{"title":"牛带绦虫致直肠穿孔1例。","authors":"Nurhilal Kızıltoprak, Ayşe Gökçen Yıldız, Gülçin Ercan","doi":"10.1089/fpd.2025.0008","DOIUrl":null,"url":null,"abstract":"<p><p><i>Taenia saginata</i>, 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 <i>T. saginata</i> 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/mm<sup>3</sup> 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 <i>T. saginata</i> 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 <i>T. saginata</i>. Preventive measures, including thorough cooking of beef and improved sanitation, are essential to reduce the incidence of such infections.</p>","PeriodicalId":12333,"journal":{"name":"Foodborne pathogens and disease","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Rectal Perforation Induced by <i>Taenia saginata</i>: A Case Report.\",\"authors\":\"Nurhilal Kızıltoprak, Ayşe Gökçen Yıldız, Gülçin Ercan\",\"doi\":\"10.1089/fpd.2025.0008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><i>Taenia saginata</i>, 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 <i>T. saginata</i> 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/mm<sup>3</sup> 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 <i>T. saginata</i> 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 <i>T. saginata</i>. Preventive measures, including thorough cooking of beef and improved sanitation, are essential to reduce the incidence of such infections.</p>\",\"PeriodicalId\":12333,\"journal\":{\"name\":\"Foodborne pathogens and disease\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-04-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foodborne pathogens and disease\",\"FirstCategoryId\":\"97\",\"ListUrlMain\":\"https://doi.org/10.1089/fpd.2025.0008\",\"RegionNum\":2,\"RegionCategory\":\"农林科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"FOOD SCIENCE & TECHNOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foodborne pathogens and disease","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1089/fpd.2025.0008","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"FOOD SCIENCE & TECHNOLOGY","Score":null,"Total":0}
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.
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.