等孢球虫病和粪类圆线虫病患者双对比钡剂造影检查的比较特征。

Comparative features of double-contrast barium studies in patients with isosporiasis and strongyloidiasis.

作者信息

Hizawa K, Iida M, Eguchi K, Aoyagi K, Tada S, Kuwano Y, Mochizuki Y, Fujishima M

机构信息

Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

出版信息

Clin Radiol. 1998 Oct;53(10):764-7. doi: 10.1016/s0009-9260(98)80321-8.

DOI:10.1016/s0009-9260(98)80321-8

PMID:9817096

Abstract

OBJECTIVE

To compare the gastrointestinal features of isosporiasis and strongyloidiasis.

METHODS

Two patients with isosporiasis and three patients with strongyloidiasis were assessed by double-contrast radiography of the duodenum and small intestine, with reference to histology of the duodenal biopsy specimens.

RESULTS

Both conditions affected the duodenum and the proximal jejunum, and showed similar radiographic changes as the diseases progressed. Thus, three patients with diarrhoea lasting 1 year or less showed only minimal or irregularly thickened mucosal folds, which seemed to result from mucosal inflammation. Two patients with long-standing disease periods (17 years and 30 years) presented a markedly granular mucosal appearance with effacement of the folds on radiography. These chronological differences in the radiographic features seemed to reflect the degree of villous atrophy.

CONCLUSION

Isosporiasis has similar radiographic features of strongyloidiasis.

摘要

目的

比较等孢球虫病和粪类圆线虫病的胃肠道特征。

方法

对2例等孢球虫病患者和3例粪类圆线虫病患者进行十二指肠和小肠双重对比造影检查，并参考十二指肠活检标本的组织学检查结果。

结果

两种疾病均累及十二指肠和空肠近端，且随着病情进展呈现相似的影像学变化。因此，3例腹泻持续1年或更短时间的患者仅表现为黏膜皱襞轻度增厚或不规则增厚，这似乎是由黏膜炎症引起的。2例病程较长（分别为17年和30年）的患者在造影检查中表现为黏膜明显呈颗粒状，皱襞消失。这些影像学特征的时间差异似乎反映了绒毛萎缩的程度。