牛带绦虫致直肠穿孔1例。

IF 1.9 2区 农林科学 Q3 FOOD SCIENCE & TECHNOLOGY
Nurhilal Kızıltoprak, Ayşe Gökçen Yıldız, Gülçin Ercan
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引用次数: 0

摘要

牛带绦虫,俗称牛肉绦虫,是一种流行的人畜共患绦虫,估计全球有6000万至7000万携带者。这种寄生虫通常位于胃肠道,以前的报道已经描述了急性阑尾炎、梅克尔憩室炎、胰腺炎、胆囊炎、肝脓肿、肠梗阻和穿孔等并发症。寄生虫病引起的肠道穿孔是一种罕见的并发症。手术并发症与saginata是罕见的,很少报道的病例肠穿孔。在这里,我们提出的情况下,69岁的女性谁被承认急诊科急性腹部症状。她经历了15天的腹痛和呕吐。她的症状伴有腹胀、排便减少和食欲不振。查体见腹部弥漫性压痛、守腹性、反跳性压痛,怀疑腹膜炎。实验室检查显示白细胞计数为8000 /mm3, c反应蛋白水平升高至501 mg/L,表明炎症反应正在进行。影像学显示腹腔内空气和液体自由,提示胃肠道穿孔。在急诊手术中,发现并切除了上直肠穿孔。病理检查证实肠壁上有saginata卵。术后患者恢复良好,第6天出院。该病例强调需要提高对寄生虫感染作为急性腹部疾病潜在病因的认识。正确的诊断和及时的手术干预是处理与saginata相关的并发症的关键。预防措施,包括彻底煮熟牛肉和改善卫生条件,对于减少此类感染的发生至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rectal Perforation Induced by Taenia saginata: A Case Report.

Taenia saginata, commonly known as the beef tapeworm, is a prevalent zoonotic cestode with an estimated global prevalence of 60-70 million carriers. This parasite is frequently located in the gastrointestinal tract, and previous reports have described complications such as acute appendicitis, Meckel's diverticulitis, pancreatitis, cholecystitis, liver abscess, intestinal obstruction, and perforation. Intestinal perforation due to parasitic diseases is a rare complication. Surgical complications associated with T. saginata are uncommon, with few reported cases of bowel perforation. Here, we present the case of a 69-year-old female who was admitted to the emergency department with acute abdominal symptoms. She had experienced abdominal pain and vomiting for 15 days. Her symptoms were accompanied by abdominal distension, reduced bowel movements, and loss of appetite. On physical examination, she had diffuse abdominal tenderness, guarding, and rebound tenderness, raising suspicion of peritonitis. Laboratory tests revealed a white blood cell count of 8,000/mm3 and an elevated C-reactive protein level of 501 mg/L, indicating an ongoing inflammatory response. Imaging revealed free intra-abdominal air and fluid, suggesting gastrointestinal perforation. During emergency surgery, a perforation in the upper rectum was identified and resected. Pathological examination confirmed the presence of T. saginata eggs in the intestinal wall. Postoperatively, the patient recovered well and was discharged on the sixth day. This case underscores the need for heightened awareness of parasitic infections as potential causes of acute abdominal conditions. Proper diagnosis and prompt surgical intervention are crucial in managing complications associated with T. saginata. Preventive measures, including thorough cooking of beef and improved sanitation, are essential to reduce the incidence of such infections.

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来源期刊
Foodborne pathogens and disease
Foodborne pathogens and disease 医学-食品科技
CiteScore
5.30
自引率
3.60%
发文量
80
审稿时长
1 months
期刊介绍: Foodborne Pathogens and Disease is one of the most inclusive scientific publications on the many disciplines that contribute to food safety. Spanning an array of issues from "farm-to-fork," the Journal bridges the gap between science and policy to reduce the burden of foodborne illness worldwide. Foodborne Pathogens and Disease coverage includes: Agroterrorism Safety of organically grown and genetically modified foods Emerging pathogens Emergence of drug resistance Methods and technology for rapid and accurate detection Strategies to destroy or control foodborne pathogens Novel strategies for the prevention and control of plant and animal diseases that impact food safety Biosecurity issues and the implications of new regulatory guidelines Impact of changing lifestyles and consumer demands on food safety.
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