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伤寒沙门氏菌菌血症引起的横纹肌溶解症。

Rhabdomyolysis induced by Salmonella enterica serovar Typhi bacteraemia.

作者信息

Fisk D T, Bradley S F

出版信息

Clin Microbiol Infect. 2004 Jul;10(7):595-7. doi: 10.1111/j.1198-743X.2004.00816.x.

Abstract

Rhabdomyolysis has been reported infrequently with salmonella infection. Since 1964, there have been at least 22 reports associated with gastroenteritis or bacteraemia. Twenty cases have been associated with non-typhoidal strains of Salmonella, with single reports of Salmonella enterica serovars Paratyphi and Typhi. A second case of typhoid fever associated with rhabdomyolysis was recently diagnosed in Ann Arbor, USA in a traveller returning from an endemic area. Prompt diagnosis and treatment resulted in a good outcome. Salmonella infection should be considered by clinicians as a possibility in the differential diagnosis of rhabdomyolysis.

摘要

据报道,沙门氏菌感染引发横纹肌溶解症的情况较为罕见。自1964年以来,至少有22例报告与肠胃炎或菌血症相关。其中20例与非伤寒沙门氏菌菌株有关,另有单独报告称肠炎沙门氏菌血清型副伤寒和伤寒菌株也可引发该症。最近,美国安阿伯市诊断出一例从流行地区归来的旅行者感染伤寒热并伴有横纹肌溶解症的病例。及时诊断和治疗取得了良好效果。临床医生在对横纹肌溶解症进行鉴别诊断时应考虑到沙门氏菌感染的可能性。

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