斯特朗基洛伊德斯斯特尔科拉利斯感染模仿ANCA血管炎复发的复发
Jeyakumar Meyyappan1, Narayan Prasad1, Shadab Husain1
1Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, Uttar Pradesh, India.
Indian journal of nephrology
|May 12, 2025
概括
一名患有ANCA相关血管炎的患者出现了模仿复发的症状. 在在洗液中发现幼虫后,诊断从血管炎爆发转向Strongyloides感染.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 与抗中性细胞质抗体 (ANCA) 相关的血管炎需要免疫抑制.
- 标准治疗可能导致并发症或治疗失败.
研究的目的:
- 报告一个病例,ANCA相关血管炎复发的症状被Strongyloides感染模仿.
- 强调在区分血管炎恶化和机会性感染方面的诊断挑战.
主要方法:
- 一个48岁的女性被诊断出患有ANCA相关血管炎的病例报告.
- 临床表现,实验室发现和支气管检查与支气管支气管洗 (BAL) 分析进行了审查.
- 诊断工作包括ANCA的血清学测试和BAL液中病原体的识别.
主要成果:
- 患者最初对ANCA相关血管炎的免疫抑制疗法有反应,但后来发烧,血和功能下降.
- 支气管镜检查证实了DAH,最初怀疑是血管炎复发.
- 对BAL液体的分析揭示了Strongyloides幼虫,表明寄生虫感染是DAH的原因.
结论:
- 斯特朗基洛伊德感染可能会出现与ANCA相关的血管炎复发相似的临床和放射性发现.
- 在患有血管炎的患者中,在对DAH的差异诊断中应考虑寄生虫感染,特别是在临床或实验室发现不一致的情况下.
- 及时识别强基化物对于避免免疫抑制疗法的潜在有害升级至关重要.
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