【摘要】 本例患者存在因结节病应用糖皮质激素的既往病史，本次以腹泻起病，在肠镜及病理检查均提示溃疡性结肠炎的情况下，予以相应治疗但效果不佳，继之病情进展，出现高热气促，后经支气管肺泡灌洗液二代测序及粪便镜检均找到粪类圆线虫，经过伊维菌素积极驱虫治疗后复查肠镜完全正常，最终以粪类圆线虫感染一元论解释了患者的肠道病变，其肺部病灶也在相应抗感染治疗后明显好转。更多还原

【Abstract】 This patient had a history of glucocorticoid therapy for sarcoidosis. He presented initially with diarrhea, and both colonoscopy and histopathology suggested ulcerative colitis. Empirical treatment for ulcerative colitis yielded poor clinical response. The disease subsequently progressed, with high fever and dyspnea. Strongyloides stercoralis was later identified in both bronchoalveolar lavage fluid by next-generation sequencing and in stool specimens. Following prompt anti-helminthic therapy with ivermectin, repeat colonoscopy revealed complete normalization. Ultimately, a unifying diagnosis of Strongyloides stercoralis infection accounted for the patient’s intestinal manifestations, and his pulmonary lesions also improved significantly with appropriate anti-infective treatment.更多还原