严重的缺铁性贫血是由床寄生虫引起的 没有皮疹的寄生虫
Daichi Imai1, Ayumi Takizawa1, Naoko Kubota1
1Department of General Medicine, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan.
European journal of case reports in internal medicine
|November 13, 2025
概括
慢性虫感染会导致老年人严重缺铁性贫血,即使没有皮肤症状. 快速诊断需要检查患者的环境和衣服,以发现这些吸血昆虫.
科学领域:
- 医学昆虫学 医学昆虫学
- 血液学 血液学 血液学
- 老年病的医生 老年病的医生
背景情况:
- 床 (Cimex lectularius) 是一种常见的吸血昆虫.
- 虽然它们不是病媒,但它们的咬伤会导致皮肤问题,很少导致贫血.
- 慢性感染与系统性并发症,如缺铁性贫血有关,特别是在脆弱人群中.
研究的目的:
- 报告一位老年妇女患有严重的缺铁性贫血病,这种病因是长期的床虫感染.
- 为了强调贫血可以在没有典型的皮肤症状的情况下发生.
主要方法:
- 一个82岁的女性患者的病例报告.
- 临床检查,对贫血和缺铁的实验室测试.
- 检查病人的身体,衣服和生活环境的床虫.
主要成果:
- 患者出现严重的缺铁性贫血 (血红蛋白2.7g/dl) 和对日常生活活动的依赖.
- 没有发现其他导致贫血的原因.
- 在病人和她的物品上发现了许多床.
- 在输血,补充铁和消除床后,贫血症得到缓解.
结论:
- 患有慢性床虫感染的老年人可能会患上严重的贫血,即使没有皮肤表现.
- 彻底的体检和环境检查对于诊断这一群体中无法解释的贫血至关重要.
- 临床医生应考虑床虫咬是老年患者血液缺乏症的潜在原因,日常生活活动减少.
相关概念视频
Endocarditis II: Clinical Features of Infective Endocarditis
394
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
394
Skin Diseases and Disorders
5.1K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
5.1K
Fungal Phylum Microsporidia
399
Microsporidia are a group of obligate intracellular fungi that were initially classified as protists but were later reclassified based on phylogenetic, molecular, and structural evidence linking them to the Chytridiomycota. These unicellular, non-motile organisms are highly specialized parasites that infect a wide range of animal hosts, including humans. They have evolved extensive genomic and metabolic reductions, making them highly dependent on their hosts for survival.Morphology and Genomic...
399
Vitamins
2.3K
Vitamins, derived from the Latin word for life, are essential organic substances required in small quantities for optimal growth and overall well-being. Unlike other organic nutrients, vitamins don't act as sources of energy or building materials but rather facilitate these nutrients' utilization by the body. Vitamins are predominantly coenzymes, assisting enzymes in specific chemical actions, like the oxidation of glucose for energy involving B vitamins. Most vitamins are not produced...
2.3K
Disorders of Erythrocytes
2.0K
Disorders of erythrocytes, or red blood cells (RBCs), include a range of conditions affecting their number, shape, or function.
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
2.0K
Restless Leg Syndrome and Night Terrors
472
Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
472


