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一个不太可能的客人与一个过长的欢迎:Cyclospora诱导的后感染性刺激性肠综合征
Matthew Aiken1, Trisha Jethwa2, Muhammad Bilal Abid2
1Medical College of Wisconsin, Milwaukee, Wisconsin, maiken@mcw.edu.
概括
感染后刺激性肠综合征 (PI-IBS) 可以在感染后出现. 这一案例表明,一种寄生虫Cyclospora可以引起PI-IBS,强调需要考虑感染后持续性腹的寄生病因.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 寄生虫学的寄生虫学
背景情况:
- 感染后刺激性肠综合征 (PI-IBS) 可能在急性胃肠炎后发展.
- 细菌病原体通常与PI-IBS有关,但病毒和寄生虫感染也可能是潜在的触发因素.
- 这个案例探讨了PI-IBS不太常见的病因.
研究的目的:
- 报告第一个被记录的Cyclospora诱导的后感染性易怒肠综合征病例.
- 强调在PI-IBS的差异诊断中考虑寄生虫感染的重要性.
- 突出在PI-IBS中识别诱发性病原体的诊断价值.
主要方法:
- 一个65岁妇女长期患有水性腹的案例介绍.
- 聚合酶连锁反应 (PCR) 测试证实了环菌感染.
- 临床随访评估了初始治疗后持续的胃肠道症状.
主要成果:
- 患者经历了急性腹的解决方案后抗生素治疗Cyclospora.
- 几个月后,她出现了持续的松散和腹部,与PI-IBS一致.
- 这代表了首次报告的Cyclospora导致PI-IBS的病例.
结论:
- 后感染性易怒肠综合征与零星性IBS具有相同的临床特征,病原体识别有助于诊断.
- 这一案例强调了寄生虫感染,如Cyclospora,应在PI-IBS.病因学中考虑.
- 这些发现强调需要考虑寄生虫导致长期腹的病因,这些病例发生在曾经感染过Cyclospora的患者身上.
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