頁籤選單縮合
| 題 名 | 瀰漫性膽道擴張之病患發現貝氏等孢子蟲之感染=Isospora belli Infection in a Patient with Diffuse Biliary Tract Dilatation |
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| 作 者 | 洪忠志; 鄭文睿; 賈儒馨; 古小英; 張璧月; 甯孝眞; | 書刊名 | Journal of Biomedical & Laboratory Sciences |
| 卷 期 | 25:3 2013.09[民102.09] |
| 頁 次 | 頁105-109 |
| 分類號 | 415.122 |
| 關鍵詞 | 貝氏等孢子蟲; 瀰漫性膽道擴張; 抗酸性染色法; 糞便鏡檢; Isospora belli; Diffuse biliary tract dilatation; Acid-fast stain; Fecal microscopic examination; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | Isospora belli為罕見之寄生蟲,在台灣僅於1991年曾發表過一篇案例報告。病患遭感染後之臨床症狀可能為腹瀉、腹痛、食慾差、嗜酸性白血球增加等,與許多疾病相似,因此不易依臨床症狀而診斷。而本案例之病患無論血液檢查、細菌培養、腹部超音波、膽道胰管磁振造影術、膽管攝影等結果,均無法讓臨床醫師得到診斷證據,影像檢查上只看到膽道成瀰漫性擴張,直到醫檢師於糞便檢驗時發現Isospora belli的囊體,該糞便檢體亦經由DNA序列比對確認,臨床醫師因此立即對病患投予對Isospora belli有效的Trimethoprim-sulfamethoxazole藥物,病患之病情得以改善。而糞便檢驗於投藥後已無發現Isospora belli的囊體,且肝臟斷層掃描亦呈現膽道膿瘍消退跡象,血液白蛋白亦由入院時的2.45 g/dL上升至3.36 g/dL,病患也隨之出院。 |
| 英文摘要 | After infection, patients have symptom like abdominal pain, loss of appetite and diarrhea. The clinical symptom is not typical and makes it difficult to be distinguished with other diseases. In this case, there were no diagnostic evidences by the results of biochemical analysis, blood culture, abdominal ultrasonography, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography. Patient was treated with ”Trimethoprim-sulfamethoxazole” until the medical technologist found the cyst of Isosopra belli in stool examination. The presence of Isosopra belli was further confirmed by DNA sequencing. After medication, there was no more cyst of Isosopra belli in stool and the biliary abscess showed regression by liver CT scan and the blood albumin was elevated from 2.45 g/dL to 3.36 g/dL. The patient was discharged after remission. |
本系統中英文摘要資訊取自各篇刊載內容。