Prince R L
Med J Aust. 1979 Jul 28;2(2):56-7. doi: 10.5694/j.1326-5377.1979.tb112702.x.
Previous research has established the relationship between viral infection with adenovirus, influenza B virus and Coxsackie B virus, and mesenteric adenitis. A prospective controlled survey of the incidence of viral infection in mesenteric adenitis was undertaken in children attending a children's hospital over a period of 13 months. Eighteen patients, together with 18 controls who were matched for age, sex, and date of presentation, were studied. There were five cases of adenovirus type 7 infection in the mesenteric adenitis group and none in the control group (P=0.023--Fisher's exact test). The clinical problem at presentation is in differentiating mesenteric adenitis from appendicitis. If further work shows that viral infection is indeed more common in mesenteric adenitis, and is limited to a narrow range of viruses, then rapid identification of these viruses in children with "acute abdomens" would be a valuable aid to differential diagnosis.
先前的研究已经证实腺病毒、乙型流感病毒和柯萨奇B病毒感染与肠系膜腺炎之间的关系。在一家儿童医院对儿童进行了为期13个月的前瞻性对照调查，以研究肠系膜腺炎中病毒感染的发生率。研究了18例患者以及18例年龄、性别和就诊日期相匹配的对照。肠系膜腺炎组有5例7型腺病毒感染，对照组无感染（P = 0.023——费舍尔精确检验）。就诊时的临床问题是区分肠系膜腺炎和阑尾炎。如果进一步的研究表明病毒感染在肠系膜腺炎中确实更为常见，且仅限于少数几种病毒，那么快速识别患有“急腹症”儿童中的这些病毒将有助于鉴别诊断。
