同时的淋巴细胞结肠炎与复发的困难菌感染.
Noor M Suleiman1, Maya Baiyasi1, Tala Al-Saghir2
1Internal Medicine, Wayne State University School of Medicine, Detroit, USA.
这个案例研究突出了淋巴细胞性结肠炎,这是慢性水性腹的原因. 及时诊断和治疗这种情况至关重要,特别是在与Clostridium difficile感染同时发生时.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 传染性疾病 传染性疾病
背景情况:
- 微观性大肠炎,包括淋巴细胞性大肠炎和原性大肠炎,导致慢性水性腹.
- 困难菌感染 (CDI) 可能出现类似的症状,使诊断复杂化.
研究的目的:
- 报告诊断为淋巴细胞性结肠炎的病例,同时诊断出Clostridium difficile感染.
- 强调在不解决的腹中考虑淋巴细胞性结肠炎的重要性,特别是有CDI史的人.
主要方法:
- 一个70岁的女性病例报告,患有持续的水性腹.
- 诊断工作包括评估Clostridium difficile感染和结肠活检.
- 对这两种情况均开始治疗,在淋巴细胞性结肠炎治疗后症状消失.
主要成果:
- 患者呈现持续的水性腹和升高的白细胞计数,尽管经验CDI治疗.
- 淋巴细胞性结肠炎的诊断通过结肠活检得到证实.
- 只有在为淋巴细胞性结肠炎给予特定治疗后,症状才会消失.
结论:
- 应考虑在患有慢性水性腹的患者中考虑淋巴细胞性结肠炎,特别是那些有史以来或活跃的Clostridium difficile感染的患者.
- 需要进一步的研究来阐明Clostridium difficile感染和微观结肠炎之间的关系.
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