The Brooklyn Hospital Center, NY, USA.
New York City Health and Hospitals (Elmhurst), NY, USA.
J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231188249. doi: 10.1177/23247096231188249.
We report a case of a 60-year-old asymptomatic male with history of consumption of uncooked snake meat while living in the Congo basin and prior imaging showing multiple abdominal calcifications. Patient had multiple subepithelial colonic lesions identified during screening colonoscopy and microscopic examination of the lesions demonstrated a calcified nodule in the submucosa with overlying normal mucosa. However, no parasite was identified within the calcified nodule. Given the history of consumption of uncooked snake meat and the typical radiographic feature of multiple abdominal calcifications, it is very likely that the patient's radiographic abnormalities are due to prior infection, a parasitic infection acquired from consumption of uncooked snake meat. Patient was asymptomatic at the time of evaluation and was not given anti-parasitic treatment.
我们报告了一例 60 岁无症状男性病例，他有在刚果盆地食用未煮熟蛇肉的病史，且先前的影像学检查显示有多处腹部钙化。患者在筛查性结肠镜检查中发现多个黏膜下结肠病变，病变的显微镜检查显示黏膜下层有钙化结节，其上覆盖有正常黏膜。然而，在钙化结节内未发现寄生虫。鉴于食用未煮熟蛇肉的病史和典型的多发性腹部钙化的影像学特征，患者的影像学异常极有可能是既往寄生虫感染所致，这是一种因食用未煮熟蛇肉而感染的寄生虫病。在评估时，患者无症状，未给予抗寄生虫治疗。
