斯特朗基洛伊德 (Strongyloides stercoralis):从慢性无声感染到突如其来的灾难
Daniela Vinueza1, Luis Adolfo Collazos-Torres2, Raúl Andrés Vallejo-Serna3
1Internal Medicine Residency Program, Universidad del Valle, Cali, Colombia..
概括
斯特朗基洛伊迪病可以导致终身感染,并进展到致命的超级感染. 及早诊断和艾弗梅克治疗至关重要,特别是在特有地区,以防止严重的结果,如传播疾病.
科学领域:
- 传染性疾病 传染性疾病
- 寄生虫学的寄生虫学
- 胃肠病学 胃肠病学
背景情况:
- 斯特朗基洛伊迪病是一种寄生虫感染,已知通过自身感染终身持久.
- 它可以迅速发展为超级感染和传播疾病,特别是在某些条件下.
- 皮质类固醇的使用是已知的严重斯特朗基洛伊德高感染综合征的触发因素.
研究的目的:
- 报告一个传播性强化化病的致命病例,其表现为胃出口阻塞.
- 突出强调在患有严重胃肠道症状和在流行地区营养不良的患者中考虑Strongyloides的重要性.
- 为了强调在未诊断的强基化症中与皮质类固醇使用相关的风险.
主要方法:
- 一个38岁的妇女患有严重的胃肠道症状的病例报告.
- 临床管理包括内镜,输管,血管压缩剂和抗生素.
- 十二指肠活检和尸检发现的组织病理学检查.
主要成果:
- 患者出现了模仿胃出口阻塞的症状,导致诊断延迟.
- 尽管在重症监护室,她发展了耐火性败血症休克和多器官衰竭.
- 尸体解剖证实了扩散的Strongyloides stercoralis感染与二次多微生物感染.
结论:
- 散布型强基化症可以异常呈现,模仿手术紧急情况而没有公开的免疫抑制.
- 在特有地区,早期诊断对Strongyloides的怀疑至关重要,特别是在严重营养不良和胃肠道问题的情况下.
- 及时诊断和ivermectin治疗对于预防皮质类固醇诱导的高感染导致的死亡至关重要.
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