A case of disseminated strongyloidiasis diagnosed by worms in the urinary sediment.

0 PARASITOLOGY
Parasites, hosts and diseases Pub Date : 2024-05-01 Epub Date: 2024-05-27 DOI:10.3347/PHD.23124
Young-Ha Lee
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Abstract

Strongyloidiasis is a chronic infection caused by the intestinal nematode parasite Strongyloides stercoralis and is characterized by a diverse spectrum of nonspecific clinical manifestations. This report describe a case of disseminated strongyloidiasis with urination difficulty, generalized weakness, and chronic alcoholism diagnosed through the presence of worms in the urinary sediment. A 53-year-old man was hospitalized for severe abdominal distension and urinary difficulties that started 7-10 days prior. The patient also presented with generalized weakness that had persisted for 3 years, passed loose stools without diarrhea, and complained of dyspnea. In the emergency room, approximately 7 L of urine was collected, in which several free-living female adult and rhabditiform larvae of S. stercoralis, identified through their morphological characteristics and size measurements, were detected via microscopic examination. Rhabditiform larvae of S. stercoralis were also found in the patient's stool. During hospitalization, the patient received treatment for strongyloidiasis, chronic alcoholism, peripheral neurosis, neurogenic bladder, and megaloblastic anemia, and was subsequently discharged with improved generalized conditions. Overall, this report presents a rare case of disseminated strongyloidiasis in which worms were detected in the urinary sediment of a patient with urination difficulties and generalized weakness combined with chronic alcoholism, neurogenic bladder, and megaloblastic anemia.

一例通过尿沉渣中的蠕虫诊断出的播散性强直丝虫病。
斯特龙线虫病是一种由肠道线虫斯特龙线虫引起的慢性感染,具有多种非特异性临床表现。本报告描述了一例伴有排尿困难、全身乏力和慢性酒精中毒的播散性强虫病病例,该病例是通过尿沉渣中的虫体诊断出来的。一名 53 岁男子因 7-10 天前开始出现严重腹胀和排尿困难而住院。患者还表现出持续了 3 年的全身乏力,大便稀烂但不腹泻,并抱怨呼吸困难。在急诊室收集了约 7 升尿液,通过显微镜检查发现了几条自由生活的雌性成虫和盘尾丝虫的横纹裂头蚴,并通过形态特征和大小测量进行了鉴定。在患者的粪便中也发现了盘尾丝虫的横纹裂头蚴。住院期间,患者接受了强直性脊柱炎、慢性酒精中毒、周围神经官能症、神经源性膀胱和巨幼红细胞性贫血的治疗,随后出院,全身情况有所改善。总之,本报告介绍了一例罕见的散发型强直性脊柱炎病例,患者排尿困难、全身乏力,并伴有慢性酒精中毒、神经源性膀胱和巨幼红细胞性贫血,在其尿沉渣中发现了蠕虫。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.70
自引率
0.00%
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