血色沉着病和醛固酮缺乏症伴假结核耶尔森菌败血症。
Haemochromatosis and aldosterone deficiency presenting with Yersinia pseudotuberculosis septicaemia.
作者信息
Conway S P, Dudley N, Sheridan P, Ross H
机构信息
Department of Infectious Diseases, Seacroft Hospital, Leeds, UK.
出版信息
Postgrad Med J. 1989 Mar;65(761):174-6. doi: 10.1136/pgmj.65.761.174.
Abstract
A 50 year old man presented with a pyrexial illness following a holiday abroad. Yersinia pseudotuberculosis was isolated from blood culture. Response to appropriate antibiotic therapy was prompt and complete, but full recovery was complicated by an episode of hyperkalaemia, hyponatraemia and the passing of large volumes of dilute urine. Three years previously he had developed diabetes mellitus and hypogonadotrophic hypogonadism. Investigation on recovery showed underlying haemochromatosis and aldosterone deficiency.
摘要
一名50岁男性在国外度假后出现发热性疾病。血培养分离出假结核耶尔森菌。对适当抗生素治疗的反应迅速且完全，但完全康复过程因高钾血症、低钠血症发作以及大量稀释尿的排出而变得复杂。三年前他患上了糖尿病和低促性腺激素性性腺功能减退症。康复后的检查显示存在潜在的血色素沉着症和醛固酮缺乏症。
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