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[一例大量胃肠道出血后严重伤寒形式的再现]

[Reappearance of severe typhoid forms following a case of massive gastrointestinal haemorrhaging].

作者信息

Herrán Luís, Flores Alberto, De Benedetti María Elena, de los Ríos Raúl, Gotuzzo Eduardo

机构信息

Clínica San Felipe, Lima-Perú.

出版信息

Rev Gastroenterol Peru. 2007 Jan-Mar;27(1):72-8.

Abstract

A case of a patient is reported who was admitted with massive intestinal haemorrhaging after 10 days of medical discomfort, characterized by persistent fever, headache and abdominal pain. The patient did not respond to medical treatment: antibiotics, blood transfusions and fluid replacement and required emergency surgical intervention. Intestinal resection with primary anastomosis was performed, controlling the bleeding. Following the testing of blood cultures and histopathological study infection by the S. tiphy bacteria was recorded by testing. In Latin America this strain of typhoid fever was common until the beginning of the 90's, before the cholera epidemic and has rarely been seen in the past 15 years.

摘要

报告了一例患者,该患者在出现持续发热、头痛和腹痛等不适症状10天后,因大量肠道出血入院。患者对药物治疗(抗生素、输血和补液)无反应,需要进行紧急手术干预。实施了肠切除并一期吻合术,控制了出血。通过血培养检测和组织病理学研究,检测记录到感染了伤寒杆菌。在拉丁美洲,这种伤寒菌株在90年代初霍乱流行之前很常见,在过去15年中很少见。

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