播散性类圆线虫病的独特患者表现:揭示免疫功能低下患者的临床复杂性。
A Unique Patient Presentation of Disseminated Strongyloidiasis: Unraveling the Clinical Complexity of an Immunocompromised Patient.
发表日期:2023 Oct
作者:
Yulia Shtanko, Sophia Perez, Lorena Del Pilar Bonilla
来源:
Parasites & Vectors
摘要:
类圆线虫病是一种罕见的寄生虫病,在许多个体中可以保持休眠状态且无症状。然而,在免疫抑制的情况下,类圆线虫寄生虫的运动率显着增加。本案例研究呈现了一个独特的临床情况,涉及一名患有播散性类圆线虫感染的 88 岁西班牙裔男性。患者病史包括冠状动脉疾病、经皮冠状动脉介入治疗史、射血分数降低且随后左心功能恢复的心力衰竭、高血压、血脂异常、套细胞淋巴瘤自2019年起每两个月接受利妥昔单抗治疗以及慢性贫血。 。该病例强调了医生在面对各种症状时考虑类圆线虫病的重要性,包括抗利尿激素分泌不当综合征 (SIADH)、皮疹、胃肠道不适、尿潴留、慢性贫血和慢性嗜酸性粒细胞增多,因为这些表现可能具有共同特征共同起源。版权所有 © 2023,Shtanko 等人。
Strongyloidiasis is a rare parasitic disease that can remain dormant and asymptomatic in many individuals. However, in cases of immunosuppression, the motility rate of the Strongyloides parasite increases significantly. This case study presents a unique clinical scenario involving an 88-year-old Hispanic male with a disseminated Strongyloidesinfection. The patient's medical history includes coronary artery disease, a history of percutaneous coronary intervention, heart failure with reduced ejection fraction and subsequent recovery of left ventricular function, hypertension, dyslipidemia, mantle cell lymphoma being treated with rituximab every two months since 2019, and chronic anemia. This case emphasizes the importance for physicians to consider strongyloidiasis when faced with a diverse range of symptoms, including syndrome of inappropriate antidiuretic hormone secretion (SIADH), rash, gastrointestinal upset, urinary retention, chronic anemia, and chronic eosinophilia, as these manifestations may share a common origin.Copyright © 2023, Shtanko et al.