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一个病例报告 Paragonimus感染通过药物胸腔镜诊断的情况报告
Xia Wu1, Zhengfu Li1, Dan Yang1
1Department of Tuberculosis, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou Province, China.
概括
一份病例报告详细介绍了一名38岁的女性,患有反复复发的肺部溢液,最初怀疑是杆菌病. 使用医学胸腔镜和下一代测序 (mNGS) 确定的诊断证实了 paragonimiasis.
科学领域:
- 寄生虫学的寄生虫学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 复发的多叶膜溢出可能会带来诊断上的挑战.
- 寄生虫感染,如帕拉戈尼米亚症,可以表现为基于多发性症状.
- 准确的寄生虫诊断对于有效的治疗和患者的结果至关重要.
研究的目的:
- 报告一个由 paragonimiasis 引起的复发性多叶膜溢出病例.
- 突出医学胸腔镜和下一代测序 (mNGS) 在诊断腹腔偏膜病的实用性.
- 强调在不明原因的多叶膜溢出中考虑寄生病因学的重要性.
主要方法:
- 一名38岁的女性患者,患有复发性多流液.
- 对寄生虫抗体进行初始血清学测试 (ELISA).
- 医学胸腔镜,用于胸腔液和组织检查.
- 显微镜识别的寄生虫.
- 胸腔喷液的元基因组下一代测序 (mNGS).
- 用praziquantel进行治疗.
主要成果:
- 最初的血清学表明了schistosoma japonicum和sparganum,但胸腔镜显示了一个移动的寄生虫被确定为paragonimus.
- 胸腔溢液的mNGS证实了Paragonimus感染,确立了帕拉戈尼米亚症的诊断.
- 在四个月的随访期间,重复的praziquantel治疗没有导致外流的复发.
结论:
- 这一案例凸显了对复发性流的确诊的重要性.
- 医疗胸腔镜和mNGS代表了识别多发性偏膜病的有价值的诊断工具.
- 及时和准确的诊断导致有效的治疗和症状的解决.
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