Parmar R C, Bavdekar S B, Houilgol R, Muranjan M N
Department of Paediatrics, Seth G. S. Medical College and K. E. M. Hospital, Parel, Mumbai - 400 012, India.
J Postgrad Med. 2000 Jul-Sep;46(3):184-6.
Enteric fever is a common infectious disease of the tropical world, about 80% of these cases occur in Asian countries. Enteric fever presenting with isolated cerebellar ataxia or nephritis is rare. We report three cases of enteric fever that presented with these complications. Isolated cerebellar ataxia usually occurs in the second week, whereas in our cases it presented within first four days of fever. The common complications of enteric fever related to the urinary tract are cystitis, pyelitis, and pyelonephritis. Glomerulonephritis is uncommon. Most patients with enteric glomerulonephritis present with acute renal failure, hypertensive encephalopathy, or nephritic syndrome. In comparison, our case had milder manifestations. All three patients were treated with parenteral ceftriaxone and showed a prompt recovery.
伤寒是热带地区常见的传染病，约80%的病例发生在亚洲国家。以孤立性小脑共济失调或肾炎为表现的伤寒较为罕见。我们报告3例出现这些并发症的伤寒病例。孤立性小脑共济失调通常发生在第二周，而在我们的病例中，它出现在发热的头四天内。伤寒与泌尿系统相关的常见并发症是膀胱炎、肾盂炎和肾盂肾炎。肾小球肾炎并不常见。大多数伤寒合并肾小球肾炎的患者表现为急性肾衰竭、高血压脑病或肾病综合征。相比之下，我们的病例表现较轻。所有3例患者均接受了静脉注射头孢曲松治疗，且恢复迅速。
