揭露模仿炎症性肠道疾病的寄生性结肠炎
Ethan Shamsian1, Kranthi K Mandava1, Joshua E Pagán-Busigó1
1Internal Medicine, Rutgers University New Jersey Medical School, Newark, USA.
Cureus
|February 27, 2026
概括
寄生虫感染可以模仿炎症性肠病 (IBD),特别是在肝硬化患者中. 早期诊断和抗寄生虫治疗对于改善症状和预防误诊至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
背景情况:
- 寄生虫感染可能会出现类似于炎症性肠病 (IBD) 的胃肠道症状.
- 患有肝硬化症的患者可能会在表现出IBD类症状时经历诊断不确定性.
- 寄生虫感染可能导致门前高血压和肝纤维化,可能使现有的肝病症复杂化.
研究的目的:
- 描述一种罕见的双重寄生虫感染病例,模仿自身免疫性肝炎 (AIH) 相关的肝硬化.
- 要突出考虑寄生虫病因在患有来自特有地区的胃肠道症状的患者中的重要性.
- 强调诊断挑战和免疫抑制疗法误诊的可能性.
主要方法:
- 一个27岁的埃及男性的病例报告,涉嫌患有AIH相关的肝硬化.
- 腹部疼痛和有血的腹的临床表现.
- 内镜评估,组织病理学,便和血清学检测寄生虫共感染.
主要成果:
- 内镜表明IBD,但组织病理学揭示了eosinophilic大肠炎.
- 便和血清测试证实了与 * Schistosoma mansoni * 和 * Strongyloides stercoralis * 的同时感染.
- 抗寄生虫疗法导致显著的临床改善.
结论:
- 双重寄生虫感染可以临床模仿IBD并复杂肝硬化.
- 详细的病史关于旅行和暴露在特有地区对于诊断至关重要.
- 在胃肠道症状的差异诊断中应考虑寄生虫感染,以避免误诊和不适当的免疫抑制治疗.
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