頁籤選單縮合
題 名 | Pulmonary Strongyloidiasis--Case Report of 2 Cases=肺部糞小桿線蟲病--二例病例報告 |
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作 者 | 丁燿明; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 16:5 2000.05[民89.05] |
頁 次 | 頁269-274 |
分類號 | 415.291 |
關鍵詞 | 肺部糞小桿線蟲病; Larva; Pulmonary strongyloidiasis; Strongyloides stercoralis; |
語 文 | 英文(English) |
中文摘要 | 糞小桿線蟲病是種良性的胃腸道感染疾病。它會經由肺部造成肺部感染 及症狀,即所謂肺部糞小桿線蟲病;在具有危險因素的患者,其肺部糞小桿線蟲 病的懷疑,是來自於臨床及放射線表徵。這些危險因素有:慢性肺部疾病、年齡 高於六十五歲、自身免疫能力降低、長期地服用類固醇藥物。若於肺部組織或分 泌液中發現糞小桿線蟲時,可確定地診斷為肺部糞小桿線蟲病。在本研究�塈畯� 提出兩例肺部糞小桿線蟲病病患。這兩例病患都是慢性阻塞性肺部疾病病患,他 們的年齡都高於六十五歲;他們有易引起嚴重感染的危險因素(如:高齡、持續 地服用類固醇藥物、血中類固醇濃度增高),肺部症狀(如:呼吸急促、咳嗽、咳 痰)與放射線表徵的惡化,在他們的痰液及糞便中發現糞小桿線蟲,所以他們被 診斷為肺部糞小桿線蟲病病患。他們服用mebendazole一百毫克一天兩次,治療 後糞小桿線蟲由糞便或痰液中完全排除;不幸地在第一位病患在糞便�埵A次發現 糞小桿線蟲,這寄生蟲感染進而引起肺部糞小桿線蟲病,最後讓他死於呼吸衰 竭。由於肺部糞小桿線蟲病有很高的復發率(百分之十五),所以一系列的糞便、 痰液追蹤檢查是很重要的。 |
英文摘要 | Strongyloidiasis is a benign gastrointestinal infection. It can pass through the lungs and induce pulmonary strongyloidiasis. The suspicion of pulmonary involvement begins with clinical and chest radiographic features in the patients at risk. They are as follows: chronic lung diseases, age was 65 years, altered cellular immunity, and use of corticosteroids. Definitive diagnosis is made by identification of strongyloides in the secretion or tissue of the respiratory tract. We present 2 patients with pulmonary strongyloidiasis in this research. These 2 cases were patients with chronic obstructive pulmonary disease; both patients were more than 65 years old. They had the risk factors for severe strongyloides infection (advanced age, use of corticosteroids, an high serum cortisol level), worsening of pulmonary symptoms (e.g., dyspnea, cough, sputum production) and abnormal radiographic findings. Strongyloides stercoralis was found in the sputum and stool, and pulmonary strongyloidiasis was diagnosed. Mebendazole 100mg twice daily was used and this eliminated the parasite from the stool in case 1, and from the sputum in case 2. Unfortunately, there was a relapse of parasite infection in case 1 and it also induced pulmonary strongyloidiasis. Finally, he died of respiratory failure. Since this disorder has a high relapse rate (15%), serial follow-up of stool and sputum is very important. |
本系統中英文摘要資訊取自各篇刊載內容。