PDF(Pubmed)
Abstract：
Strongyloidiasis is a chronic infection caused by the intestinal nematode parasite Strongyloides stercoralis and is characterized by a diverse spectrum of nonspecific clinical manifestations. This report describe a case of disseminated strongyloidiasis with urination difficulty, generalized weakness, and chronic alcoholism diagnosed through the presence of worms in the urinary sediment. A 53-year-old man was hospitalized for severe abdominal distension and urinary difficulties that started 7-10 days prior. The patient also presented with generalized weakness that had persisted for 3 years, passed loose stools without diarrhea, and complained of dyspnea. In the emergency room, approximately 7 L of urine was collected, in which several free-living female adult and rhabditiform larvae of S. stercoralis, identified through their morphological characteristics and size measurements, were detected via microscopic examination. Rhabditiform larvae of S. stercoralis were also found in the patient\'s stool. During hospitalization, the patient received treatment for strongyloidiasis, chronic alcoholism, peripheral neurosis, neurogenic bladder, and megaloblastic anemia, and was subsequently discharged with improved generalized conditions. Overall, this report presents a rare case of disseminated strongyloidiasis in which worms were detected in the urinary sediment of a patient with urination difficulties and generalized weakness combined with chronic alcoholism, neurogenic bladder, and megaloblastic anemia.
摘要：
类圆线虫病是由肠道线虫寄生虫类类圆线虫引起的慢性感染，其特征是具有多种非特异性临床表现。本报告描述了一例播散性圆线虫病伴排尿困难，广义弱点，通过尿沉渣中存在蠕虫来诊断慢性酒精中毒。一名53岁的男子因严重的腹胀和泌尿系统困难而住院，该疾病在7-10天前开始。患者还表现为持续3年的全身性虚弱，通过了稀便而没有腹泻，并抱怨呼吸困难。在急诊室,收集了大约7升的尿液，其中几个自由生活的雌性成年和横纹肌状幼虫，通过它们的形态特征和大小测量确定，通过显微镜检查检测到。在患者的粪便中也发现了胸骨葡萄球菌的横纹肌状幼虫。住院期间,患者接受了线虫病治疗，慢性酒精中毒,周围神经症,神经源性膀胱，和巨幼细胞性贫血，随后在改善的广义条件下出院。总的来说,本报告介绍了一例罕见的播散性圆线虫病，其中在排尿困难和全身无力合并慢性酒精中毒的患者的尿沉渣中检测到蠕虫。神经源性膀胱，和巨幼细胞性贫血.
