Felton J M, Harries A D, Beeching N J, Rogerson S J, Nye F J
Regional Infectious Disease Unit, Fazakerley Hospital, Liverpool, UK.
Postgrad Med J. 1990 Dec;66(782):1037-9. doi: 10.1136/pgmj.66.782.1037.
Five hundred and ninety-four patients were consecutively admitted to an infectious disease unit over a 2-year period with a referral diagnosis of acute gastroenteritis or food poisoning. In 175 (29%) patients, gastrointestinal symptoms were associated with a condition other than gastrointestinal infection. Non-infective gastrointestinal disease was present in 90 patients, systemic infection in 50 and systemic disease in 35. Four illustrative case histories are presented to emphasize the need for a high index of suspicion if diseases such as malaria, septicaemia or appendicitis are not to be missed.
在两年时间里，594名患者因初步诊断为急性肠胃炎或食物中毒而连续入住传染病科。在175名（29%）患者中，胃肠道症状与胃肠道感染以外的疾病有关。90名患者存在非感染性胃肠道疾病，50名患者存在全身感染，35名患者存在全身性疾病。本文介绍了四个典型病例，以强调如果不想漏诊疟疾、败血症或阑尾炎等疾病，就需要保持高度的怀疑。
