Hookworm Anemia in a Peritoneal Dialysis Patient in China.
Hookworm Anemia in a Peritoneal Dialysis Patient in China.
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DOI：
10.3347/kjp.2016.54.3.315
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发表时间：
2016-06
期刊：
影响因子：
--
通讯作者：
Shou Z
中科院分区：
文献类型：
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作者：
Wu F;Xu Y;Xia M;Ying G;Shou Z
钩虫感染和其他肠道线虫感染在中国是地方性疾病。在此病例中，一名70岁男性患者出现胸闷、呼吸急促和双腿浮肿的症状。诊断结果为慢性肾功能不全、慢性肾脏病(5期)、肾性贫血。然后，他接受了传统药物的治疗。然而，这种治疗并没有显著缓解患者的症状。胃镜检查结果显示十二指肠内有钩虫，也经病理检查证实。驱除寄生虫后，贫血明显改善。上述结果提示钩端螺旋体病是该患者贫血的主要原因，尿毒症患者贫血的病因学应予以系统考虑。特别是在常规治疗不能治愈贫血的情况下，应调查罕见病。
Hookworm infections as well as other intestinal nematodiases are endemic in China. In this case, a 70-year-old male showed symptoms of chest tightness, shortness of breath, and both lower extremities edema. The diagnostic result was chronic renal insufficiency, chronic kidney disease (5th stage), and renal anemia at first. Then, he received treatment with traditional drugs. However, this treatment did not help to alleviate the symptoms of the patient significantly. The results of gastroendoscopy showed hookworms in the duodenum, also confirmed by pathology examination. Anemia was markedly ameliorated after eliminating the parasites. The results mentioned above suggested that ancylostomiasis was the leading causes of anemia in this patient, and the etiology of anemia in uremic patients should be systematically considered. Especially when anemia could not be cured by regular treatments, rare diseases should be investigated.