人类肠道螺旋症是免疫能力强的患者慢性腹的原因:一个病例报告
Bi Zhang1, Daniel Najar2, Barry Li2
1Department of Internal Medicine, Northwell Health, Bay Shore, USA.
Cureus
|February 9, 2026
概括
人类肠道螺旋菌病 (HIS) 可以导致慢性腹和体重减轻,即使在免疫能力强的人身上也是如此. 早期诊断和美特罗尼达治疗可以导致完全缓解.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 人类肠道螺旋体 (HIS) 涉及螺旋体粘附于结肠上皮细胞.
- HIS通常与免疫功能低下的个体,艾滋病毒感染和胃肠道疾病有关.
研究的目的:
- 突出HIS作为免疫能力强的患者的差异诊断,呈现慢性腹和体重减轻.
- 在没有典型风险因素的免疫能力强的患者中报告HIS病例.
主要方法:
- 结肠镜检查和活检以确认HIS.
- 用10天的美特罗尼达 (500毫克三次一天) 治疗.
主要成果:
- 一个免疫能力强的患者经历了慢性水性腹和显著的体重减轻.
- 通过结肠镜活检确认了HIS.
- 甲尼达治疗导致症状完全消失.
结论:
- 在慢性腹和体重减轻的差异诊断中,即使在免疫能力强的患者中,也应该考虑HIS.
- 及时诊断和用美特罗尼达治疗对HIS有效.
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