一个移民儿童在尾切除术后诊断出意想不到的尾瘤
Isshak Mrabet-Deraoui1, Lorenzo Monforte2, Slobodan Prica2
1Women-Mother-Child Department, Lausanne University Hospital, Lausanne, Switzerland.
The American journal of case reports
|November 28, 2025
概括
一种被忽视的热带疾病 - - 杆菌病 - - 偶然在瑞士的一名儿童移民中被发现. 早期诊断和治疗对于非特有地区的移民至关重要.
科学领域:
- 医学 医学 医学 医学 医学
- 寄生虫学的寄生虫学
- 公共卫生 公共卫生
背景情况:
- 杆菌病是一种在特有地区普遍存在的寄生虫感染,在非特有国家经常被诊断不足.
- 高收入国家的移民和难民可能呈现无症状或偶然发现的杆菌病.
- 低临床怀疑和缺乏特定的实验室发现可以推迟诊断.
研究的目的:
- 强调怀疑儿童移民中被忽视的热带疾病的重要性.
- 强调偶然发现在诊断杆菌病中的作用.
- 在非流行性医疗保健系统中提倡早期识别和综合查.
主要方法:
- 一名10岁的厄立特里亚女孩在瑞士出现腹痛的案例报告.
- 通过肝脏活检的组织病理学证实了诊断,显示了Schistosoma mansoni卵子和PCR分析.
- 使用普拉西和家庭查进行治疗.
主要成果:
- 最初诊断为急性尾炎,但手术期间的肝病变导致了尾虫病的诊断.
- 这位患者没有表达过异敏症或典型症状,这突显了诊断方面的挑战.
- 用praziquantel成功治疗和没有事件的恢复.
结论:
- 在儿童移民中,对被忽视的热带疾病的高度怀疑指数至关重要,即使有无关的症状和正常的实验室.
- 偶然的手术内发现可能是诊断杆菌病的关键.
- 及时诊断和治疗可以预防并发症,并为非流行性环境中的查策略提供信息.
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