Liu J J, Tian K, Sun W Y, Shi B
Department of Respiratory Medicine, the Affiliated Suqian Hospital of Xuzhou Medical University, and Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian 223800, China.
Zhonghua Jie He He Hu Xi Za Zhi. 2024 Jun 12;47(6):547-549. doi: 10.3760/cma.j.cn112147-20240108-00012.
is a common parasite of rats and mice, but is very rare in humans with cases reported from various parts of the world. Here, we reported a case of infection involving both the respiratory and digestive tracts in a 49-year-old male patient whose initial imaging and symptoms were strikingly similar to pneumonia. Since no disease-causing pathogens were found during routine examinations, we considered respiratory infection by specific pathogens before metagenomic next-generation sequencing of broncho-alveolar lavage fluid confirmed the diagnosis of . After confirming the diagnosis, we retested the patient's stool repeatedly and found eggs finally. To help doctors better understand this condition and avoid misdiagnosis, this article provided a summary of the clinical characteristics, diagnostic techniques, and therapeutic options for infection by .
是大鼠和小鼠的常见寄生虫,但在人类中非常罕见,世界各地均有病例报告。在此,我们报告了一例49岁男性患者感染病例,其呼吸道和消化道均受累,最初的影像学表现和症状与肺炎极为相似。由于常规检查未发现致病病原体,在支气管肺泡灌洗液体宏基因组下一代测序确诊感染之前,我们考虑了特定病原体引起的呼吸道感染。确诊后,我们多次对患者粪便进行检测,最终发现了虫卵。为帮助医生更好地了解这种疾病并避免误诊,本文总结了感染的临床特征、诊断技术和治疗选择。