一个神秘的实体 - - 两个儿科病例的故事
Shilpi Thakur1, Anuradha Rai2, Puja Sakhuja1
1Department of Pathology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, New Delhi, India.
Indian journal of pathology & microbiology
|May 23, 2025
概括
肠道螺旋炎 (IS) 是一种罕见的儿科感染,模仿炎症性肠病 (IBD). 诊断需要仔细的组织病理学,对于儿童这种可治疗的疾病至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 儿童传染病 儿童传染病
- 组织病理学 组织病理学
背景情况:
- 肠道螺旋炎 (IS) 是一种不常见的感染,通常在免疫受损的成年人中见到.
- 在免疫不良的儿童中,IS可能与炎症性肠病 (IBD) 相似,症状包括腹痛,直肠出血和血性腹.
- 文献综述显示,发病率很低,过去21年仅报告了32例儿科病例.
研究的目的:
- 为了突出小儿病群体对肠道螺旋症的认知不足.
- 强调对儿童IS的组织病理学检查的诊断重要性.
- 报告两个免疫能力不足儿童的IS病例,其中一个是同时感染的.
主要方法:
- 对儿科结肠活检的审查.
- 组织病理学检查.
- 特殊的污点用于诊断.
主要成果:
- 在免疫能力较强的儿童中呈现两例肠道螺旋菌病例.
- 一个病例涉及与阿米比亚斯的同时感染.
- 在这个年龄组中IS的罕见性表明潜在的诊断不足.
结论:
- 肠道螺旋是儿科患者出现胃肠道症状的罕见但重要的诊断.
- 对结肠活检进行彻底的组织病理学检查对于准确的诊断至关重要.
- 早期诊断和治疗IS至关重要,因为它是一种可治愈的疾病.
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