PDF(Pubmed)
Abstract：
Strongyloidiasis is a parasitic infection caused by the nematode Strongyloides stercoralis that presents with a variety of nonspecific symptoms. Diagnosis is challenging unless physicians suspect this disease and perform sensitivity tests. We report a case of strongyloidiasis with protein-losing gastroenteropathy-like symptoms in a 92-year-old Japanese female with lower extremity edema and hypoalbuminemia. In this case, the patient refused invasive tests for a complete examination; however, an agar plate culture of a stool sample was used to diagnose strongyloidiasis. The patient was treated with ivermectin during the second visit. One month later, leg edema and hypoproteinemia improved. When the cause of the symptoms is unclear, physicians should be aware of the possibility of strongyloidiasis in a person residing in a tropical or subtropical environment, where human feces are used as fertilizer and individuals frequently go barefoot in agricultural settings.
摘要：
类圆线虫病是由线虫类圆线虫引起的寄生虫感染，表现出多种非特异性症状。除非医生怀疑这种疾病并进行敏感性测试，否则诊断具有挑战性。我们报告了一名92岁的日本女性下肢水肿和低白蛋白血症，患有蛋白丢失性胃肠病样症状的圆线虫病。在这种情况下,患者拒绝进行全面检查的侵入性测试；然而，使用粪便样本的琼脂平板培养来诊断线虫病。患者在第二次就诊期间接受伊维菌素治疗。一个月后,腿部水肿和低蛋白血症改善。当症状的原因不清楚时，医生应该意识到居住在热带或亚热带环境中的人的线虫病的可能性，人类粪便被用作肥料，人们经常在农业环境中赤脚。
