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一名免疫功能正常但有血液学并发症的患者发生胎儿弯曲杆菌败血症。

Campylobacter fetus sepsis in an immunocompetent patient with haematological complication.

作者信息

Nagy Mathias Thomas, Hla Sann Minn

机构信息

University Hospitals of Morecambe Bay, Furness General Hospital, Barrow-In-Furness, UK.

出版信息

BMJ Case Rep. 2013 Mar 27;2013:bcr2013008610. doi: 10.1136/bcr-2013-008610.

Abstract

Campylobacter fetus sepsis is rare, especially among young, immunocompetent patients. We present the case of a 43-year-old man with a history of ulcerative colitis who was diagnosed with C fetus bacteraemia with endovascular manifestation. The patient was found to have a low vitamin K level and a high international normalised ratio, and developed deep vein thrombosis. The patient was fully recovered with oral antibiotic treatment, anticoagulation and supportive therapy. Clinicians should be aware that this type of infection, although extremely rare, can occur even in younger, healthy adults and immediate diagnosis and treatment are required to avert life-threatening complications.

摘要

胎儿弯曲杆菌败血症很罕见,尤其是在年轻、免疫功能正常的患者中。我们报告一例43岁有溃疡性结肠炎病史的男性,被诊断为伴有血管内表现的胎儿弯曲杆菌菌血症。该患者维生素K水平低且国际标准化比值高,并发生了深静脉血栓形成。患者通过口服抗生素治疗、抗凝和支持治疗后完全康复。临床医生应意识到,这种类型的感染虽然极其罕见,但即使在年轻、健康的成年人中也可能发生,需要立即诊断和治疗以避免危及生命的并发症。

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Campylobacter fetus bacteremia in an immunocompetent traveler.免疫功能正常旅行者的胎儿弯曲菌菌血症。
Am J Trop Med Hyg. 2014 Oct;91(4):766. doi: 10.4269/ajtmh.14-0085. Epub 2014 Jul 28.

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