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胃癌に合併した無症候性糞線虫症の1例


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Title: 胃癌に合併した無症候性糞線虫症の1例
Other Titles: An Asymptomatic Case of Strongyloides stercoralis Complicated with Gastric Cancer
Authors: 山下, 俊一 / 永田, 剛 / 古林, 正夫 / 長瀧, 重信 / 月舘, 説子 / 藤田, 紘一郎
Authors (alternative): Yamashita, Shunichi / Nagata, Takeshi / Kobayashi, Masao / Nagataki, Shigenobu / Tsukidate, Setsuko / Fujita, Koichiro
Issue Date: 28-Dec-1982
Publisher: 長崎大学熱帯医学研究所 / Institute of Tropical Medicine, Nagasaki University
Citation: 熱帯医学 Tropical medicine 24(4). p209-218, 1982
Abstract: We have reported a case of Strongyloides stercolaris complicated with gastric cancer. A 67-year-old man who had no clinical symptoms and signs of parasitic infection was admitted to Juzenkai Hospital in Nagasaki because of iron-deficient anemia. He had histories of diabetes mellitus, chronic atrial fibrillation and benign prostate hypertrophy. The radiological studies revealed the existence of gastric cancer (Bormann III) and the rhabditiform larvae were found in the stool after purgation unexpectedly. Subsequently characteristic filariform larvae were detected in the stool by means of filter paper culture technique. We performed the radiological and endoscopic examinations of the alimentary tract, and made a diagnosis of strongyloides infestation by the morphological and immunological (Ouchterlony's method) studies. First of all we tried to exterminate the parasite because the influence of surgical operation in aggravation of infections was a troublesome problem. The treatment with pyrantel pamoate was not effective but a large dose of thiabendazol was very effective to get rid of rhabditiform larvae in the stool. He underwent a gastrojejunostomy with Billroth I methods under the diagnosis of gastric cancer with no evidence of metastasis. After operation, he received the twice of therapy with thiabendazol and the rhabditiform larvae in the stool disappeared completely. We could protect him against the manifestation of the strongyloides infestation. This case suggests that an asymptomatic case of the strongyloides infestation may be existent with or without other disease and we have to examine not only occult blood but also the existence of the parasite in the stool especially before surgical operation of the alimentary tract.
URI: http://hdl.handle.net/10069/4339
ISSN: 03855643
Type: Departmental Bulletin Paper
Appears in Collections:Volume 24, No. 4

Citable URI : http://hdl.handle.net/10069/4339

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