有呼吸道症状患者肺吸虫病与肺结核合并感染的研究病例系列和文献回顾

Q3 Medicine
Mohammad Hadi Tajik Jalayeri , Rahmat Allah Sharifi far , Narges Lashkarbolouk , Mahdi Mazandarani
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引用次数: 0

摘要

背景:blattarum是免疫功能低下患者支气管肺感染的一个新兴的重要原因。此外,结核病仍然是造成传染病死亡的一个重要因素,特别是在发展中国家,它是肺炎的主要原因。病例介绍:本研究报告6例肺吸虫病合并结核感染病例。所有病例的中位年龄为51.83岁,50%为男性。所有成年患者均有呼吸体征,常见症状为发热、呼吸困难。白细胞和贫血在患者中很常见。我们给他们服用甲硝唑500毫克,每天两次,持续两周,并联合使用结核病治疗方案。结论建议在肺结核患者鉴别诊断时应明确肺吸虫病。此外,及时诊断和治疗光单胞菌是至关重要的,因为它需要不同于肺炎或结核病的治疗方法。临床实验室应考虑在这些患者的支气管肺泡和气管液体样本中积极寻找这种原生动物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The co-infection of lophomoniasis and tuberculosis in patients with respiratory symptoms; case series and literature review

Background

Lophomonas blattarum is an emerging important cause of bronchopulmonary infections in immunocompromised patients. Moreover, Tuberculosis (TB) continues to be a significant factor in the mortality of infectious diseases, particularly in developing nations, serving as a primary cause of pneumonia.

Cases presentation

Our study reported six cases of lophomoniasis with tuberculosis co-infection. The median age of all cases reported was 51.83 years old, and 50 % of patients were male. All the adult patients had respiratory signs, with common symptoms of fever and dyspnea. The presence of leukocytes and anemia in the patients was common. We treated them with metronidazole 500 mg twice a day for two weeks and a combination of TB regimens.

Conclusion

We recommended identifying lophomoniasis during differential diagnoses of patients with pulmonary tuberculosis. Moreover, Timely diagnosis and treatment of lophomonas is crucial, as it requires a different treatment approach from pneumonia or TB. Clinical laboratories should consider the active search for this protozoan in these patients’ bronchoalveolar and tracheal liquid samples.
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来源期刊
Clinical Infection in Practice
Clinical Infection in Practice Medicine-Infectious Diseases
CiteScore
2.10
自引率
0.00%
发文量
95
审稿时长
82 days
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