PDF(Pubmed)
Abstract：
Strongyloides stercoralis is a helminth found in the soil and transmitted to humans through larval penetration of the skin. It is endemic across most of the tropical regions of the world. Infection with S. stercoralis commonly causes minimal or mild symptoms. This case report describes an interesting final diagnosis for a woman presenting with persistent nausea, vomiting and epigastric pain. Her evaluation included imaging and oesophagogastroduodenoscopy with biopsy. Her biopsy results revealed oesophageal candidiasis and disseminated strongyloidiasis. Important historical clues in this case included previous prolonged treatment with steroids, recent diagnosis of gram-negative bacteraemia, prior residence in Rwanda, and unknown predeparture treatment for S. stercoralis She was ultimately treated with fluconazole and ivermectin with marked improvement in her symptoms.
摘要：
类圆圆线虫是在土壤中发现的蠕虫，并通过皮肤的幼虫渗透传播给人类。它在世界上大多数热带地区都是特有的。胸骨链球菌感染通常引起轻微或轻度症状。此病例报告描述了一个有趣的最终诊断，为一名表现为持续恶心的女性，呕吐和上腹痛。她的评估包括影像学和食管胃十二指肠镜检查以及活检。她的活检结果显示食道念珠菌病和播散性圆线虫病。这种情况下的重要历史线索包括以前长期使用类固醇治疗，最近诊断为革兰氏阴性菌血症，以前在卢旺达居住，和未知的去甲前治疗。她最终接受了氟康唑和伊维菌素治疗，症状明显改善。
