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[急性胰腺炎——与结肠弯曲菌感染的关联]

[Acute pancreatitis - association with a Campylobacter coli-infection].

作者信息

Karsten C, Schneider J, Teyssen S, Huppertz H-I

机构信息

Professor-Hess-Kinderklinik, Klinikum-Bremen-Mitte, Bremen.

出版信息

Z Gastroenterol. 2007 Sep;45(9):961-4. doi: 10.1055/s-2007-963114.

Abstract

A 37-year-old male presented with intermittent abdominal pain and 9 kg weight loss within 3 weeks. Gastroscopy showed no pathological findings, coloscopy showed a colitis limited to the left flexure. Histology revealed a sustained infectious enterocolitis. A culture of the patient's stool was positive for CAMPYLOBACTER COLI. Because of the recurrent abdominal discomfort and weight loss the patient was admitted to the hospital. Ultrasound and multislice spiral computed tomography showed an acute oedematous pancreatitis. No other causes for the pancreatitis were found, the only remaining possibility was a CAMPYLOBACTER COLI-associated pancreatitis. Under symptomatic therapy the patient recovered definitively. An administration of antibiotics was not necessary.

摘要

一名37岁男性出现间歇性腹痛,并在3周内体重减轻9公斤。胃镜检查未发现病理结果,结肠镜检查显示结肠炎局限于左结肠曲。组织学检查显示为持续性感染性小肠结肠炎。患者粪便培养弯曲菌属呈阳性。由于反复出现腹部不适和体重减轻,患者入院治疗。超声和多层螺旋计算机断层扫描显示急性水肿性胰腺炎。未发现胰腺炎的其他病因,唯一剩下的可能性是弯曲菌属相关性胰腺炎。在对症治疗下,患者最终康复。无需使用抗生素。

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