关键词: anisakiasis back pain diagnostic excellence medical history taking upper endoscopy

来  源:   DOI:10.7759/cureus.52124   PDF(Pubmed)

Abstract:
Anisakiasis is a parasitic disease that usually causes acute abdominal pain, nausea, and vomiting after the ingestion of raw seafood. We present a case of anisakiasis in an 80-year-old man who complained of sudden-onset severe back pain that was reminiscent of aortic dissection. This case shows that anisakiasis should be considered as a possible differential diagnosis in patients with not only abdominal pain but also back pain. In addition, for \"diagnostic excellence,\" it is essential to return to a comprehensive medical history that allows the reassessment of the diagnosis even when it differs from the initial differential diagnosis.
摘要:
异株病是一种寄生虫病,通常会引起急性腹痛,恶心,摄入生海鲜后呕吐。我们介绍了一名80岁男子的anisakiasis病例,他抱怨突然发作的严重背痛,让人想起主动脉夹层。此病例表明,对于不仅有腹痛而且有背痛的患者,应将其视为可能的鉴别诊断。此外,对于“卓越的诊断,“重要的是要回到全面的病史,即使它与最初的鉴别诊断不同,也可以重新评估诊断。
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