移民阿的三重肠道寄生虫感染挑战要求进行全面的鉴别诊断。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Emmanuel Edwar Siddig, Ayman Ahmed
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引用次数: 0

摘要

关键临床信息:在包括移民、难民和境内流离失所者在内的流离失所人群中进行寄生虫感染筛查,对于预防因未治疗而导致的长期并发症至关重要。此外,及时使用吡喹酮和阿苯达唑等适当药物进行治疗可显著改善患者的病情并取得成功。这一病例凸显了提高对寄生虫感染的认识、早期检测和有效管理的必要性,以加强公共卫生工作,最大限度地减少这些疾病的传播。在包括南苏丹和苏丹在内的欠发达国家,寄生虫感染(包括血吸虫属、钩虫属和弓形虫属)是常见的并存疾病。这些感染通常没有特殊症状,因此一直未被发现,最终导致长期并发症。成人,尤其是移民和难民等流离失所人群中的潜伏寄生虫感染最近引起了全球关注。在本病例报告中,我们介绍了一名来自南苏丹的年轻男性移民的多重寄生虫感染病例。患者入院时主诉吐血和血便、伴有肝脾肿大、血细胞计数低等胃肠道症状。虽然肝功能检查未发现异常,但粪便检查证实存在曼氏沙门氏菌、钩虫卵和盘尾丝虫第一期幼虫。患者接受了吡喹酮和阿苯达唑等药物治疗,最终完全康复出院。该病例突出表明,在出现胃肠道症状的患者中考虑多种感染的重要性,尤其是在地方病流行地区。要实施具有成本效益的预防和控制战略,就必须实施多部门 "一体健康 "战略,监测、预防和控制人类、动物和环境中的寄生虫感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The challenge of triple intestinal parasite infections in immigrants—A call for comprehensive differential diagnosis

The challenge of triple intestinal parasite infections in immigrants—A call for comprehensive differential diagnosis

Key Clinical Message

Screening for parasitic infections among displaced populations including migrants, refugees, and internally displaced persons is crucial to prevent long-term complications associated with untreated infections. Additionally, prompt treatment with appropriate medications like praziquantel and albendazole can lead to significant improvement and successful patient outcomes. This case highlights the necessity of heightened awareness, early detection, and effective management of parasitic infections to enhance public health efforts and minimize the spread of these diseases. Implementing multisectoral One Health will improve human, animal, and environmental health globally using limited resources.

Parasitic infections including Schistosoma spp., hookworm, and Strongyloides spp. are commonly co-existing diseases in underdeveloped countries including South Sudan and Sudan. These infections are often presented with no specific symptoms, therefore they remain undetected and eventually leading to long-term complications. Latent parasitic infections among adults particularly displaced population like migrants and refugees have recently gained global attention. In this case report, we present the case of a young male immigrant from South Sudan with multi-parasitic infections. The patient was admitted to a hospital complaining of gastrointestinal symptoms of hematemesis and melena, which were accompanied by signs of liver and spleen enlargement, coupled with low blood cell counts. While liver function tests showed no abnormalities, stool examinations confirmed the presence of S. mansoni, hook worm eggs, and Rhabditiform first-stage larvae of S. stercoralis. The patient was treated with medications such as praziquantel and albendazole, which resulted in full recovery and discharge from the hospital. This case highlights the importance of considering multiple infections among patients with gastrointestinal symptoms, especially in endemic areas. Cost-effective prevention and control strategy require the implementation of a multisectoral One Health strategy for the surveillance, prevention, and control of parasitic infections in human, animals, and the environment.

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来源期刊
Clinical Case Reports
Clinical Case Reports MEDICINE, GENERAL & INTERNAL-
自引率
14.30%
发文量
1268
审稿时长
13 weeks
期刊介绍: Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).
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