创伤性脾切除术后近期并发巴贝斯虫病。
Babesiosis in the immediate postoperative period after splenectomy for trauma.
机构信息
Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
出版信息
Surg Infect (Larchmt). 2009 Dec;10(6):553-6. doi: 10.1089/sur.2008.001.
BACKGROUND
In an immunocompetent host, Babesia microti has not been reported as a cause of postoperative fever.
METHODS
Case report and literature review.
RESULTS
A 52-year-old woman living on Martha's Vineyard developed postoperative fever after splenectomy for trauma. The patient's mechanism of injury was a fall from a stationary bicycle. Intraoperatively, the patient was noted to have splenomegaly. Postoperatively, she developed fever and was found to have Babesia microti on blood smear with an otherwise negative fever evaluation. She was treated with atovaquone and azithromycin and made a full recovery.
CONCLUSIONS
For individuals who have lived or traveled in endemic areas, babesiosis should be considered as a possible cause of postoperative fever when other sources have been excluded. Patients undergoing splenectomy in an endemic area should be screened for babesiosis to prevent postoperative recrudescence of symptoms.
背景
在免疫功能正常的宿主中，巴贝西虫微小型尚未被报道为术后发热的原因。
方法
病例报告和文献复习。
结果
一名 52 岁女性因外伤行脾切除术，术后出现发热。患者的损伤机制是从固定自行车上摔下。术中发现患者脾肿大。术后，她出现发热，血涂片发现巴贝西虫微小型，其他发热评估均为阴性。她接受阿托伐醌和阿奇霉素治疗后完全康复。
结论
对于曾在流行地区居住或旅行的人，如果已排除其他来源，则应考虑巴贝斯虫病是术后发热的可能原因。在流行地区行脾切除术的患者应筛查巴贝斯虫病，以防止术后症状复发。
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