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一名艾滋病未得到控制的年轻患者继发隐孢子虫感染导致小肠梗阻的罕见病例。

Rare Case of Small Bowel Obstruction Secondary to Cryptosporidium in a Young Patient With Uncontrolled AIDS.

作者信息

Mararenko Anton, Douedi Steven, Alshami Abbas, Odak Mihir, Patel Swapnil V

机构信息

Internal Medicine, Jersey Shore University Medical Center, Neptune, USA.

出版信息

Cureus. 2021 Jun 29;13(6):e16040. doi: 10.7759/cureus.16040. eCollection 2021 Jun.

Abstract

Small bowel obstruction is a common cause of abdominal pain and accounts for approximately 20% of surgical admissions related to abdominal pain. In the United States alone, there are over 300,000 admissions annually for small bowel obstruction and account for every 15 out of 100 admissions for abdominal pain. If treated appropriately with medical management, over 80% of cases resolve without life-threatening, long-term complications or the need for surgical intervention. The three most common causes including adhesions, tumors, and hernias account for the majority of cases. Less frequently reported causes include infections. We present the case of a 26-year-old male with a history of AIDS who was found to have a small bowel obstruction in the setting of active infection. is an opportunistic infection that more commonly affects immunocompromised hosts, especially those noncompliant with antiretroviral therapy. Our patient had an uncomplicated hospital course and made a full recovery due to early diagnosis and immediate intervention. We hope to make the medical community more aware of this rare and potentially life-threatening association given the rarity of such a presentation. Early diagnosis and intervention are critical to preventing morbidity and mortality.

摘要

小肠梗阻是腹痛的常见原因,约占与腹痛相关的外科住院病例的20%。仅在美国,每年就有超过30万例小肠梗阻住院病例,每100例腹痛住院病例中就有15例是小肠梗阻。如果采用适当的药物治疗,超过80%的病例可在无危及生命的长期并发症或无需手术干预的情况下得到解决。最常见的三个原因包括粘连、肿瘤和疝气,占大多数病例。较少报道的原因包括感染。我们报告一例26岁有艾滋病病史的男性病例,该患者在活动性感染情况下被发现患有小肠梗阻。这是一种机会性感染,更常见于免疫功能低下的宿主,尤其是那些未坚持抗逆转录病毒治疗的患者。我们的患者住院过程顺利,由于早期诊断和及时干预而完全康复。鉴于这种表现的罕见性,我们希望让医学界更加了解这种罕见且可能危及生命的关联。早期诊断和干预对于预防发病和死亡至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28eb/8321418/75b8680bfc70/cureus-0013-00000016040-i01.jpg

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