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胃腺癌病例中的肺隐孢子虫病:一例罕见病例报告。

Pulmonary cryptosporidiosis in a case of adenocarcinoma of stomach: A rare case report.

作者信息

Chaudhari Kavita, Gurushankari B, Rajkumari Nonika, Joseph Noyal Mariya, Amaranathan Anandhi, Sathasivam Sureshkumar, Barathi Deepak, Kate Vikram

机构信息

Department of Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

出版信息

Trop Parasitol. 2021 Jan-Jun;11(1):53-55. doi: 10.4103/tp.TP_41_20. Epub 2021 May 14.

Abstract

species are commonly known to cause chronic intractable diarrhea in patients suffering from human immunodeficiency virus (HIV)-acquired immunodeficiency syndrome, however extra-intestinal presentations have been rarely reported. Hereby, we report a rare case of isolated pulmonary cryptosporidiosis in a 75-year-old HIV-negative patient with metastatic carcinoma of the stomach who was managed conservatively with hemostatic radiotherapy for palliative care. The patient had presented with cough with expectoration for 2 months. Sputum microscopic examination was suggestive of pulmonary cryptosporidiosis. There was no evidence of intestinal cryptosporidiosis. Therapy for pulmonary cryptosporidiosis was started with tablet nitazoxanide. The patient succumbed to the disease few days later following discharge. Although rare, patients with disseminated gastrointestinal malignancy can potentially have isolated pulmonary cryptosporidiosis.

摘要

众所周知,该物种会在人类免疫缺陷病毒(HIV)感染所致获得性免疫缺陷综合征患者中引起慢性顽固性腹泻,然而,肠道外表现却鲜有报道。在此,我们报告一例罕见的孤立性肺隐孢子虫病病例,患者为一名75岁的HIV阴性胃转移性癌患者,接受姑息性止血放疗保守治疗。该患者出现咳嗽伴咳痰2个月。痰显微镜检查提示肺隐孢子虫病。无肠道隐孢子虫病证据。开始使用硝唑尼特片剂治疗肺隐孢子虫病。患者出院后数天死于该病。尽管罕见,但播散性胃肠道恶性肿瘤患者可能会发生孤立性肺隐孢子虫病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a8b/8213123/83bddf0686a0/TP-11-53-g001.jpg

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