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由产志贺毒素大肠杆菌引起腹泻的儿童出现无微血小板减少和肾病的微血管病性贫血。

Microangiopathic anemia without thrombocytopenia and kidney disease in a child with diarrhea caused by Shiga toxin-producing Escherichia coli.

作者信息

Meier Paul W, Pachlopnik Jana M, von der Weid Nicolas X, Rudin Christoph, Bianchetti Mario G

机构信息

University Children's Hospital Bern, Switzerland.

出版信息

Clin Infect Dis. 2004 Feb 1;38(3):e25-6. doi: 10.1086/381100. Epub 2004 Jan 7.

DOI:10.1086/381100
PMID:14727232
Abstract

A child with a history of diarrhea presented with transient anemia, reticolucytosis, and red blood cell fragmentation. Blood pressure and levels of blood platelets, creatinine, and urea were normal, as were results of urinalysis. Escherichia coli harboring genes for Shiga toxin were detected in stool specimens. It is concluded that extraintestinal diseases caused by Shiga toxin-producing bacteria sometimes present without any renal involvement.

摘要

一名有腹泻病史的儿童出现短暂性贫血、网织红细胞增多和红细胞碎片。血压以及血小板、肌酐和尿素水平均正常,尿液分析结果也正常。在粪便标本中检测到携带志贺毒素基因的大肠杆菌。得出的结论是,产志贺毒素细菌引起的肠外疾病有时在没有任何肾脏受累的情况下出现。

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