急性 fulminant 蜜蜂结肠炎:一个案例报告
Carlos Alberto Romero Cedeño1,2, Javier Contreras-Yametti3, Lorenzo Javier Ramírez Durini1
1General Surgery Department, Santa Barbara Hospital, Quito, Ecuador.
SAGE open medical case reports
|October 9, 2023
概括
Fulminant amoebic colitis是一种Entamoeba histolytica感染的严重并发症,可以在老年患者中模仿肠道阻塞. 及时诊断和治疗对于预防危及生命的结果至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 寄生虫学的寄生虫学
背景情况:
- 杏仁病是发展中国家的重大公共卫生问题,在亚洲和拉丁美洲是流行病.
- 虽然往往无症状,但10%的阿米比亚斯病例会导致严重的并发症,如结肠穿孔或 fulminant amoebic colitis.
- 患有急性腹部病理的老年人存在诊断挑战,不典型的表现需要仔细考虑.
研究的目的:
- 报告一个罕见的 fulminant amoebic大肠炎的病例,在一个老年女性中呈现为急性腹部.
- 强调在老年人急性腹部疾病的差异诊断中考虑氨病的重要性.
- 强调需要一个高的怀疑指数,以便及时诊断和管理严重的虫病.
主要方法:
- 一个73岁的女性患有急性腹部症状的病例报告.
- 肠道阻塞的初步诊断. 肠道阻塞的初步诊断.
- 手术前的内镜组织病理学和手术后的 Entamoeba histolytica 的样本分析.
- 由于具有穿孔的暴发性大肠炎,进行了全肠切除术.
主要成果:
- 患者出现了急性腹部,最初被认为是肠道阻塞.
- 组织病理学检查发现了Entamoeba histolytica trophozoites,证实了 fulminant amoebic大肠炎.
- 由于病情的严重程度,患者需要进行全身切除术.
结论:
- 异常呈现的氨核病,如发性结肠炎模仿肠道阻塞,可以发生在老年人.
- 对Entamoeba histolytica感染的早期和准确的诊断对于预防严重的发病率和死亡率至关重要.
- 一个高的怀疑指数是必要的及时干预在怀疑严重的虫病的病例.
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