上部食道中的anisakiasis:一个病例报告
Eiji Kamba1, Takashi Murakami1, Hiroya Ueyama1
1Department of Gastroenterology, Juntendo University School of Medicine, Tokyo 113-842, Japan.
Medicina (Kaunas, Lithuania)
|October 28, 2023
概括
食道,一种罕见的寄生虫感染从生鱼,发生在一个男人胸部疼痛. 通过内镜去除了Anisakis幼虫,解决了他的症状.
科学领域:
- 医学寄生虫学 医学寄生虫学
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 阿尼萨基病是一种寄生虫感染,由简单的阿尼萨基 (简称Anisakis sp.) 引起. 幼虫. 这些幼虫.
- 它通常通过食用被这些幼虫污染的生鱼或未煮熟的鱼类而获得.
- 食道无症是这种感染的一个非常罕见的表现.
研究的目的:
- 为了报告一种罕见的食道病.
- 强调在患有相关症状和饮食史的患者中考虑anisakiasis的重要性.
- 为了突出食道症的诊断和治疗方法.
主要方法:
- 一名61岁的男性在食用生鱼沙希米后出现了严重的前疼痛和部不适.
- 进行了诊断上部胃肠道内镜检查.
- 一个阿尼萨基斯 sp. 幼虫被识别并使用子提取出来.
主要成果:
- 一个单一的Anisakis sp. 幼虫在食道上部被发现.
- 幼虫已经成功地用子去除了.
- 患者在幼虫提取后立即和完全缓解了症状.
结论:
- 虽然很少见,但食道无胃病应在消化肠道症状出现后食用生鱼后的患者的差异诊断中考虑.
- 内镜去除是一种有效的治疗食道异位症.
- 及时诊断和干预可以导致症状迅速消失.
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