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一个危险的绕道:健康旅行者的侵入性沙门氏菌
Calvin Yee Fen Lee1, Ayra Kathuria1, Aliza Yaqub1
1Internal Medicine, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, USA.
Cureus
|September 18, 2025
概括
在健康的成年人中,侵入性非类型型型沙门氏菌 (NTS) 细菌病很少见. 这一案例表明,年轻,免疫能力强的旅行者可能会患上严重的沙门氏菌感染,需要及时诊断和治疗.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 旅行 医学 旅行 医学
背景情况:
- 旅行者腹很常见,通常是由肠道病原体引起的,如大肠杆菌,坎比洛巴克特菌和非伤寒型沙门氏菌 (NTS).
- 侵入性NTS感染,如细菌病,在免疫能力强的成年人中不常见.
研究的目的:
- 在一个年轻,免疫能力强的旅行者身上报告一种罕见的沙门氏菌菌病.
- 强调在持久症状的旅行者中考虑入侵性肠道病原体的重要性.
主要方法:
- 一个30岁的男性旅行者从菲律宾和日本返回的案例报告.
- 持续的水性腹和发烧的临床表现.
- 血培养对非类型型型型沙门氏菌spp.呈阳性. 在初次放电后.
主要成果:
- 患者尽管缺乏传统的危险因素,但患有沙门氏菌菌血症.
- 需要住院治疗,并使用静脉注射的塞夫特里亚克松和口服的三甲胺-硫甲醇治疗.
- 实现了完全的症状解决.
结论:
- 侵袭性沙门氏菌感染可以发生在年轻,免疫能力强的个体中,而没有明显的高风险暴露.
- 临床医生必须对旅行者持久症状的入侵性肠道病原体保持高度怀疑.
- 及时诊断和治疗对于预防侵袭性沙门氏菌感染并发症至关重要.
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