呈现为孤立咳的原发性膜水症:一个罕见的病例报告
Marlyn Susan George1, Preethi Jagannath2, Tigran Byuzandyan3
1Yerevan State Medical University, Armenia, Mkhitar Heratsi 18A, Yerevan 0095, Armenia.
International journal of surgery case reports
|July 30, 2023
概括
这种病例突显了原发性膜水症,一种罕见的寄生虫感染,呈现为持续咳和呼吸障碍. 手术切除和抗寄生虫治疗对于控制这种罕见的水类病至关重要.
科学领域:
- 寄生虫学的寄生虫学
- 胸部外科手术 胸部外科手术
- 传染性疾病 传染性疾病
背景情况:
- 埃奇诺科克细粒菌 (Echinococcus granulosus) 引起水类病,通常会影响肝脏和肺部.
- 胸腔腔中的初级水囊异常罕见,这给诊断带来了挑战.
研究的目的:
- 为了记录一种罕见的原发性膜水症病例.
- 为了强调这种疾病的诊断和治疗重要性.
- 突出表水症的临床表现和管理.
主要方法:
- 一名45岁的患者出现了持续的咳和呼吸障碍.
- 诊断成像 (X射线,CT扫描) 揭示了多重的肺囊和输液.
- 进行了手术切除囊 (胸腔切除术,胸膜切除术,胸膜切除术),随后进行了抗寄生虫疗法.
主要成果:
- 计算机断层扫描证实了带有多个囊的原发性膜水症.
- 在血液检查中发现了埃索诺菲利亚,这表明了寄生虫感染.
- 手术治疗和抗寄生虫疗法导致了良好的结果,在随访X射线上没有观察到复发.
结论:
- 持续的咳需要进行彻底的评估,特别是对于罕见的诊断,如膜水症.
- 初级腹水症可以呈现为腹溢液和中位转移.
- 结合抗寄生虫药物治疗的手术管理对于治疗原发性多水症至关重要.
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