文献简介

出版社:Canadian Medical Association or its licensors

作  者:M. Jane Pritchard MD, Stephen W. Hwang MD MPH

编  号:10.1503/cmaj.090482

关键字:bedbugs

年  份:2009   点击量:826

文献摘要


A 60-year-old man presented to his family physician with a 2-month history of fatigue and lethargy。Upon questioning,he reported no bleeding from his gasrointestinal tract or other sites。The patient had type 2 diabetes,hypercholesterolemia,reflux esophagitis and depression。His medications were metformin,glyburide,omeprazole,pravastatin,citalopram and olanzapine。He was not taking acetylsalicylic acid or non steroidal anti-inflammatory drugs。The patient had a history of alcohol abuse but had not been drinking for the past year。He used crack cocaine frequently and reported that he often skipped meals while taking crack cocaine。He had no history of cognitive impairment。He lived alone,in an apartment building that had bedbug infestations。He reported a proliferation of bedbugs in his apartment beginning about 2 months before presentation。

一个60岁的男子向他的家庭医生陈述了他有连续2个月的疲劳和嗜睡的病史。此外,他报告他的消化道或其他位置没有出血。病人有2型糖尿病,高胆固醇血症,反流性食管炎和抑郁症。他的药是二甲双胍,格列本脲,奥美拉唑,普伐他汀,西酞普兰和奥氮平。他没有服用阿司匹林或非甾体类抗炎药。病人有酒精滥用史,但他已一年没喝。他频繁使用可卡因并且在吸食可卡因时,经常不吃饭。他没有认知障碍史。他独自一人,在一个有臭虫的公寓楼内。他描述在他的公寓里大约2个月前开始臭虫增殖。