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免疫功能低下宿主中的粪类圆线虫感染

Strongyloides stercoralis Infection in Immunocompromised Host.

作者信息

Sharma Neha, Zivari Kaveh, Yunina Daria, Grunwald Matthew, Azar Omar, Rahmani Rabin, Tin Kevin

机构信息

Internal Medicine, Maimonides Medical Center, New York City, USA.

Gastroenterology, Maimonides Medical Center, Brooklyn, USA.

出版信息

Cureus. 2022 Jan 13;14(1):e21217. doi: 10.7759/cureus.21217. eCollection 2022 Jan.

Abstract

is a soil-dwelling roundworm that causes an intestinal infection, Strongyloidiasis. In the United States, this helminth generally causes chronic asymptomatic infection, and severe symptomatic infections are reported in immunocompromised hosts like patients undergoing chemotherapy, receiving long-term corticosteroids, transplant patients, or patients with HIV. The clinicians should have a high index of suspicion to diagnose this infection, as the exposure is usually remote and symptoms are non-specific. The treatment is simple, with oral anti-helminthic drugs like ivermectin and albendazole.

摘要

是一种生活在土壤中的蛔虫,可引起肠道感染,即类圆线虫病。在美国,这种蠕虫通常引起慢性无症状感染,而在免疫功能低下的宿主(如接受化疗的患者、长期接受皮质类固醇治疗的患者、移植患者或艾滋病毒患者)中会报告严重的症状性感染。临床医生在诊断这种感染时应保持高度怀疑,因为接触通常是远期的且症状不具特异性。治疗很简单,使用伊维菌素和阿苯达唑等口服抗蠕虫药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dbf/8840887/c29a47d798fd/cureus-0014-00000021217-i01.jpg

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