Nazik Selçuk, Yıldız Fatih
Kahramanmaraş Sütçü İmam University Faculty of Medicine, Department of Infectious Disease and Clinical Microbilogy, Kahramanmaraş, Turkey.
Kahramanmaraş Sütçü İmam University Faculty of Medicine, Department of Rheumatology, Kahramanmaraş, Turkey.
Turkiye Parazitol Derg. 2020 Jun 2;44(2):112-114. doi: 10.4274/tpd.galenos.2020.6222.
The patient was a 83-year- old male who worked as a farmer. He had complaints of weight loss, abdominal pain and joint pains for almost 5 months. Twenty days ago, the patient was checked at another hospital for complaints of occasional coughing and bloody sputum. He was treated with a diagnosis of pneumonia. His respiratory complaints were reduced, but there was no relief of his ongoing abdominal pain. Gastroduodenoscopy and colonoscopy were performed to examine for possible etiologies of continuous abdominal pain. Biopsies were taken from duodenal bulbus and second duodenal segment. Intense eosinophilic leukocyte infiltration and larvae were observed in pathologic examination. The patient was successfully treated with albendazole 2x400 mg/day for 7+7 day.
患者为一名83岁男性农民。他有近5个月的体重减轻、腹痛和关节痛症状。20天前,患者因偶尔咳嗽和咯血痰症状在另一家医院就诊。他被诊断为肺炎并接受了治疗。他的呼吸道症状有所减轻,但持续的腹痛并未缓解。进行了胃十二指肠镜检查和结肠镜检查以查找持续性腹痛的可能病因。从十二指肠球部和十二指肠第二段取了活检组织。病理检查发现有大量嗜酸性白细胞浸润和幼虫。患者接受阿苯达唑治疗,每天2次,每次400毫克,疗程为7 + 7天,治疗成功。