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首页> 外文期刊>The Internet Journal of Tropical Medicine >Images from Tropics
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Images from Tropics

机译：来自热带的图片

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Case Report A middle-aged male, presented with symptoms suggestive of malabsorption syndrome. Examination revealed an emaciated man with glossitis, cheilitis, angular stomatitis and significant pedal oedema. He had megaloblastic anemia, 8% eosinophils & hypoalbuminemia. Stool examination showed larvae of Strongyloides stercoralis. D-Xylose test had a value of 0.7g/5g after 5 hours of urine collection. Barium meal follow through revealed thickened duodenal and jejunal folds with irritability and decreased transit time. Endoscopic biopsy from third part of the duodenum showed the larvae of strongyloides stercoralis infiltrating the surface and crypt epithelium (Photomicrograph). HIV serology (HIV 1 & 2) by ELISA was negative. He was treated successfully with Thiabendazole 25 mg/kg/day for three days. On follow-up after 6 weeks, his diarrhoea had subsided and he had gained weight. Strongyloides stercoralis in an immunocompetent patient is an unusual but a potentially treatable cause of malabsorption in tropics.
机译：病例报告一名中年男性，表现出吸收不良综合征的症状。体检发现一个瘦弱的人患有舌炎，唇炎，角性口腔炎和严重的脚踏水肿。他患有巨幼细胞性贫血，8％嗜酸性粒细胞和低白蛋白血症。粪便检查显示为实蝇类的幼虫。收集尿液5小时后，D-木糖测试的值为0.7g / 5g。钡餐检查发现十二指肠和空肠皱褶变厚，易激惹并缩短了转运时间。十二指肠第三部分的内窥镜活检显示，类固醇的类幼虫渗透到表面并隐匿上皮（显微照片）。 ELISA检测的HIV血清学（HIV 1和2）阴性。用噻苯达唑25 mg / kg /天成功治疗了他三天。 6周后的随访中，他的腹泻减轻并且体重增加。具有免疫能力的患者中的甾体类固醇是热带地区不常见但可以治疗的吸收不良的原因。

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