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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.

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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