Kazlow P G, Freed J, Rosh J R, Reiner M, Dische R, Benkov K, LeLeiko N S
Department of Pediatrics (Division of Pediatric Gastroenterology), Mount Sinai School of Medicine, New York, New York 10029.
J Pediatr Gastroenterol Nutr. 1991 Jul;13(1):101-3. doi: 10.1097/00005176-199107000-00019.
A child with signs and symptoms of acute gastroenteritis developed localization of her pain to the right lower quadrant. A clinical diagnosis of appendicitis was made and an inflamed appendix was found at surgery. The postoperative period was marked by high spiking fevers and profuse nonbloody diarrhea. Cultures of the appendix and the stool revealed Salmonella typhimurium. Nontyphoidal Salmonella organisms are a rare cause of acute suppurative appendicitis. Intraoperative cultures of the appendix and peritoneal fluid as well as postoperative cultures of the diarrheal fluid were crucial in elucidating the cause of this patient's unusual course.
一名出现急性肠胃炎症状和体征的儿童，其疼痛定位于右下腹。临床诊断为阑尾炎，手术中发现阑尾发炎。术后出现高热和大量非血性腹泻。阑尾和粪便培养显示为鼠伤寒沙门氏菌。非伤寒沙门氏菌是急性化脓性阑尾炎的罕见病因。阑尾和腹腔液的术中培养以及腹泻液的术后培养对于阐明该患者异常病程的原因至关重要。
