由肠道蛔虫病引起的腹水:病例报告与文献综述

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Yutaka Furuta, Naoto Matsuda, Hiroaki Wakakuri, Hideya Hyodo, Toshihiko Ohara, Gen Takagi, Masahiro Yasutake
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引用次数: 0

摘要

鳗鱼寄生虫病是一种影响人类胃肠道的寄生虫感染。病因是食用了受污染、生的或未充分煮熟的鱼或鱿鱼,这些鱼或鱿鱼通常用于制作寿司和生鱼片。大多数病例涉及胃蛔虫病,而肠蛔虫病则很少见。本报告描述了一名 63 岁日本妇女的病例,她有生鱼食用史,并出现急性腹痛和呕吐。腹部计算机断层扫描(CT)显示小肠襻增粗,肝表面有腹水。患者入院接受支持性治疗。住院第二天,对比增强腹部 CT 显示腹水已从肝表面转移到道格拉斯袋。住院第五天,患者出院,腹痛明显好转。出院五天后,她的嗜酸性粒细胞计数升高,因此怀疑是寄生虫病。抗钩端螺旋体 IgG/A 和 IgE(RAST)抗体水平升高,确诊为肠钩端螺旋体病。对 51 个已报道的肠道阿尼沙弧菌病病例的回顾表明,在食用生鱼或未煮熟的鱼后出现非特异性腹部症状的病例中,腹水的出现和抗阿尼沙弧菌抗体滴度的测量有助于诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ascites Caused by Intestinal Anisakiasis: A Case Report and Literature Review.

Anisakiasis is a parasitic infection affecting the human gastrointestinal tract. It is caused by the consumption of contaminated, raw or inadequately cooked fish or squid, which is typically used for making sushi and sashimi. Most cases involve gastric anisakiasis, whereas intestinal anisakiasis is rare. This report describes the case of a 63-year-old Japanese woman with a history of raw fish consumption who presented with acute-onset abdominal pain and vomiting. Abdominal computed tomography (CT) demonstrated thickened small bowel loops and ascites on the liver surface. The patient was admitted for supportive care. On the second day of hospitalization, contrast-enhanced abdominal CT revealed that the ascites had moved from the liver surface to the pouch of Douglas. On the fifth day of hospitalization, the patient was discharged with a substantial improvement in abdominal pain. Five days after the discharge, her eosinophil count was elevated, and parasitic disease was therefore suspected. Anti-Anisakis IgG/A and IgE (RAST) antibody levels were elevated, confirming the diagnosis of intestinal anisakiasis. A review of 51 reported cases of intestinal anisakiasis suggests that the presence of ascites and measurement of anti-Anisakis antibody titers are helpful for diagnosis in cases presenting with nonspecific abdominal symptoms after consumption of raw or undercooked fish.

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来源期刊
Journal of Nippon Medical School
Journal of Nippon Medical School MEDICINE, GENERAL & INTERNAL-
CiteScore
1.80
自引率
10.00%
发文量
118
期刊介绍: The international effort to understand, treat and control disease involve clinicians and researchers from many medical and biological science disciplines. The Journal of Nippon Medical School (JNMS) is the official journal of the Medical Association of Nippon Medical School and is dedicated to furthering international exchange of medical science experience and opinion. It provides an international forum for researchers in the fields of bascic and clinical medicine to introduce, discuss and exchange thier novel achievements in biomedical science and a platform for the worldwide dissemination and steering of biomedical knowledge for the benefit of human health and welfare. Properly reasoned discussions disciplined by appropriate references to existing bodies of knowledge or aimed at motivating the creation of such knowledge is the aim of the journal.
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