感染性单核病中的急性尾炎:一个病例报告
Kaedon Buchmiller1, Michael G Smith1, Michael J Valentine1
1College of Osteopathic Medicine, Kansas City University, Kansas City, USA.
Cureus
|July 5, 2024
概括
传染性单核病是一种常见的病毒性疾病,很少能模仿急性尾炎. 这一案例凸显了在诊断腹痛时考虑爱斯坦-巴尔病毒等非典型病因的重要性.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 儿科手术 儿科手术
背景情况:
- 传染性单核病 (IM) 是一种由爱斯坦-巴尔病毒引起的病毒综合征.
- IM通常表现为喉炎,淋巴腺病和疲劳.
- 尾炎是一种罕见但已记录的IM并发症.
研究的目的:
- 为了呈现一种继发于传染性单核病的急性尾炎病例.
- 在疑似尾炎的情况下,强调全面诊断方法的重要性.
主要方法:
- 一个18岁的女性出现腹部疼痛的案例报告.
- 最初的成像和体检发现表明尾炎.
- 诊断工作,包括IM的阳性单点测试.
- 通过尾切除手术进行手术管理.
主要成果:
- 患者出现了模仿急性尾炎的症状.
- 宫淋巴腺病变和阳性单点检测证实了传染性单核病.
- 尾炎在手术期间得到证实,并进行了尾切除术.
结论:
- 在急性尾炎的差分诊断中应考虑传染性单核病,特别是在年轻患者中.
- 彻底的病史和体检对于识别尾炎的非典型原因至关重要.
- 早期识别和适当的管理对于有利的结果至关重要.
更多相关视频
07:38Isolation of Tonsillar Mononuclear Cells to Study Ex Vivo Innate Immune Responses in a Human Mucosal Lymphoid Tissue
Published on: June 14, 2020
7.5K
00:08Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
Published on: August 24, 2019
10.0K
相关概念视频
Appendicitis-I: Introduction
105
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
105
Appendicitis-II: Diagnostic Studies and Management
74
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
74
Tonsillitis I: Introduction
228
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
228
Acute Pharyngitis
562
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
562
Tonsillitis II: Management
107
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
107
Disorders of Leukocytes
931
Leukocyte disorders can lead to either leukopenia, characterized by an abnormally low leukocyte count, or leukocytosis, marked by a very high leukocyte number.
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
931
