热带湿:不同表现的病例系列
Goutham Krishna1, Shilpa M Manuel1, V M Ananthakrishnan1
1Department of General Medicine, Government Medical College, Kozhikode, Kerala, India.
Journal of family medicine and primary care
|December 4, 2024
概括
一种寄生虫感染的 Filariasis 可以导致热带肺异敏症和深静脉血栓症 (DVT) 在患有不明原因异敏症的患者中. 用二甲基碳氨酸 (DEC) 和艾弗梅克丁治疗导致两例报告病例的症状完全恢复.
科学领域:
- 热带医学是一种热带医学.
- 传染病 传染病 传染病
- 血液学 血液学 血液学
背景情况:
- 埃索诺菲利亚由于各种传染性和非传染性病因而带来了诊断挑战.
- 由Wuchereria bancrofti和Brugia物种引起的 Filariasis 是一个重要的热带感染.
- 传统的 filariasis 诊断依赖于在外周血液涂抹中检测微细菌,这可能导致错过诊断.
研究的目的:
- 为了突出 filariasis 作为一种潜在的原因,eosinophilia.
- 为了呈现出 filariasis 的病例,呈现为热带肺异敏症和深静脉血栓塞 (DVT).
- 为了证明二甲基卡巴马 (DEC) +/- 伊弗梅克丁在治疗 filariasis 引起的并发症中的疗效.
主要方法:
- 案例报告的两个个人呈现与eosinophilia.
- 对传染性和非传染性病因的临床评估.
- 通过临床表现和对治疗的反应证实了 filariasis 的诊断.
- 治疗方法:为期3周的二甲基碳氨酸 (DEC) +/- 艾弗梅克丁疗程.
主要成果:
- 这两名患者均表现出因 filariasis而产生的异敏性肠酸.
- 一名患者患上了热带肺异敏症,另一个患上了深静脉血栓症 (DVT).
- 在用DEC +/- ivermectin治疗后,在两种情况下都观察到完整的症状改善.
结论:
- 在对不明原因的乙酸友爱症的差异诊断中,应考虑 Filariasis,特别是在特有地区.
- 热带肺异敏症和DVT可能是 filariasis的表现.
- 甲基碳氨酸 (DEC) +/- ivermectin 是对导致这些并发症的 filariasis 的有效治疗方法.
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