背景:planatum是一种喉吸虫,其宿主包括鸟类和哺乳动物。[1]在人类中,在食用生淡水鱼时意外发生感染。[1,2].
方法:一名59岁女性患者出现咽喉疼痛和球形感。该患者在另一家医院接受了3周的质子泵治疗。病人继续服药,但是不适感持续存在,她被送进医院接受进一步检查。病人24天前吃了生鱼,吃生鱼后出现症状。镇静下的内窥镜检查显示有侥幸,长度约为8.0毫米,宽度约为3.2毫米,在会厌间褶皱上,粘膜上有活跃的运动。
■使用活检钳从喉部提取,鉴定为C。
结果:除去侥幸后,症状改善,病人出院了.在最后一次随访中,球形症状完全消失。
结论:据我们所知,这是经最长一段时间感染后,经内镜诊断和治疗的韩国人感染C的病例。这表明C在胃肠道中可以存活长达3周或更长时间。内窥镜检查是诊断和治疗对质子泵抑制剂无反应的不典型食管外症状患者的有用工具。
BACKGROUND: Clinostomum complanatum is a laryngeal fluke whose hosts include birds and mammals.[1] In humans, infection occurs accidentally during the consumption of raw freshwater fish.[1,2].
METHODS: A 59-year-old female presented to our hospital with throat pain and globus sensation. The patient had been prescribed Proton Pump Inibitor for 3 weeks at another hospital. The patient continued the medication, but the discomfort persisted, and she was admitted to our hospital for further examination. The patient had eaten raw fish 24 days before, and the symptoms occurred after eating the raw fish. Endoscopy under sedation showed a fluke, with an approximate length of 8.0 mm and width of 3.2 mm, on the interaryepiglottic fold, with active motility on the mucosa.
UNASSIGNED: It was extracted from the larynx using biopsy forceps and identified as C complanatum.
RESULTS: After the fluke was removed, symptoms improved, and the patient was discharged. The globus symptoms completely resolved at the last follow-up visit.
CONCLUSIONS: To the best of our knowledge, this is an endoscopically diagnosed and treated
case of human infection by C complanatum in Korea after the longest period of infection. This suggests that C complanatum can survive for up to 3 weeks or more in the gastrointestinal tract. Endoscopy is a useful tool for the diagnosis and treatment of patients with atypical extraesophageal symptoms who do not respond to Proton Pump Inibitors.