伤寒热中的急性阴囊溃疡：病例报告及文献综述
Acute scrotal ulcers in typhoid Fever: case report and literature review.
作者信息
Choi Hil Yin, Nickless David, Tee Wennie, Tong En'en, Aboltins Craig A
机构信息
University of Melbourne, Northern Clinical School , Epping, Victoria, Australia, 3040.
Department of Pathology, Northern Health , Victoria, Australia.
出版信息
Trop Med Health. 2015 Mar;43(1):69-73. doi: 10.2149/tmh.2014-28. Epub 2014 Nov 15.
BACKGROUND
In developed countries, typhoid fever is a travel-associated disease that is often overlooked. However, as standard blood and stool culture methods have relatively low sensitivity, diagnosis depends heavily on clinical signs and symptoms and on a high level of suspicion.
METHODS
Reported here is the case of an 18-year-old male who presented with fever and acute scrotal ulcers and whose blood cultures were positive for Salmonella enterica serotype Typhi. A review of genital ulcers associated with typhoid fever in the literature is discussed.
CONCLUSION
This report suggests that typhoid fever is a differential diagnosis of acute genital ulcers.
背景
在发达国家，伤寒热是一种常被忽视的与旅行相关的疾病。然而，由于标准的血液和粪便培养方法灵敏度相对较低，诊断在很大程度上依赖于临床体征和症状以及高度的怀疑。
方法
本文报告了一名18岁男性病例，该患者出现发热和急性阴囊溃疡，血液培养显示肠炎沙门氏菌伤寒血清型阳性。文中还讨论了文献中与伤寒热相关的生殖器溃疡。
结论
本报告表明，伤寒热是急性生殖器溃疡的鉴别诊断之一。
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