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NEJM:阴虱病——病例报道

2017-10-06 MedSci MedSci原创

患者男性,65岁,因腹股沟区域严重瘙痒6周而就诊于皮肤病诊所。体格检查未发现任何皮肤损伤,随后通过皮肤镜进一步检查,皮肤镜检查发现有(虱等的)幼虫牢固地附着在阴毛上,并发现一个科移动的蟹形寄生虫。其他毛发承托区未受到影响。诊断为阴虱病。阴虱病通常通过性传播而感染,也可是与污染物接触而感染,如感染者用过的服装、床上用品和毛巾等。最常见于青少年和年轻人。患者自述近期未有性接触,在筛查中也没有发现其他性

患者男性,65岁,因腹股沟区域严重瘙痒6周而就诊于皮肤病诊所。

体格检查未发现任何皮肤损伤,随后通过皮肤镜进一步检查,皮肤镜检查发现有(虱等的)幼虫牢固地附着在阴毛上,并发现一个科移动的蟹形寄生虫。其他毛发承托区未受到影响。



诊断为阴虱病。阴虱病通常通过性传播而感染,也可是与污染物接触而感染,如感染者用过的服装、床上用品和毛巾等。最常见于青少年和年轻人。患者自述近期未有性接触,在筛查中也没有发现其他性传播感染。

治疗方案包括口服伊维菌素方案。治疗两周后,瘙痒的症状消失,4周后的随访检查未见虱子。

原始出处:

Fuentes-Suárez A. González-Márquez T.N. “Acrobatic” Lice. N Engl J Med 2017; 377:e19

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  1. [GetPortalCommentsPageByObjectIdResponse(id=251580, encodeId=2c7925158035, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KiblTyxD95ExbzUoCVcRuhPibXboL28wicFMTXUhCA0RWCyQZYC5Na3ap7CxjialMkB50VEJ0XToQQTC/0, createdBy=470c1945776, createdName=方舒, createdTime=Mon Oct 09 21:07:15 CST 2017, time=2017-10-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570688, encodeId=d14a15e068896, content=<a href='/topic/show?id=715b9e567de' target=_blank style='color:#2F92EE;'>#阴虱#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97567, encryptionId=715b9e567de, topicName=阴虱)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3e0c15680534, createdName=yytms, createdTime=Sun Oct 08 11:25:00 CST 2017, time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=250932, encodeId=1c1b25093285, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Fri Oct 06 23:01:20 CST 2017, time=2017-10-06, status=1, ipAttribution=)]
    2017-10-09 方舒

    学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=251580, encodeId=2c7925158035, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KiblTyxD95ExbzUoCVcRuhPibXboL28wicFMTXUhCA0RWCyQZYC5Na3ap7CxjialMkB50VEJ0XToQQTC/0, createdBy=470c1945776, createdName=方舒, createdTime=Mon Oct 09 21:07:15 CST 2017, time=2017-10-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570688, encodeId=d14a15e068896, content=<a href='/topic/show?id=715b9e567de' target=_blank style='color:#2F92EE;'>#阴虱#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97567, encryptionId=715b9e567de, topicName=阴虱)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3e0c15680534, createdName=yytms, createdTime=Sun Oct 08 11:25:00 CST 2017, time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=250932, encodeId=1c1b25093285, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Fri Oct 06 23:01:20 CST 2017, time=2017-10-06, status=1, ipAttribution=)]
    2017-10-08 yytms
  3. [GetPortalCommentsPageByObjectIdResponse(id=251580, encodeId=2c7925158035, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KiblTyxD95ExbzUoCVcRuhPibXboL28wicFMTXUhCA0RWCyQZYC5Na3ap7CxjialMkB50VEJ0XToQQTC/0, createdBy=470c1945776, createdName=方舒, createdTime=Mon Oct 09 21:07:15 CST 2017, time=2017-10-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570688, encodeId=d14a15e068896, content=<a href='/topic/show?id=715b9e567de' target=_blank style='color:#2F92EE;'>#阴虱#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97567, encryptionId=715b9e567de, topicName=阴虱)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3e0c15680534, createdName=yytms, createdTime=Sun Oct 08 11:25:00 CST 2017, time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=250932, encodeId=1c1b25093285, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Fri Oct 06 23:01:20 CST 2017, time=2017-10-06, status=1, ipAttribution=)]
    2017-10-06 changjiu

    学习了.谢谢

    0

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