一个非老年胃病的病例与非典型的呈现
Toshio Arai1,2, Seisuke Saito3, Takahiro Kinebuchi4
1Department of Internal Medicine, Furano Kyokai Hospital, Furano, Japan.
寄生虫感染的无病症 (anisakiasis) 可能发生在老年人身上. 一位93岁的心力衰竭的妇女在吃了生鱼后出现了症状,并从她的胃中发现并移除了一只Anisakis虫.
科学领域:
- 医学寄生虫学 医学寄生虫学
- 胃肠病学 胃肠病学
- 临床病例报告 临床病例报告
背景情况:
- 安西卡病是一种寄生虫疾病,由虫线虫幼虫引起.
- 近年来,阿尼西卡病例有所增加,尽管它仍然不常见.
- 老年患者可能会出现非典型的症状.
研究的目的:
- 在93岁的病人身上报告一种罕见的anisakiasis病例.
- 突出在临床实践中考虑非典型呈现的anisakiasis的重要性.
主要方法:
- 分析了一名患有慢性心力衰竭的93岁妇女的病例.
- 症状包括食用生鱼 (银沙米) 后的疹,恶心和腹痛.
- 通过上部胃肠道内镜确认了诊断,揭示了Anisakis幼虫,然后通过内镜进行了切除.
主要成果:
- 这位患者是一位93岁的妇女,在吃了生鱼后出现了胃肠道症状.
- 上部胃肠道内镜检查发现并允许内镜从她的胃中移除一个Anisakis幼虫.
- 在虫被移除后,可以获得症状缓解.
结论:
- 在老年人中,即使有不典型的表现,也可能发生anisakiasis.
- 这一案例强调了需要在老年患者中进行广泛的差异诊断,这些老年患者在食用鱼后出现胃肠道疾病.
- 及时诊断和内镜干预对于有效的治疗anisakiasis至关重要.
更多相关视频
03:32Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
08:45Author Spotlight: Generation of and Comparison Between Patient-Derived Gastric Organoids from Different Regions of the Stomach
Published on: January 26, 2024
相关概念视频
Gastritis III: Clinical Manifestations and Management
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Gastritis-I: Introduction and Types
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
Gastritis-II: Pathophysiology
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
