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頁籤選單縮合
題名 | Endoscopic Diagnosis of Hookworm Disease of the Duodenum: A Case Report=胃鏡診斷十二指腸鉤蟲病:一病例報告 |
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作者 | 吳耿良; 蔡成枝; 許家彰; 趙景華; 邱逸群; 張簡吉幸; Wu, Keng-liang; Chuah, Seng-kee; Hsu, Chia-chang; Chiu, King-wah; Chiu, Yi-chun; Changchien, Chi-sin; |
期刊 | 內科學誌 |
出版日期 | 20020200 |
卷期 | 13:1 2002.02[民91.02] |
頁次 | 頁27-30 |
分類號 | 415.196 |
語文 | eng |
關鍵詞 | 胃鏡; 十二指腸; 鉤蟲病; Hookworm; Necator americanus; Iron-deficiency anemia; Endoscopy; |
中文摘要 | 鉤蟲病是一種世界上最常見的寄生蟲疾病之一, 通常是經由週邊血液有嗜伊紅性血球升高而高度懷疑,或經由病人糞便有特殊形狀的蟲卵而診斷出。一個七十八歲的男性病人主訴上腹痛和間接性的黑便已四個月了,血液檢查有缺鐵性貧血現象且糞便有潛血的反應,然而糞便中並沒有看見寄生蟲蟲卵。在高度懷疑消化性潰瘍合併慢性出血下, 經由胃鏡意外的發現有許多活動性的螺蟲在十二指腸的第二部份。在顯微鏡下檢視蟲體,美洲鉤蟲 (Necator americanus) 被診斷出並成功的經由口服 mebendazole 來根治。對於一個貧血的病人,雖然臨床上寄生蟲感染並沒有被懷疑, 然而在上消化道胃鏡的檢查中仔細觀察十二指腸的遠端是非常重要的,特別在食道、胃、十二指腸球部都是正常的情況下。 |
英文摘要 | Hookworm is one of the most common parasites in the world and usually high suspected from eosinophilia on blood examination or diagnosed from characteristic egg shape appearance on microscopic examination of faeces. A 78-year-old man complained of epigastric pain and intermittent black stool passage for 4 months. Laboratory data showed iron-deficiency anemia with microcytic hypochromic erythrocytes. Stool routine examination showed positive occult blood but there was no parasitic egg detected microscopically. Under the impression of peptic ulcer disease with chronic blood loss, upper endoscopy was performed. Many worms were found in the second portion of the duodenum incidentally by endoscopy. Necator americanus was diagnosed and eradicated successfully by mebendazole. It is always crucial to observe the distal duodenum carefully in upper endoscopy although parasite infestation is not suspected clinically, especially when a normal study for esophagus, stomach, and duodenal bulb. (J Intern Med Taiwan 2002;13:27-30 ) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。