模仿 ANCA 血管炎复发的软下疳感染

Pub Date : 2024-07-01 DOI:10.25259/ijn_23_2024

J. Meyyappan, Narayan Prasad, Shadab Husain, V. Veeranki, M. Patel, R. Kushwaha, Gulab Jha, Vinita Agrawal, R. Marak

{"title":"模仿 ANCA 血管炎复发的软下疳感染","authors":"J. Meyyappan, Narayan Prasad, Shadab Husain, V. Veeranki, M. Patel, R. Kushwaha, Gulab Jha, Vinita Agrawal, R. Marak","doi":"10.25259/ijn_23_2024","DOIUrl":null,"url":null,"abstract":"A 48-year-old female with anti-neutrophilic cytoplasmic antibody (ANCA)-associated vasculitis, initially responded well to standard therapy but later presented with diffuse alveolar hemorrhage (DAH), simulating disease relapse. Following renal remission with standard immunosuppressive therapy, the patient exhibited fever, hemoptysis, and declining renal function, suggestive of a relapse. Bronchoscopy revealed DAH, raising concern for vasculitis exacerbation. However, discordant laboratory findings prompted scrutiny, leading to the detection of Strongyloides larvae in bronchoalveolar lavage.","PeriodicalId":0,"journal":{"name":"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Strongyloides Stercoralis Infection Mimicking Relapse of ANCA Vasculitis\",\"authors\":\"J. Meyyappan, Narayan Prasad, Shadab Husain, V. Veeranki, M. Patel, R. Kushwaha, Gulab Jha, Vinita Agrawal, R. Marak\",\"doi\":\"10.25259/ijn_23_2024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"A 48-year-old female with anti-neutrophilic cytoplasmic antibody (ANCA)-associated vasculitis, initially responded well to standard therapy but later presented with diffuse alveolar hemorrhage (DAH), simulating disease relapse. Following renal remission with standard immunosuppressive therapy, the patient exhibited fever, hemoptysis, and declining renal function, suggestive of a relapse. Bronchoscopy revealed DAH, raising concern for vasculitis exacerbation. However, discordant laboratory findings prompted scrutiny, leading to the detection of Strongyloides larvae in bronchoalveolar lavage.\",\"PeriodicalId\":0,\"journal\":{\"name\":\"\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.25259/ijn_23_2024\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/ijn_23_2024","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

摘要

一名 48 岁的女性患者患有抗中性粒细胞胞浆抗体（ANCA）相关性血管炎，起初对标准疗法反应良好，但后来出现弥漫性肺泡出血（DAH），模拟疾病复发。在接受标准免疫抑制治疗后，患者的肾功能有所缓解，但又出现了发热、咯血和肾功能下降，提示病情复发。支气管镜检查发现了 DAH，引起了对血管炎加重的担忧。然而，不一致的实验室检查结果引起了仔细检查，结果在支气管肺泡灌洗液中检测到了弓形虫幼虫。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文

Strongyloides Stercoralis Infection Mimicking Relapse of ANCA Vasculitis

A 48-year-old female with anti-neutrophilic cytoplasmic antibody (ANCA)-associated vasculitis, initially responded well to standard therapy but later presented with diffuse alveolar hemorrhage (DAH), simulating disease relapse. Following renal remission with standard immunosuppressive therapy, the patient exhibited fever, hemoptysis, and declining renal function, suggestive of a relapse. Bronchoscopy revealed DAH, raising concern for vasculitis exacerbation. However, discordant laboratory findings prompted scrutiny, leading to the detection of Strongyloides larvae in bronchoalveolar lavage.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助