马普克斯的胃肠道表现:一个系统的审查
Rahul Ramakrishnan1, Atira Shenoy2, Ranganathan Madhavan3
1Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, Florida, USA.
BMJ open gastroenterology
|January 6, 2024
概括
胃肠道症状,包括吐和腹,在mpox患者中很常见. 对于医疗保健提供者来说,识别这些mopox (麻疹病毒) 的胃肠道表现是至关重要的.
科学领域:
- 病毒学 病毒学
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 麻疹病毒 (Mombox) 是一个病毒感染的病毒,属于麻疹病毒家族.
- 虽然皮肤病和类似流感的症状得到了充分证实,但胃肠道 (GI) 影响需要进一步调查.
- 2022年mopox疫情突出了了解不同临床表现的必要性.
研究的目的:
- 系统地审查和概述与mopox.相关的胃肠道表现.
- 巩固当前关于mpox患者胃肠道症状的知识.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在PubMed,EMBASE和MEDLINE数据库中进行全面的文献搜索 (1958年1月 - 2023年6月).
- 包括英语论文,详细介绍mpox患者的胃肠道症状,并补充了手动参考搜索.
主要成果:
- 对包括830名患者在内的33篇论文的分析揭示了常见的胃肠道表现:直肠炎,吐,腹,直肠疼痛,恶心,,直肠出血和腹痛.
- 鉴定出门接收性和直肠炎之间存在直接联系.
- 传播途径可能会影响胃肠道症状的发生和疾病严重程度,但在胃肠道和皮肤病/类似流感的症状之间没有发现相关性.
结论:
- 这一审查证实了mopox患者中存在显著的GI表现.
- 对于胃肠道专家和医疗保健专业人员来说,早期识别这些胃肠道症状至关重要.
- 了解胃肠道干预有助于管理患者的不适和阐明mopox病理生理学.
相关概念视频
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
129
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
129
01:17Assessment of the Gastrointestinal System I: Subjective Data
199
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
199
01:21Drugs for Treatment of Constipation-Predominant IBS
172
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
172
01:23Gastritis III: Clinical Manifestations and Management
268
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
268
01:17Chronic Bowel Disorders: Introduction
455
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
455
01:30Peptic Ulcer Disease I: Introduction
173
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
173