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題名 | Schistosoma Japonicum Infection Presenting with Colon Perforation: Case Report=日本血吸蟲感染造成之大腸穿孔:病例報告 |
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作者 | 吳丁樹; 陳澤卿; 陳瑞杰; 江秉誠; 呂學重; | 書刊名 | 長庚醫學 |
卷期 | 22:4 1999.12[民88.12] |
頁次 | 頁676-681 |
分類號 | 415.193 |
關鍵詞 | 日本血吸蟲; 大腸穿孔; 繼發性腹膜炎; Schistosoma japonicum; Colon perforation; Secondary peritonitis; |
語文 | 英文(English) |
中文摘要 | 大腸穿孔可由許多原因造成,包括醫源性傷害、大腸腫瘤、缺血性腸炎、發炎性 腸病、類固醇等。寄生蟲感染是大腸穿孔罕見的原因。大腸穿孔導致的繼發性腹膜炎是由混 合性微生物感染而引起,包括腸球菌,腸內桿茵,及厭氧菌。適當的抗生素及手術治療是極 為重要的。雖然如此,腹內感染通常還是有很高的死亡率。在這篇文章中,我們敘述了一位 因日本血吸蟲感染導致嚴重腹膜炎而死亡的病例。 血吸蟲病遍佈全世界,日本血吸蟲感染在亞洲地區流行。腸胃通常見的併發症包括門脈 周圍殲維化,腸道息肉及挾窄,大腸穿孔則較為少見。血吸蟲感染的診斷主要依據糞便或組 織中的蟲卵,或是免疫學方法。治療血吸蟲病最有效的藥物是praziquantel。 |
英文摘要 | Colon perforation can be caused by a variety of entities, including iatrogenic trauma, tumors, ischemia, inflammatory bowel disease, and steroid use. Parasitic infection rarely leads to colon perforation. Secondary peritonitis results from mixed microorganism infection, including enterococci, enteric bacilli, and anaerobes. A combination of an optimal antibiotic regimen and surgical intervention is of paramount importance. Nevertheless, intra-abdominal infections usually have a high mortality rate. Schistosomiasis occurs worldwide. S. japonicum infection is endemic in Asia. The most common complications of gastrointestinal schistosomiasis are periportal fibrosis, intestinal polyposis, and bowel stricture. Rarely, schistosomiasis results in colon perforation. The diagnosis of schistosome infections is based on ova in stool or tissue specimens, and/or immunologic diagnostic tests. The most effective anti-schistosomiasis agent is praziquantel. Herein, we describe an unusual case of colon perforation associated with Sclzistosoma japonicum infection, which resulted in severe peritonitis and led to the patient's death. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。