[伤寒热并发症：一例罕见病例的描述及其对诊断和控制的意义]

[Complications in typhoid fever: description of an anusual case and its bearing on diagnosis and control].

作者信息

de Ramos Francisco Lúzio Paula

机构信息

Seção de Bacteriologia do Instituto Evandro Chagas da Secretaria de Vigilância em Saúde do Ministério da Saúde, Belém, PA, Brasil.

出版信息

Rev Soc Bras Med Trop. 2004;37 Suppl 2:90-2. doi: 10.1590/s0037-86822004000700014.

DOI:10.1590/s0037-86822004000700014

PMID:15586903

Abstract

A case of typhoid fever with colestatic hepatitis is described, with diagnosis made by stool culture. Examination for malaria, leptospirosis and viral hepatitis were all negatives. These results and the rapid response of the patient to treatment with ciprofloxacin confirmed the diagnosis of typhoid fever and indicate the importance of considering typhoid fever in cases of fever with jaundice.

摘要

描述了一例伴有胆汁淤积性肝炎的伤寒热病例，通过粪便培养进行诊断。疟疾、钩端螺旋体病和病毒性肝炎检查均为阴性。这些结果以及患者对环丙沙星治疗的快速反应证实了伤寒热的诊断，并表明在黄疸发热病例中考虑伤寒热的重要性。