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阻塞性黄疸伴嗜酸性粒细胞增多患者的鉴别诊断

in the Differential Diagnosis of a Patient with Obstructive Jaundice and Eosinophilia.

作者信息

Mumcu Necati, İdemen Celal, Cerrah Serkan, Uysal İbrahim

机构信息

Department of Infectious Diseases and Clinical Microbiology, Iğdır State Hospital, Iğdır, Turkey.

Department of Internal Medicine, Iğdır State Hospital, Iğdır, Turkey.

出版信息

Infect Dis Clin Microbiol. 2022 Dec 21;4(4):289-292. doi: 10.36519/idcm.2022.130. eCollection 2022 Dec.

Abstract

is a trematode that is visible to the naked eye. The diagnosis can be made by serology or by clinical improvement and decrease of eosinophilia after triclabendazole treatment or by finding parasite eggs in the stool. Sometimes the diagnosis is possible during unnecessary surgery, laparoscopic cholecystectomy, and endoscopic retrograde cholangiopancreatography (ERCP). infection should be considered in patients with typical clinical findings; the elevation of liver enzymes indicating cholestasis, eosinophilia, and characteristic computed tomography (CT) or ultrasonography (USG) findings. Here, we presented a case with the preliminary diagnosis of choledocholithiasis and diagnosed with infection by ERCP procedure.

摘要

是一种肉眼可见的吸虫。诊断可通过血清学检查、三氯苯达唑治疗后临床症状改善及嗜酸性粒细胞减少、或在粪便中发现寄生虫卵来进行。有时在不必要的手术、腹腔镜胆囊切除术和内镜逆行胰胆管造影(ERCP)过程中也可做出诊断。对于有典型临床表现的患者应考虑感染;肝酶升高提示胆汁淤积、嗜酸性粒细胞增多以及特征性的计算机断层扫描(CT)或超声检查(USG)结果。在此,我们报告了一例初步诊断为胆总管结石症并通过ERCP手术确诊为感染的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb16/10985823/623493140fd4/IDCM-4-4-130_Figure1.jpg

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