镜下血尿：伤寒热的一种罕见表现。

Microscopic haematuria: A rare presentation of typhoid fever.

作者信息

Nisahan Balasingam, Thirunavukarasu Kumanan, Selvaratnam Gowry

机构信息

Registrar in Medicine, University Medical Unit, Teaching Hospital Jaffna, Sri Lanka

Consultant Physician, University Medical Unit, Teaching Hospital Jaffna, Sri Lanka.

出版信息

Trop Doct. 2015 Apr;45(2):151-2. doi: 10.1177/0049475514561349. Epub 2014 Dec 15.

DOI:10.1177/0049475514561349

PMID:25515735

Abstract

Typhoid fever can cause a number of renal manifestations heretofore dubbed 'nephrotyphoid'. Haematuria in the absence of renal impairment is extremely rare among typhoid patients. We report a case of an adult who presented with a prolonged febrile illness and microscopic haematuria. Blood culture confirmed the diagnosis of typhoid and the patient was treated successfully with ceftriaxone.

摘要

伤寒热可引发多种迄今被称为“肾伤寒”的肾脏表现。在伤寒患者中，无肾功能损害却出现血尿的情况极为罕见。我们报告一例成年患者，其呈现出长期发热性疾病并伴有镜下血尿。血培养确诊为伤寒，该患者通过头孢曲松治疗成功康复。