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非流行地区腹部超声诊断无症状性胆道蛔虫病

Diagnosis of Asymptomatic Biliary Ascariasis by Abdominal Ultrasound in a Non-Endemic Area.

作者信息

Silva Carolina, Gonçalves Inês C, Neves Sara, Ferreira Diana C, Valdoleiros Sofia R

机构信息

Infectious Diseases, Centro Hospitalar Universitário do Porto, Porto, PRT.

Family Medicine, Unidade de Cuidados de Saúde Personalizados Fragoso, Barcelos, PRT.

出版信息

Cureus. 2023 Jan 10;15(1):e33599. doi: 10.7759/cureus.33599. eCollection 2023 Jan.

DOI:10.7759/cureus.33599
PMID:36788831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9910813/
Abstract

Biliary ascariasis is rare in non-endemic areas. This infection is associated with severe complications of the biliary tract, which can become a medical emergency. Treatment with oral anthelmintics is often effective, but, in some cases, surgery is required.  We describe an unusual case of ultrasound diagnosis of biliary ascariasis in the gallbladder in a patient who, besides residing in a low-prevalence area of the infection, did not present with biliary tract manifestations. We intend to raise awareness of this clinical entity in non-endemic areas, where this diagnosis is not usually considered. A brief review of the subject is also presented.

摘要

胆道蛔虫病在非流行地区较为罕见。这种感染与胆道的严重并发症相关,可发展为医疗急症。口服驱虫药治疗通常有效,但在某些情况下需要进行手术。我们描述了一例在胆囊中超声诊断为胆道蛔虫病的不寻常病例,该患者除居住在该感染低流行地区外,并无胆道系统表现。我们旨在提高非流行地区对这种临床病症的认识,在这些地区通常不会考虑这种诊断。本文还对该主题进行了简要综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be4/9910813/b1f826e2a8c2/cureus-0015-00000033599-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be4/9910813/b1f826e2a8c2/cureus-0015-00000033599-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be4/9910813/b1f826e2a8c2/cureus-0015-00000033599-i01.jpg

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引用本文的文献

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本文引用的文献

1
Biliary ascariasis - A vicious cycle.胆道蛔虫病——一个恶性循环。
Malays Fam Physician. 2021 May 27;16(2):83-85. doi: 10.51866/cr1078. eCollection 2021 Jul 22.
2
Ascariasis Causing Biliary Colic.蛔虫病致胆绞痛
ACG Case Rep J. 2019 Aug 27;6(9):e00181. doi: 10.14309/crj.0000000000000181. eCollection 2019 Sep.
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Soil-transmitted helminth infections.土壤传播的蠕虫感染。
Lancet. 2018 Jan 20;391(10117):252-265. doi: 10.1016/S0140-6736(17)31930-X. Epub 2017 Sep 4.
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Hepatic and biliary ascariasis.肝和胆道蛔虫病
J Glob Infect Dis. 2014 Apr;6(2):65-72. doi: 10.4103/0974-777X.132042.
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Global numbers of infection and disease burden of soil transmitted helminth infections in 2010.2010 年全球土壤传播性蠕虫感染的感染人数和疾病负担。
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Biliary ascariasis: a review.胆道蛔虫病:综述
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Sonographic findings in gallbladder ascariasis.胆囊蛔虫病的超声检查结果。
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Pulmonary ascariasis in tropical communities.热带地区社区的肺蛔虫病
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