Monaghan Joanne
Northeast Nephrology Associates, Troy, NY, USA.
Nephrol Nurs J. 2005 Jul-Aug;32(4):433-4.
The clue to this patient's correct diagnosis was his recent return from India. He usually visits there on an annual basis and the occurrence of posttravel infection has been noted in his medical records. This case study shows the importance of assessing patients for fever, abdominal cramps and diarrhea after recent travel outside of the United States. Shigella gastroenteritis should be in the differential diagnosis for patients with the above clinical presentation. The keys for diagnosis and prompt treatment of this disorder are to obtain the history, recognize symptoms, and order stool cultures.
该患者正确诊断的线索是他最近从印度归来。他通常每年去那里一次，其病历中记录有旅行后感染的情况。本病例研究表明，对近期从美国境外旅行归来的患者进行发热、腹部绞痛和腹泻评估非常重要。对于有上述临床表现的患者，志贺菌性肠胃炎应列入鉴别诊断。诊断和及时治疗这种疾病的关键是获取病史、识别症状并安排粪便培养。
