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題名 | 糞小桿線蟲大腸炎:一病例報告=Strongyloides stercoralis Colitis: A Case Report |
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作者姓名(中文) | 黃柏青; 邱建勳; | 書刊名 | 臺灣醫學 |
卷期 | 9:5 民94.09 |
頁次 | 頁595-601 |
分類號 | 416.245 |
關鍵詞 | 感染性腹瀉; 糞小桿線蟲大腸炎; Infectious diarrhea; Strongyloides stercoralis colitis; |
語文 | 中文(Chinese) |
中文摘要 | 糞小桿線蟲屬於腸胃道內寄生性圓蟲,擁有複雜且獨特的生活史,其幼蟲藉由穿透人體皮膚,感染各個器官,輕者可以沒有症狀,重者可以呈現全身性散布感染,導致死亡。本文報告一位慢性精神分裂症老年男性患者,長期居住台灣東部某精神療養院,因嚴重血樣腹瀉,經大腸鏡檢查,發現大腸有許多白色線狀蟲體黏附於黏膜上,而病理組織切片證實為糞小桿線蟲大腸炎。經過適當治療,病患已無腹瀉、血便等不適現象,改由門診追蹤,且無復發跡象。對於糞小桿線蟲病而言,早期診斷與積極治療,可以避免嚴重併發症與降低病患死亡率。 |
英文摘要 | Strongyloides stercoralis is a kind of intestinal roundworms with complicated and special life cycle. Filariform larvae in fecally contaminated soil penetrate human skin and infect multiple organs. Patients may be varied from asymptomatic to dead. This case report presents an old male patient with chronic schizophrenia who lived in a long-term care facility. Severely bloody diarrhea was noted and many whitish linear worms were found on the colon mucosa via colonoscopy. Pathologic findings showed Strongyloides stercoralis colitis. This patient discharged after adequate treatment and no more recurrence occurs. With early diagnosis and aggressive treatment, complications and mortality can be reduced. |
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