一个难以捉摸的诊断隐藏在眼前
Aadesh K Hande1, Yashvi M Shah1, Sushil Kumar Patil2
1Junior Resident, Department of General Medicine, MGM New Bombay Hospital, Navi Mumbai, Maharashtra, India.
The Journal of the Association of Physicians of India
|April 9, 2025
概括
一个持续的关节疼痛病例被诊断为沙门氏菌 Typhi 感染. 及时的抗生素治疗导致了显著的症状改善,突出了非典型的细菌表现.
科学领域:
- 传染性疾病 传染性疾病
- 整形外科 整形外科 整形外科
- 内部医学 内部医学
背景情况:
- 持续的关节疼痛会给诊断带来挑战,特别是在有了先前感染的病史的情况下.
- 一名中年女性患者经历了长期的,未经诊断的左关节疼痛.
- 之前的调查未能确定衰弱症状的病因.
研究的目的:
- 报告一种导致慢性关节疼痛的沙门氏菌Typhi病例.
- 讨论识别非典型细菌感染的诊断困难.
- 强调考虑常见病原体的不常见表现的重要性.
主要方法:
- 临床病例介绍和详细的病史.
- 诊断工作包括成像,骨活检和骨髓吸附.
- 微生物培养用于病原体鉴定.
- 用有针对性的抗生素治疗进行治疗干预.
主要成果:
- 骨活检和骨髓吸附培养证实了沙门氏菌 (S. Typhi) 感染.
- 在接受抗生素治疗后,患者的关节疼痛和整体状况明显改善.
- 这种诊断是在多次先前的调查被证明是不确定的之后确立的.
结论:
- 沙门氏菌可以呈现异常,导致慢性局部疼痛综合征.
- 积极的诊断方法,包括侵入性采样,对于识别罕见病原体至关重要.
- 早期和适当的抗生素治疗是有效的管理沙门氏菌 Typhi 感染呈现肌肉骨症状.
更多相关视频
00:06In Vivo Functional Study of Disease-associated Rare Human Variants Using Drosophila
Published on: August 20, 2019
13.5K
10:02Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD
Published on: March 12, 2020
15.5K
相关概念视频
Autism Spectrum Disorder
45
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
45
Diagnostic and Statistical Manual of Mental Disorders (DSM)
31
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
31
Oppositional Defiant Disorder
21
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
21
Dissociative Identity Disorder
14
Dissociative Identity Disorder (DID), previously termed multiple personality disorder, is a complex psychological condition characterized by the presence of two or more distinct identities or personality states. Each identity exhibits unique patterns of behavior, voice, and mannerisms and may possess separate memories and emotional responses. The alternating control between identities can result in memory gaps and challenges in recalling daily activities, often exacerbating the individual's...
14
Bulimia Nervosa
40
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
40
Anorexia Nervosa
36
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
36
