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Small bowel parasitosis

机译:小肠寄生虫病

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We report a case of a 63-year-old man admitted in our unit for etiological assessment of chronic anemia and melena. At the admission, the hemoglobin level was 90g/L and there was no hyper eosinophilia. Physical examination showed signs of anemia. The interview of the patient concluded that his diet did not contain any porcine products. After a normal upper endoscopy and ileocoloscopy, capsule endoscopy (CE) was performed and revealed white particles attached to the intestinal mucosa with bleeding on contact resembling the tapeworm (Fig. 1). However, stool test did not show any eggs or parasite. The patient was treated by a single 600-mg dose of Praziquantel. After elimination, the'parasite was confirmed to be Taem'a saginata and six months later, the patient presented with a normal level of hemoglobin.
机译:我们报告了一个病例,该病例为我院接受慢性贫血和黑便病因评估的一名63岁男子。入院时血红蛋白水平为90g / L,无嗜酸性粒细胞增多。体格检查显示有贫血迹象。病人的访谈得出结论,他的饮食中不含任何猪产品。正常的上消化道内窥镜检查和回肠结肠镜检查后,进行胶囊内窥镜检查(CE),发现白色颗粒附着在肠粘膜上,接触时像the虫一样流血(图1)。但是,粪便测试未显示任何卵或寄生虫。该患者接受了600 mg吡喹酮的单次治疗。消除后,该“寄生虫”被确认为是“ Taem'a saginata”,六个月后,患者出现正常水平的血红蛋白。

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