粪类圆线虫寄生在肠道时,通常为无症状感染,但可因各种慢性疾病或长期使用激素而引起临床发作。我院曾收治一例因痛风,长期使用激素导致临床发作,现报道于下。 住院号223967,男性,42岁。自86年初开始有指趾及双踝关节红肿疼痛,按“类风湿性关节炎”用地塞米松连续治疗九个月。87年2月20日出现腹泻、粘液便20～30次/日。但无畏寒发热,腹痛和里急后重,抗生素治疗无效,3月2日转来我院。既往无心脏、肝、肾病史。体查:T37℃,Bp12/8KPa,满月脸、巩膜轻度黄染、耳廓、眼脸及双指、趾关节处有绿豆大小皮下结节。双手指关节呈梭状,左足背有一瘘管。心率58次/min,呈二联律,肺无异常发现。肝在右锁骨中线肋缘下2cm,质软,轻触痛。脾末扪及,右肾区轻叩击 Stomach worms parasites in the intestine, usually asymptomatic infection, but may be due to a variety of chronic diseases or long-term use of hormones caused by clinical attack. Our hospital had admitted a case of gout, long-term use of hormones lead to clinical seizures, are reported below. Hospitalization number 223967, male, 42 years old. Since the beginning of the year 86, there have been toe and double ankle swelling and pain, according to “rheumatoid arthritis” with dexamethasone continuous treatment for nine months. February 20, 87 diarrhea, mucus will be 20 to 30 times / day. But no chills, fever, abdominal pain and tenesmus, antibiotic treatment is invalid, March 2 transferred to our hospital. Past no heart, liver, kidney history. Physical examination: T37 ℃, Bp12 / 8KPa, full moon face, scleral mild yellow dye, auricle, face and two fingers, toe joints have mung bean size subcutaneous nodules. The knuckles of both hands are fusiform, with a fistula on the left foot and back. Heart rate 58 beats / min, was bicommunal law, no abnormal lung findings. Liver in the right clavicle under the midline rib margin 2cm, soft, soft touch. Palpable at the end of the spleen, right kidney area tapping