一个青少年患者的尾虫病例
Zachary S Kauffman1, David L Stuart2
1Research, Lincoln Memorial University - DeBusk College of Osteopathic Medicine, Beckley, USA.
Cureus
|May 22, 2025
概括
针虫感染很少能模仿尾炎,即使有正常的成像和检查. 这一案例突出了尾虫的诊断挑战,强调了临床怀疑,以避免不必要的手术.
科学领域:
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 针虫 (Enterobius vermicularis) 感染在儿童中很常见.
- 尾炎是儿科患者经常出现的外科紧急情况.
研究的目的:
- 报告一种罕见的尾虫感染病例,呈现为尾炎.
- 为了突出与尾虫相关的诊断挑战.
- 强调临床怀疑在诊断尾虫时的重要性.
主要方法:
- 一个15岁的女性患有右下象限腹部疼痛的病例报告.
- 最初的评估包括计算机断层扫描 (CT) 扫描和实验室测试.
- 由于持续的疼痛,进行了带尾切除的诊断性腹腔镜.
主要成果:
- 电图扫描和初步检查显示尾正常.
- 对切除的尾进行组织学检查,发现了Enterobius vermicularis.
- 在尾中没有观察到过神经性炎症.
结论:
- 尾虫感染可以呈现异常,没有经典的尾炎症状.
- 诊断可能具有挑战性,通常需要进行外科手术以确认.
- 高度的临床怀疑至关重要,以避免因虫感染而不必要的尾切除.
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