登革热并发症双边Psoas血瘤和超加感染 - 一个病例报告
Nonita Thockchom1, Rajat Sharma, Prasan Kumar Panda
1Department of Internal Medicine (ID Division), All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Journal of vector borne diseases
|January 21, 2025
概括
这份病例报告详细介绍了登革热出血热 (DHF) 的罕见并发症:双边心肌肌瘤. 及时诊断和保守的管理,包括对二次感染的抗生素,导致完全康复.
科学领域:
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
- 放射学 放射学是一门学科.
背景情况:
- 登革热出血热 (DHF) 通常会导致出血.
- 自发的大肌肉血液瘤是罕见的DHF并发症.
- 关节肌肉血液瘤是一种异常罕见的DHF表现.
研究的目的:
- 报告一例罕见的双边psoas肌肉血瘤在登革热出血热患者.
- 为了强调考虑腹部疼痛的DHF患者肌肉血液瘤的重要性.
- 审查这种罕见并发症的诊断和管理策略.
主要方法:
- 一个登革热出血热患者的病例报告.
- 临床表现与急性腹痛.
- 诊断成像 (超声波,CT扫描).
- 保守的管理包括液体复苏,输血和抗生素.
- 监测二次细菌感染的情况.
主要成果:
- 该患者出现了急性腹痛,并被诊断为双边psoas肌肉血瘤.
- 血瘤是由二次细菌感染所复杂化.
- 保守治疗导致完全康复.
- 除了疼痛,还注意到血红蛋白和血小板数量下降.
结论:
- 应该怀疑肌肉血液瘤的DHF患者突然的腹部或侧面疼痛,特别是随着血液学参数的下降.
- 图像检查对于诊断psoas肌肉血液瘤至关重要.
- 早期诊断,保守的管理和对二次感染的及时治疗对于出现这种罕见并发症的登革热出血热患者的良好结果至关重要.
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