伤寒发烧 呈现与皮质穿孔和胃穿孔
M M Muhammed1, K J Bwala1, J O Okoruwa1
1Department of Surgery, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria. Email: Dr.muhammedmurtala@gmail.com +2348061666943.
West African journal of medicine
|February 27, 2024
概括
伤寒热可以导致危及生命的肠道穿孔. 这一案例突出了青少年罕见的胃穿孔,强调了迅速诊断和治疗伤寒并发症的必要性.
科学领域:
- 医学 医学 医学 医学 医学
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 由于沙门氏菌typhi和沙门氏菌paratyphi引起的伤寒热在发展中国家普遍存在,不成比例地影响着低社会经济水平的人口.
- 肠道穿孔是伤寒的严重并发症,显著增加死亡率.
研究的目的:
- 报告一个罕见的病例,在一个儿科病人的同时发生的二次性伤寒发烧导致的乳房和胃孔穿孔.
- 讨论潜在的促成因素,包括NSAID使用和压倒性的败血症,在胃孔的发展.
主要方法:
- 一个15岁的女性病例报告呈现出败血症和腹膜炎的症状.
- 诊断评估包括临床检查和探索性腹腔切除术.
- 手术干预包括修复已识别的阴茎和胃孔隙.
主要成果:
- 该患者出现了严重的败血症,呼吸困难和一般性腹膜炎.
- 在手术中发现的发现显示出体和胃洞穴.
- 患者的表现因晚期诊断,NSAID使用和压倒性的败血症而复杂.
结论:
- 胃穿孔是伤寒发烧的不常见但严重的并发症.
- 同时使用NSAID和压倒性的败血症可能会使患者在伤寒发烧的背景下倾向于胃穿孔.
- 预防策略,包括安全的饮用水,环境卫生和卫生,对于控制伤寒及其并发症至关重要.
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