虫感染的上胃肠道出血:罕见的病例报告.
Worknew Molla Fentie1, Tadilo Biset Melese1, Getasew Muluken Abebe1
1Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
IDCases
|October 27, 2025
概括
虫感染通常会导致贫血,很少表现为明显的上部胃肠道出血 (UGIB). 这一案例详细介绍了一个老年患者由于虫的罕见UGIB呈现,强调了诊断和治疗方面的挑战.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 寄生虫学的寄生虫学
背景情况:
- 虫病是一种全球普遍的寄生虫感染,由*Ancylostoma duodenale*和*Necator americanus*引起.
- 虽然通常会通过隐性血液损失引起慢性贫血,但明显的上部胃肠道出血 (UGIB) 是一种非常罕见的表现.
研究的目的:
- 报告一种罕见的严重上部胃肠道出血 (UGIB) 病例,该病例是由虫感染引起的.
- 讨论这种异常呈现的虫病的诊断挑战和管理策略.
主要方法:
- 一个87岁的病人的病例研究,呈现出复发性UGIB,黑色素和严重贫血.
- 诊断程序包括虫卵子的便显微镜检查,全血细胞计,周围血液涂抹,血清白蛋白水平评估和食道胃二透镜检查.
- 治疗包括输血,质子抑制剂,抗寄生虫疗法 (阿尔本达),以及补充铁.
主要成果:
- 消化管胃十二指肠镜检查显示胃和十二指肠内有许多虫,有活跃的出血部位.
- 这名患者被诊断为UGIB,这是由于虫感染的次要原因.
- 治疗导致了逐渐的临床改善,止血和血红蛋白水平的稳定.
结论:
- 虫感染可能会出现罕见但严重的上部胃肠道出血 (UGIB).
- 通过便检查和内镜检查进行早期诊断至关重要.
- 及时的抗寄生虫治疗与支持性护理相结合,可以有效地控制这种情况.
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