与伤寒相关的高钙血症。
Hypercalcaemia in association with enteric fever.
作者信息
Connolly M J, Snow M H, Farndon J R
机构信息
Department of Medicine, Newcastle General Hospital, UK.
出版信息
Postgrad Med J. 1989 Mar;65(761):180-2. doi: 10.1136/pgmj.65.761.180.
We report 2 cases of hypercalcaemia and hypercalciuria, with detectable levels of parathyroid hormone, which appeared to be precipitated by enteric fever. Extensive investigation of one case, including ultrasound, isotope scanning, angiography, computed tomographic scanning and surgical exploration, failed to detect a parathyroid adenoma. In both cases biochemical and hormonal abnormalities resolved several months after recovery of enteric fever. The mechanism of the proposed association is unexplained but it should be considered in any patient with hypercalcaemia and detectable parathyroid hormone levels, who is suffering from or has recently recovered from enteric fever. If such a patient is well, a period of several month's observation is recommended. We believe these two cases to be the first such reports of hypercalcaemia in association with enteric fever.
我们报告了2例高钙血症和高钙尿症病例，甲状旁腺激素水平可检测到，这似乎是由伤寒引起的。对其中1例进行了广泛检查，包括超声、同位素扫描、血管造影、计算机断层扫描和手术探查，但未发现甲状旁腺腺瘤。在这2例病例中，生化和激素异常在伤寒恢复数月后均得到缓解。这种假定关联的机制尚不清楚，但对于任何患有高钙血症且甲状旁腺激素水平可检测到、正在患伤寒或最近从伤寒中康复的患者，都应考虑到这一点。如果此类患者情况良好，建议进行数月的观察。我们认为这2例病例是关于高钙血症与伤寒相关的首例此类报告。
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