Dunne J A, Wilson J, Gokhale J
Department of General Surgery, Bradford Hospitals NHS Foundation Trust, Bradford, UK.
BMJ Case Rep. 2011 Apr 19;2011:bcr0820103272. doi: 10.1136/bcr.08.2010.3272.
A patient of Pakistani-origin was admitted to Bradford Royal Infirmary, UK, following a 3-week history of cough, headache and general malaise. He had recently spent 10 weeks in Pakistan and on return had been diagnosed in the community with Swine flu. He developed abdominal pain and diarrhoea in the week prior to admission, and presented to hospital with fever, tachycardia and raised inflammatory markers. He deteriorated rapidly, developing signs of peritonism and Salmonella paratyphi A was grown from blood cultures. CT demonstrated a small volume of free fluid within the abdomen and the patient underwent laparotomy. A small bowel perforation was resected and a side to side anastomosis fashioned. Treatment with intravenous antibiotics was completed and the patient was discharged 9 days postoperatively.
一名祖籍巴基斯坦的患者，在出现咳嗽、头痛和全身不适3周后，被收治入英国布拉德福德皇家医院。他最近在巴基斯坦待了10周，回国后在社区被诊断为感染猪流感。入院前一周，他出现腹痛和腹泻，入院时伴有发热、心动过速和炎症指标升高。他病情迅速恶化，出现腹膜炎体征，血培养分离出甲型副伤寒沙门菌。CT显示腹内有少量游离液体，患者接受了剖腹手术。切除了一段小肠穿孔并进行了端侧吻合。静脉注射抗生素治疗完成，患者术后9天出院。
