平甲状腺胆管病变:胆汁结病的病例报告
Mathew Vadukoot Lazar1, George S Zacharia2, Mohammad Ali3
1Gastroenterology, Lifecare Hospital, Abu Dhabi, ARE.
Cureus
|March 20, 2025
概括
人类带病是一种被忽视的热带疾病,由肝炎引起,它带来了诊断和治疗的挑战,特别是在特有病区之外. 这个案例突出了成功的诊断和治疗用triclabendazole.
科学领域:
- 寄生虫学的寄生虫学
- 热带医学 热带医学
- 传染性疾病 传染性疾病
背景情况:
- 人类带病是一种由Fasciola hepatica和F. gigantica引起的动物性感染,主要影响哺乳动物,通过受污染的水或植物传播.
- 这是一种被忽视的热带疾病,在特定的全球地区普遍存在,经常出现腹痛,发烧和胆道问题.
研究的目的:
- * 报告一个罕见的人类带病例在非流行地区.
- *讨论这种寄生虫感染的诊断困难和治疗策略.
- * 突出Fasciola hepatica感染的临床表现和管理.
主要方法:
- * 一名25岁的男性病例报告,症状暗示胆道疾病.
- * 诊断工作包括外周血液测试,腹部成像和内镜逆行胆血管细胞造影 (ERCP).
- * 在ERCP期间识别Fasciola hepatica白虫,并随后使用三班达治疗.
主要成果:
- *ERCP揭示了胆道树中的多个Fasciola hepatica白虫.
- *患者呈现出发烧,右上象限疼痛,阴,以及性酸酶的升高.
- *通过口服三班达治疗成功,导致六个月的随访无症状.
结论:
- * 人类带病带来了诊断和治疗方面的挑战,特别是在特有病区之外.
- * ERCP对于诊断和治疗胆道Fasciola hepatica感染至关重要.
- *三班达仍然是有效治疗人类带病的药物选择.
相关概念视频
01:17Chronic Bowel Disorders: Introduction
900
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
900
01:26Diseases of the Liver and Gallbladder
2.1K
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
2.1K
01:25Hepatitis
86
Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver.
86
01:19Appendicitis
29
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
29
01:23Cirrhosis I: Introduction
28
Cirrhosis is a chronic, irreversible liver disease characterized by the widespread replacement of healthy liver tissue with fibrotic scar tissue and the formation of regenerative nodules.Etiology of cirrhosisCirrhosis results from sustained liver injury that triggers progressive fibrosis and structural remodeling. The underlying causes are diverse, encompassing common and less frequent clinical conditions. Regardless of the origin, all causes lead to chronic inflammation, hepatocyte loss, and...
28
01:20Cholecystitis
29
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
29