热带病与寄生虫学

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

• 病例报道 • 上一篇    下一篇

重度贫血患者三种寄生虫混合感染1例

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   

  1. 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
  • 收稿日期:2023-09-11 出版日期:2024-02-20 发布日期:2024-03-15
  • 通信作者: 周小琳, E-mail: 55475488@qq.com
  • 作者简介:杨智芳，女，硕士，主管技师，研究方向：临床检验。E-mail: 1509641763@qq.com

A case of severe anemia infected by three species of parasites

YANG Zhifang1(), YANG Jie1, ZHOU Xiaolin2(), GE Xiaojun1, JIANG Li1, ZHAO Dehua1, DAI Lu1   

  1. 1. The Second Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou Province, China
    2. Affiliated Hospital of Zunyi Medical University
  • Received:2023-09-11 Online:2024-02-20 Published:2024-03-15
  • Contact: ZHOU Xiaolin, E-mail: 55475488@qq.com

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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。

关键词: 贫血, 钩虫病, 蛔虫病, 鞭虫病

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, hemoglobin being 15.0 g/L, hematocrit being 0.06%, average red blood cell hemoglobin content being 19.7 pg, and average red blood cell hemoglobin concentration being 234 g/L. Blood transfusion and fluid replacement treatment were given, and the patient was discharged after the symptoms were improved. However, the patient was readmitted due to increased 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 resulting from parasitic infection. After receiving treatment with parasitic deworming drugs and corresponding symptomatic treatment, the patient's condition was improved and discharged from hospital.

Key words: Anemia, Ancylostomiasis, Ascariasis, Trichuriasis

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