Kayaba Hiroyuki, Kodama Koh, Shirayama Kimiyuki, Kobayashi Yoshimi, Adachi Tetsuya, Chihara Junichi
Department of Clinical and Laboratory Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.
J Infect Chemother. 2002 Sep;8(3):232-6. doi: 10.1007/s10156-002-0181-y.
Nontyphoidal salmonellosis has a wide variety of clinical presentations. With the aim of describing the detailed clinical presentations of gastroenteritis caused by nontyphoidal Salmonella spp., findings for 126 patients (1-94 years of age; 37.0 years on average) were analyzed. Nontyphoidal salmonellosis is prevalent from April to October in Akita, when the mean atmospheric temperature exceeds 10 degrees C. On physical examination, 3 patients had rebound tenderness and muscle guarding on their abdominal wall; 1 of these patients underwent surgery for associated acute appendicitis. Elderly patients tended to be more seriously affected, resulting in severe dehydration. Elevation of the serum C-reactive protein (CRP) level correlated well with a decline in the platelet count. Although nontyphoidal salmonellosis is a common cause of acute gastroenteritis, thorough investigation and meticulous care are required so that conditions requiring surgical treatment or those that are potentially fatal are not overlooked.
非伤寒型沙门氏菌病有多种临床表现。为了描述由非伤寒型沙门氏菌引起的肠胃炎的详细临床表现，对126例患者（年龄1至94岁，平均37.0岁）的检查结果进行了分析。在秋田，当平均气温超过10摄氏度时，非伤寒型沙门氏菌病在4月至10月流行。体格检查时，3例患者腹壁有反跳痛和肌卫；其中1例因并发急性阑尾炎接受了手术。老年患者往往受影响更严重，导致严重脱水。血清C反应蛋白（CRP）水平升高与血小板计数下降密切相关。虽然非伤寒型沙门氏菌病是急性肠胃炎的常见病因，但仍需要进行全面检查和精心护理，以免忽视需要手术治疗或可能致命的情况。
