[关于一例加蓬狼疮患者因圆线虫病引起的发热性肠胃炎]。

S Ntsame Ngoua, J Iba-Ba, M Igala, P E Itoudi Bignoumba, L Pemba, M I C Nziengui Madjinou, L Ledaga, L Missounga, D Malekou, J B Boguikouma
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引用次数: 0

摘要

对于生活在热带环境的自身免疫性疾病患者,尽管在开始皮质治疗前用阿苯达唑(400mg /天/3天)进行系统驱虫,但强甲状腺肿有时可能是诊断性游荡的一个来源。我们报告了一例37岁狼疮患者的发热性胃肠炎合并细胞内和细胞外脱水症状的观察,包括十二指肠活检和粪便寄生虫学,这导致诊断为圆线虫病,在阿苯达唑(400mg /天)前5天疗程失败后,伊维菌素每次(两次剂量)200微克/公斤,间隔2周一次。
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[About a Case of Febrile Gastroenteritis Due to Strongyloidiasis in a Gabonese Patient Treated for Lupus].

Srongyloidiasis can sometimes be a source of diagnostic wandering in a patient with an autoimmune disease living in a tropical environment, despite systematic deworming with albendazole (400 mg/day/3 days), prior to the starting of a corticotherapy. We report an observation of a febrile gastroenteritis complicated by signs of intra and extracellular dehydration, in a 37-year-old lupus patient, including duodenal biopsies, and stool parasitology, which led to the diagnosis of strongyloidiasis effectively treated by ivermectin per os (two doses) of 200 micrograms/kg, once every 2 weeks apart), following failure of a first 5-days course of albendazole (400 mg/day).

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期刊介绍: Le Bulletin de la Société de pathologie exotique et la société savante (SPE) dont il est la vitrine ont été créés en 1908 par Alphonse Laveran. Destiné, dans un premier temps, à servir de support à la publication des travaux des sociétaires présentés en séance sous forme de communication ou de mémoire, ce périodique est devenu, au fil du temps, une revue internationale francophone multidisciplinaire, ouverte à tous les médecins, vétérinaires, anthropologues et chercheurs travaillant dans le domaine de la médecine tropicale humaine et animale et de la santé publique dans les pays en voie de développement.
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