揭开团:一个实体器官移植受体的腹痛
Siti Mardhiah Muhamad Fauzi1, Cybele Lara Abad2, Jacques Simkins3
1Infectious Disease Department, St Vincent University Hospital (SVUH), Dublin, Ireland.
概括
斯特朗基洛伊德高感染综合征是移植后的一种罕见但严重的并发症. 早期诊断和管理至关重要,特别是在非流行地区.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 移植免疫学 移植免疫学
背景情况:
- 接受移植的接受者免疫力低下,增加了对机会性感染的易感性.
- 斯特朗基洛伊迪病是一种寄生虫感染,由斯特朗基洛伊德 (Strongyloides stercoralis) 引起,在热带和亚热带地区特有.
- 移植后的强性化症可以表现为高感染综合征,这是一种潜在的致命传播疾病.
研究的目的:
- 在移植接受者中报告Strongyloides高感染综合征病例.
- 强调在移植患者出现胃肠道症状时考虑强化症的重要性.
- 讨论供体和受体的查策略,以防止传播.
主要方法:
- 一名62岁的男性脏移植接受者在手术后8周出现腹痛,恶心和腹.
- 进行了广泛的诊断工作,包括实验室测试和成像.
- 诊断被证实为斯特朗基洛伊德高感染综合征.
主要成果:
- 这位患者被诊断为斯特朗基洛伊德高感染综合征.
- 立即开始抗寄生虫治疗.
- 这一案例凸显了在非流行地区诊断强基化病的挑战.
结论:
- 斯特朗基洛伊德高感染综合征是移植接受者具有无法解释的胃肠道症状的关键考虑因素.
- 在非流行性地区对强基菌病的认识和适当的捐赠者/接受者查至关重要.
- 有效的管理方案对于改善移植后强基化病的结果至关重要.
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