicians should have a heightened awareness of the possibility for such infections to be present, especially in returning travellers, expatriate or immigrant populations.
肠道寄生虫感染对发展中国家来说是一项健康负担，但随着全球化的到来，在全球范围内，甚至在发达国家，其发病率也可能会更高。虽然这些感染大多是良性的，但有些可能与发病率和死亡率较高的急性感染有关。
一名36岁的患者因多种蠕虫感染出现中毒性巨结肠，可能是由于食用生食所致。她随后接受了多次手术，包括全结肠切除术和小肠切除术，最终进行了回肠造口术。
在不发达国家已有肠道多重寄生虫感染的报道，但似乎在发达国家也能发现这种趋势。临床医生，尤其是在侨民或移民工人众多的国家执业的医生，应意识到这一趋势，并相应调整治疗方案。
即使在肠道寄生虫感染不常见的国家，临床医生也应提高对这类感染存在可能性的认识，尤其是在归国旅行者、侨民或移民人群中。
