热带病与寄生虫学2024,Vol.22Issue(1) :54-56.DOI:10.3969/j.issn.1672-2302.2024.01.011

重度贫血患者三种寄生虫混合感染1例

A case of severe anemia infected by three species of parasites

杨智芳 杨杰 周小琳 葛晓军 蒋丽 赵德华 戴露
热带病与寄生虫学2024,Vol.22Issue(1) :54-56.DOI:10.3969/j.issn.1672-2302.2024.01.011

重度贫血患者三种寄生虫混合感染1例

A case of severe anemia infected by three species of parasites

杨智芳 1杨杰 1周小琳 2葛晓军 1蒋丽 1赵德华 1戴露1
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作者信息

  • 1. 遵义医科大学第二附属医院,贵州 遵义 563000
  • 2. 遵义医科大学附属医院
  • 折叠

摘要

本文报道了1例多种寄生虫感染导致重度贫血的病例.患者因头昏、乏力、大汗淋漓入院,实验室检查红细胞计数0.76×1012/L,血红蛋白15.0 g/L,红细胞比容0.06%,平均红细胞血红蛋白含量19.7 pg,平均红细胞血红蛋白浓度234 g/L,予输血、补液治疗,患者症状缓解即返回.后因头昏、乏力加重再次入院,粪便常规检查发现钩虫、蛔虫及鞭虫虫卵,内镜检查见钩虫活体寄生.结合患者临床症状、流行病学史、实验室及病原学检测结果,诊断为寄生虫感染引起的下消化道出血.经药物驱虫治疗及相应对症治疗后,病情好转出院.

Abstract

This article reports a case of severe anemia caused by multiple parasitic parasites.The patient was admitted due to dizziness,fatigue,and sweating profusely.Laboratory studies indicated the red blood cell count being 0.76×1012/L,he-moglobin being 15.0 g/L,hematocrit being 0.06%,average red blood cell hemoglobin content being 19.7 pg,and aver-age red blood cell hemoglobin concentration being 234 g/L.Blood transfusion and fluid replacement treatment were giv-en,and the patient was discharged after the symptoms were improved.However,the patient was readmitted due to in-creased dizziness and fatigue.Routine fecal examination revealed hookworms,roundworms and whipworm eggs,while endoscopic examination revealed live parasitic hookworms.Based on the patient's clinical symptoms,epidemiological history,laboratory and pathogen testing results,the diagnosis was established as lower gastrointestinal bleeding result-ing from parasitic infection.After receiving treatment with parasitic deworming drugs and corresponding symptomatic treatment,the patient's condition was improved and discharged from hospital.

关键词

贫血/钩虫病/蛔虫病/鞭虫病

Key words

Anemia/Ancylostomiasis/Ascariasis/Trichuriasis

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出版年

2024
热带病与寄生虫学
安徽省寄生虫病防治研究所

热带病与寄生虫学

CSTPCD
影响因子:0.816
ISSN:1672-2302
参考文献量18
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