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一例产后界线类偏结核样型麻风并发正中神经脓肿、消化性溃疡及利福平所致溶血性肾衰竭

A case of post-partum borderline tuberculoid leprosy complicated by a median nerve abscess, peptic ulceration and rifampicin-induced haemolytic renal failure.

作者信息

Dawe S, Lockwood D N J, Creamer D

机构信息

Department of Dermatology, Kings College Hospital, Denmark Hill, London SE 5, UK.

出版信息

Lepr Rev. 2004 Jun;75(2):181-7.

PMID:15282971
Abstract

We report a case of borderline tuberculoid leprosy complicated by a median nerve abscess, acute renal failure secondary to rifampicin-induced haemolysis and duodenal ulceration secondary to steroid use. Rifampicin induced hameolysis is a rare and probably under-reported complication of leprosy multi-drug therapy. It should be considered when patients complain of flu-like symptoms after taking their monthly rifampicin.

摘要

我们报告一例界线类偏结核样型麻风,并发正中神经脓肿、利福平诱导的溶血所致急性肾衰竭以及使用类固醇继发十二指肠溃疡。利福平诱导的溶血是麻风联合化疗一种罕见且可能报告不足的并发症。当患者在每月服用利福平后出现流感样症状时应予以考虑。

相似文献

1
A case of post-partum borderline tuberculoid leprosy complicated by a median nerve abscess, peptic ulceration and rifampicin-induced haemolytic renal failure.一例产后界线类偏结核样型麻风并发正中神经脓肿、消化性溃疡及利福平所致溶血性肾衰竭
Lepr Rev. 2004 Jun;75(2):181-7.
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Intravascular hemolysis and acute renal failure following intermittent rifampin therapy.间歇性利福平治疗后发生血管内溶血和急性肾衰竭。
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"Flu" syndrome on monthly rifampin dose; first case reported from Yemen.每月服用利福平剂量时出现的“流感”综合征;也门报告的首例病例。
Int J Lepr Other Mycobact Dis. 1995 Dec;63(4):574-6.
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Rifampicin-induced erythema nodosum leprosum-like eruption in borderline lepromatous leprosy.利福平诱发的界线类偏瘤型麻风的结节性红斑样皮疹
Indian J Lepr. 2001 Apr-Jun;73(2):167-9.
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Rifampicin and isoniazid in the treatment of leprous nerve abscesses.利福平与异烟肼治疗麻风性神经脓肿
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Serious side effects of rifampin on the course of WHO/MDT: a case report.
Int J Lepr Other Mycobact Dis. 2000 Sep;68(3):277-82.
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[Immuno-allergic accidents with rifamipcin].[利福米星引起的免疫过敏反应]
Acta Leprol. 2001;12(2):71-8.
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Magnetic resonance imaging of ulnar nerve abscess in leprosy: a case report.麻风病尺神经脓肿的磁共振成像:一例报告
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Magnetic resonance imaging of ulnar nerve abscess in leprosy: a case report.麻风病尺神经脓肿的磁共振成像:一例报告
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Reversible acute renal failure due to monthly administration of rifampicin in a leprosy patient.
Indian J Lepr. 1984 Oct-Dec;56(4):835-9.

引用本文的文献

1
Nerve abscess in pure neural leprosy mistaken for peripheral nerve sheath tumour with disastrous consequence: what can we learn?纯神经型麻风的神经脓肿被误诊为周围神经鞘瘤,后果严重:我们能从中吸取什么教训?
BMJ Case Rep. 2017 Dec 5;2017:bcr-2017-221023. doi: 10.1136/bcr-2017-221023.
2
Variability of Findings in Drug-Induced Immune Haemolytic Anaemia: Experience over 20 Years in a Single Centre.药物性免疫性溶血性贫血的检查结果变异性:单一中心20年的经验
Transfus Med Hemother. 2015 Sep;42(5):333-9. doi: 10.1159/000440673. Epub 2015 Sep 9.