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擦拭伤寒和流感是一种共感染:一个病例报告

Chie Yamamoto¹, Ayano Maruyama², Jun Munakata³

¹Department of Infection Control and Laboratory Medicine, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan.

Pathogens (Basel, Switzerland)

|January 25, 2025

概括

这份病例报告强调了日本罕见的灌木伤寒和A型流感的同时感染. 对于患有持续发烧的患者来说,早期怀疑草原伤寒至关重要,特别是在流行地区.

科学领域:

传染性疾病传染性疾病
公共卫生公共卫生
流行病学流行病学

背景情况:

由Orientia tsutsugamushi引起的灌木伤寒是一种重新出现的传染病,其地理分布正在扩大.
在放松COVID-19控制措施后,人们观察到流感的复苏.
报道说,草原伤寒和流感的同时感染很少发生.

研究的目的:

在日本报告了第一例灌木伤寒和流感A同时感染的病例.
强调在患有持续发烧和类似流感症状的患者中考虑灌木风的重要性,特别是在流行地区.

主要方法:

病例报告:一名74岁的妇女出现持续发烧和呼吸道症状.
诊断工作包括对A型流感和湿疹伤寒的评估.
治疗包括治疗流感的奥塞尔塔米维尔和治疗灌木风的米诺环素.

主要成果:

患者被诊断出患有甲型流感和草风的同时感染,经过ESCAR和临床表现证实.
最初用奥塞塔米维尔治疗流感并没有缓解发烧,直到用米诺环林治疗草伤寒才持续发烧.
患者在接受米诺环林后显示出显著的临床改善.

结论:

这一案例强调了草原伤寒和甲型流感同时感染的可能性,即使在一个病人身上也是如此.
常见感染的初始治疗后持续发烧需要考虑共感染,特别是在居住或访问灌木伤寒流行地区的个人中.
草原伤寒的非特异性,类似流感的症状可能导致诊断延迟.

关键词:

同时感染的同时感染.甲型流感是一类流感.擦洗伤寒病毒的伤寒病毒

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