أنشئ حساباً
سجل عبر فيسبوكحالة سريرية
الوصف الكامل Background
A man in Louisiana develops coughing, fever, and abdominal pain. His doctor orders a series of X-rays, which show pulmonary infiltrates characteristic of pneumonia as well as intestinal images consistent with obstruction. On CBC, the patient has increased eosinophils. The doctor examines a stool sample from the patient and discovers microscopic oval eggs with rough surface.
رجل من لويسيانا (ولاية في أمريكا) يشتكي من سعال ،حمى ،وألم بالبطن.
طلب طبيبه سلسلة من فحوص الأشعة السينية والتي أظهرت ارتشاح رئوي يتظاهر بذات رئة، كما أظهرت صور الأمعاء انسداد فيها.
في تعداد كريات الدم ظهر هنالك زيادة في الحمضات.
فحص الطبيب البراز فأظهر بيوضاً مجهرية بيضوية الشكل ذو سطح خشن.
ما هو العامل المسبب؟
Mon, 2009-04-06 19:32
Dr. M
السنة السادسة
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Ascaris lumbricoides
اسكاريس؟
اسكاريس على الأغلب
Fecal-oral transmission or eggs in soil ===>hatch in small intestine ===> larvae invade gut wall ===> enter blood ===> land in lungs ===> invade alveoli ===> make their way to the trachea ===> inflammation ===> pneumonia
for obstruction:
Larvae go to pharynx ===> swallowed ===> larvae mature into adults in SI ===> swim freely in lumen and eat what the host eats ===> malnutrition. Adults can form a big ball that obstructs the bowels
and the case is typical, key words for ascaris :
a man from Louisiana
CXR - pulmonary infiltrates
intestinal obstruction
CBC- increased Eos
oval eggs with rough surfaces
the whole case is a key word
treatment: Pyrantel pamoate ,Mebendazole , Albendazole
thank you ...
Thanks Khaled
but
We've been told that they mature in the respiratory tract
thanx Dr.M