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西班牙麻疹疫情期间的成年人病例:与胃肠道和肝脏受累相关的住院情况。

Measles in adults during an outbreak in Spain: hospitalization associated with gastrointestinal and liver involvement.

机构信息

Infectious Diseases Unit, Hospital General Universitario de Alicante, 03010, Alicante, Spain.

出版信息

Infection. 2014 Aug;42(4):763-5. doi: 10.1007/s15010-014-0650-0. Epub 2014 Jun 25.

DOI:10.1007/s15010-014-0650-0
PMID:24962127
Abstract

INTRODUCTION

Measles is a viral infection that affects skin and other organs and systems.

METHODS

We collected retrospectively the characteristics of 147 consecutive adult patients with measles during an outbreak in Spain (January-June 2012).

RESULTS

They complained of nausea, vomiting and diarrhea in 48.3, 39.5 and 27.2 %, respectively. The liver was involved in 67.5 % of patients. Thirty-eight patients (25.9 %) were admitted to the hospital. Associated with hospital admission were dyspnea [adjusted odds ratio (aOR): 49.8], abnormal alanine aminotransferase (aOR: 29), odynophagia (aOR: 12.5) and vomiting (aOR: 58).

CONCLUSION

Gastrointestinal and liver involvement in adults with measles is common.

摘要

引言

麻疹是一种病毒性感染,可影响皮肤和其他器官及系统。

方法

我们回顾性收集了西班牙麻疹暴发期间(2012 年 1 月至 6 月)147 例连续成年麻疹患者的特征。

结果

分别有 48.3%、39.5%和 27.2%的患者主诉恶心、呕吐和腹泻。67.5%的患者肝脏受累。38 例(25.9%)患者住院。呼吸困难(调整后的优势比[aOR]:49.8)、丙氨酸氨基转移酶异常(aOR:29)、咽痛(aOR:12.5)和呕吐(aOR:58)与住院相关。

结论

成人麻疹常伴有胃肠道和肝脏受累。

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本文引用的文献

1
[Re-emergence of measles in the province of Guadalajara, Spain. Is it time to establish new strategies for its elimination?].[西班牙瓜达拉哈拉省麻疹疫情再度出现。是否到了制定新的消除策略的时候?]
Enferm Infecc Microbiol Clin. 2014 Oct;32(8):486-90. doi: 10.1016/j.eimc.2013.08.005. Epub 2013 Nov 7.
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Adult patients hospitalized for measles in France, in the 21st century.21世纪在法国因麻疹住院的成年患者。
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Liver involvement in adults with measles.
接种疫苗的肝移植受者发生麻疹肝炎:病例报告及文献复习
Clin Case Rep. 2017 Apr 20;5(6):867-870. doi: 10.1002/ccr3.783. eCollection 2017 Jun.
成人麻疹的肝脏受累。
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Measles outbreak in adults in Italy.意大利成人麻疹疫情。
Infez Med. 2011 Mar;19(1):16-9.
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[Measles outbreak in Barcelona. Clinical and epidemiological characteristics].[巴塞罗那的麻疹疫情。临床和流行病学特征]
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Epidemiological study of measles in Ghazvin, Islamic Republic of Iran, April 1997-April 2003.1997年4月至2003年4月伊朗伊斯兰共和国加兹温市麻疹流行病学研究
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