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一根PleurX引流导管引出的意外诊断

Emerging from a PleurX Draining Catheter: An Unexpected Diagnosis.

作者信息

Arafat Hasan, Abdul-Hafez Hamza A, Sabateen Ali

机构信息

Department of Internal Medicine, Augusta Victoria Hospital, East Jerusalem, Palestine.

Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

出版信息

Clin Med Insights Case Rep. 2025 Jan 28;18:11795476251315619. doi: 10.1177/11795476251315619. eCollection 2025.

DOI:10.1177/11795476251315619
PMID:39882136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11775982/
Abstract

INTRODUCTION

is a common helminthic infection characterized by fecal-oral route of transmission. Commonly, it affects the gastrointestinal tract. However, in significantly rare cases, it can affect unexpected body regions, such as biliary tree, pancreas, and the lung.

CASE PRESENTATION

A 68-year-old female patient underwent PleurX tube insertion due to malignant pleural effusion. On the third week of insertion, she complained of itching and pain at the site of insertion, a grayish-white worm was visualized at the insertion site. Ascaris lumbricoides was identified by microbiological examination. She received 400 mg of albendazole.

CONCLUSION

Our case describes a rare clinical situation of pleural ascariasis, emphasizing the importance of remaining aware of this rare complication of ascariasis.

摘要

引言

是一种常见的蠕虫感染,其传播途径为粪口途径。通常,它会影响胃肠道。然而,在极为罕见的情况下,它会影响意想不到的身体部位,如胆管、胰腺和肺部。

病例报告

一名68岁女性患者因恶性胸腔积液接受了PleurX管插入术。在插入后的第三周,她抱怨插入部位瘙痒和疼痛,在插入部位可见一条灰白色的蠕虫。通过微生物学检查确诊为蛔虫。她接受了400毫克阿苯达唑治疗。

结论

我们的病例描述了一种罕见的胸膜蛔虫病临床情况,强调了认识到蛔虫病这种罕见并发症的重要性。

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本文引用的文献

1
Unusual Presentation of Pleural Space Ascariasis Infection from Eastern Sudan: A Case Report.苏丹东部胸膜腔蛔虫感染的罕见表现:一例报告
Res Rep Trop Med. 2024 Jul 22;15:73-78. doi: 10.2147/RRTM.S468422. eCollection 2024.
2
Risk of acquiring infection in an endemically infected rural community in Venezuela.委内瑞拉一个流行地区农村社区感染 的风险。
Epidemiol Infect. 2022 Jul 29;150:e151. doi: 10.1017/S0950268822001273.
3
Albendazole and Mebendazole as Anti-Parasitic and Anti-Cancer Agents: an Update.阿苯达唑和甲苯达唑作为抗寄生虫和抗癌药物:更新。
Korean J Parasitol. 2021 Jun;59(3):189-225. doi: 10.3347/kjp.2021.59.3.189. Epub 2021 Jun 21.
4
Ascaris lumbricoides through pleural biopsy needle. A rare case of intrapleural ascariasis.通过胸膜活检针发现蛔虫。一例罕见的胸膜内蛔虫病病例。
Arch Bronconeumol. 2017 Mar;53(3):171-172. doi: 10.1016/j.arbres.2016.08.014. Epub 2016 Nov 4.
5
Wandering ascaris coming out through the abdominal wall.蛔虫穿出腹壁游走。
Int J Prev Med. 2013 Jun;4(6):720-2.
6
Ascaris lumbricoides infection: an unexpected cause of pancreatitis in a western Mediterranean country.蛔虫感染:西地中海国家胰腺炎的意外病因
East Mediterr Health J. 2010 Mar;16(3):350-1.
7
Ascaris through a chest tube: a rare presentation.蛔虫经胸管排出:一种罕见的表现。
Ulus Travma Acil Cerrahi Derg. 2010 Mar;16(2):183-4.
8
Ascariasis cholecystitis: An unusual cause.蛔虫性胆囊炎:一种不寻常的病因。
J Minim Access Surg. 2008 Oct;4(4):108-10. doi: 10.4103/0972-9941.45207.
9
Clinical features and management of biliary ascariasis in a non-endemic area.非流行地区胆道蛔虫病的临床特征与管理
Postgrad Med J. 2000 Jan;76(891):29-32. doi: 10.1136/pmj.76.891.29.
10
Biliary ascariasis. A common cause of biliary and pancreatic disease in an endemic area.胆道蛔虫病。在流行地区,它是胆道和胰腺疾病的常见病因。
Gastroenterology. 1985 Feb;88(2):418-23.