介肠泛炎作为源不明发烧的可能原因
Gregory Richard Lombana1, Nisha Ajay Patel2, Kevin P High3
1General Surgery, Wake Forest School of Medicine, Winston Salem, North Carolina, USA glombana@wakehealth.edu.
BMJ case reports
|November 1, 2023
概括
介肠膜炎是一种罕见的疾病,导致小肠介肠炎症,可能伴有长期发烧. 这一案例凸显了其在源不明的发烧中的潜在作用.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 病理学 病理学 病理学
背景情况:
- 间肠炎 (Mesenteric panniculitis) 是一种罕见的,非新发性炎症性疾病,影响小肠间肠.
- 它可以表现为多种多样的,有时是非特异性的症状,带来诊断挑战.
研究的目的:
- 在一个年长的男性患者中呈现一个中肠膜炎的病例.
- 讨论中肠炎的诊断考虑和临床表现,特别是在源不明的发烧的情况下.
主要方法:
- 一个60多岁的男性的病例报告,患有长期发烧发作,混乱和体重减轻.
- 通过腹部计算机断层扫描 (CT) 扫描确认了诊断.
- 在住院期间进行了广泛的调查,以排除其他原因.
主要成果:
- 患者有3个月的发烧发作,混乱和体重减轻的病史.
- 腹部CT扫描导致诊断为中腔膜炎.
- 尽管进行了广泛的检查,但症状被归因于中肠膜炎,在出院后自发消失.
结论:
- 在对源不明发烧的差分诊断中,应考虑中肠膜炎,特别是在具有相容成像检测结果的患者中.
- 这一案例强调了在评估长期,不明原因的发烧时考虑罕见的炎症状况的重要性.
- 即使没有明确的病因,迅速诊断和管理也可以导致症状的消失.
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