Ooi Siang Mei Sally
Liverpool Hospital, Elizabeth Street, Liverpool, NSW 2170, Australia.
Case Rep Infect Dis. 2015;2015:128104. doi: 10.1155/2015/128104. Epub 2015 Mar 4.
Infectious enterocolitis caused by shigella is usually self-limiting and seldom requires antibiotics treatment. It is uncommon to develop fulminant shigellosis requiring surgery. We report a rare case of fulminant shigellosis in a HIV patient with recurring infection which could not be managed with intravenous antibiotics. CT reviewed extensive colonic wall thickening and stranding with evidence of pneumatosis coli. The patient eventually required a Hartmann procedure. Although fulminant shigellosis is uncommon, thorough assessment and vigilant management are warranted in immunosuppressed patient.
志贺氏菌引起的感染性小肠结肠炎通常为自限性，很少需要抗生素治疗。发展为需要手术治疗的暴发性志贺氏菌病并不常见。我们报告了一例罕见的暴发性志贺氏菌病病例，该病例发生在一名反复感染的艾滋病毒患者身上，静脉使用抗生素无法控制感染。CT检查显示结肠壁广泛增厚和条索状改变，并伴有结肠积气。该患者最终需要进行哈特曼手术。尽管暴发性志贺氏菌病并不常见，但对于免疫抑制患者，仍需要进行全面评估和密切管理。
