Chui C H, Joseph V T, Chong C Y
Division of Paediatric Surgery, KK Women's and Children's Hospital, Singapore.
J Pediatr Surg. 2000 Oct;35(10):1494-5. doi: 10.1053/jpsu.2000.16422.
A rare case of a healthy infant with colonic ulcers caused by Salmonella typhimurium infection that presented with colonic perforation, hypovolemic, and septicemic shock is discussed. It stresses the importance of considering an infective process such as salmonellosis in the differential diagnosis of colonic ulceration in an infant and illustrates the unique histologic finding of colonic inflammatory changes with sparing of the small intestine.
本文讨论了一例罕见病例,一名健康婴儿因鼠伤寒沙门氏菌感染导致结肠溃疡,并出现结肠穿孔、低血容量性休克和败血症性休克。它强调了在婴儿结肠溃疡的鉴别诊断中考虑感染性过程(如沙门氏菌病)的重要性,并说明了结肠炎症改变而小肠未受累的独特组织学发现。