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一例罕见的胸腔内[疾病名称未完整]诊断

A Rare Diagnosis of in the Pleural Cavity.

作者信息

Mousavi Fatemah Rhana, Alavi Emon, Hirad Nick A

机构信息

Integrated Regional Laboratories, HCA Healthcare, Ft. Lauderdale, FL.

Philadelphia College of Osteopathic Medicine, Moultrie, GA.

出版信息

HCA Healthc J Med. 2021 Oct 29;2(5):335-338. doi: 10.36518/2689-0216.1199. eCollection 2021.

Abstract

Description is a soil-transmitted helminth that causes strongyloidiasis, a chronic parasitic infection in humans. is one of several worm species that cause soil-transmitted helminthiasis, a neglected tropical disease. Herein, we discuss a 78-year-old female residing in a nursing home presenting with abdominal pain and shortness of breath. During a thoracentesis, physicians found multiple rhabditoid larvae consistent with . However, before the procedure, a serial assessment of stool sample was performed and failed to demonstrate a parasitic infestation. Many of those infected with are asymptomatic. Lack of symptoms and low sensitivity in traditional parasitological testing hampers and delays the diagnosis of strongyloidiasis. This case serves as a reminder to consider helminthic disease in the differential diagnosis.

摘要

粪类圆线虫是一种土源性蠕虫,可导致类圆线虫病,这是一种人类慢性寄生虫感染。它是导致土源性蠕虫病(一种被忽视的热带疾病)的几种蠕虫之一。在此,我们讨论一名居住在养老院的78岁女性,她出现腹痛和呼吸急促症状。在胸腔穿刺过程中,医生发现多个与粪类圆线虫一致的杆状蚴幼虫。然而,在该操作之前,对粪便样本进行了系列评估,未发现寄生虫感染。许多感染粪类圆线虫的人没有症状。传统寄生虫学检测中缺乏症状和低敏感性阻碍并延迟了类圆线虫病的诊断。这个病例提醒我们在鉴别诊断中要考虑蠕虫病。

相似文献

1
A Rare Diagnosis of in the Pleural Cavity.一例罕见的胸腔内[疾病名称未完整]诊断
HCA Healthc J Med. 2021 Oct 29;2(5):335-338. doi: 10.36518/2689-0216.1199. eCollection 2021.

本文引用的文献

2
Strongyloides stercoralis: Global Distribution and Risk Factors.粪类圆线虫:全球分布和危险因素。
PLoS Negl Trop Dis. 2013 Jul 11;7(7):e2288. doi: 10.1371/journal.pntd.0002288. Print 2013.
6
Strongyloides stercoralis: there but not seen.粪类圆线虫:只见其存在,未见其踪影。
Curr Opin Infect Dis. 2010 Oct;23(5):500-4. doi: 10.1097/QCO.0b013e32833df718.
7
Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection.粪类圆线虫感染的表现、诊断及治疗
Ann Pharmacother. 2007 Dec;41(12):1992-2001. doi: 10.1345/aph.1K302. Epub 2007 Oct 16.
8
Diagnosis of Strongyloides stercoralis infection.粪类圆线虫感染的诊断。
Clin Infect Dis. 2001 Oct 1;33(7):1040-7. doi: 10.1086/322707. Epub 2001 Sep 5.

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