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非中性衰竭患者的伤寒炎:一个临床案例
Pauline Kaisin1, Jason Kasongo1, Fabien Guerisse1
1Emergency Department, Centre Hospitalier Universitaire (CHU) Charleroi-Chimay, Charleroi, BEL.
Cureus
|October 6, 2025
概括
伤寒炎,或中性贫血性肠球炎,可以发生在没有中性贫血的患者中. 在免疫能力强的个体中,早期诊断至关重要,以预防肠道穿孔等并发症.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 在瘤学瘤学.
背景情况:
- 伤寒炎 (中毒性肠球炎) 通常会影响盲体,并且与免疫功能低下患者的中毒性相关.
- 虽然通常与化疗和免疫抑制有关,但在非中性衰竭个体中存在罕见病例.
- 这种情况涉及肠道的炎症,主要是结肠.
研究的目的:
- 报告非中性衰竭患者的伤寒炎病例.
- 要强调,伤寒炎可以发生在免疫能力强的个体中.
- 强调在所有出现相关症状的患者中早期诊断和管理的重要性.
主要方法:
- 一个53岁的病人的病例报告呈现急性腹痛.
- 诊断工作包括实验室检查和腹部成像.
- 分析了临床表现和诊断发现.
主要成果:
- 患者呈现出右下象限疼痛,没有中性质减退或发烧.
- 腹部成像证实了伤寒炎,尽管没有典型的危险因素.
- 这一案例证明了在免疫能力强的个体中发生的伤寒炎.
结论:
- 伤寒炎并不仅限于中性衰竭患者,也可能影响具有免疫能力的个体.
- 及时识别和管理对于预防严重并发症至关重要,包括肠道穿孔.
- 即使没有中性质减退,在具有相容症状的患者中也应保持临床怀疑.
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