传染性风炎呈现为便秘:一个诊断陷
Almootazbellah M Agamy1, Ahmed Musa2, Nour J Al-Khasieb3
1General Practice, Swansea Bay University Health Board, Swansea, GBR.
Cureus
|December 22, 2025
概括
传染性风炎可以模仿胃肠道问题,提出诊断挑战. 迅速的成像和多学科护理对于及时诊断和管理这种罕见的血管疾病至关重要.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 诊断成像 诊断成像 诊断成像
背景情况:
- 动脉炎是腹部/背部疼痛的不常见原因,由于非特异性症状,经常被误诊.
- 早期症状可以模仿良性胃肠道疾病,延迟诊断.
研究的目的:
- 为了呈现一种与Streptococcus pneumoniae相关的传染性关节炎病例.
- 突出诊断挑战和迅速成像和多学科合作的重要性.
主要方法:
- 一个59岁的男性有疑似胃肠道问题的病例报告.
- 利用实验室检查和成像 (CT/MRI) 来诊断大关节炎.
- 涉及到紧急的血管外科干预,包括移植和抗生素治疗.
主要成果:
- 确诊了与Streptococcus pneumoniae相关的传染性关节炎的诊断.
- 患者接受了成功的手术,并接受了长时间的静脉注射抗生素.
- 术后形成了一种动脉收集,但经过了保守的管理.
结论:
- 传染性主动脉炎需要高的怀疑指数在患有无法解释的腹部/背部疼痛的患者.
- 多学科合作对于有效的诊断和管理至关重要.
- 及时成像对于区分血管病理与良性胃肠道疾病至关重要.
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