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腹泻何时会致命:军团病并发肠梗阻

When Diarrhea Can Become Deadly: Legionnaires' Disease Complicated by Bowel Obstruction.

作者信息

Prichard Wesley, Fick Laurel

机构信息

Internal Medicine Faculty Department of Internal Medicine, St. Vincent Hospital, Indianapolis, IN, USA.

出版信息

Case Rep Gastroenterol. 2016 Dec 20;10(3):781-786. doi: 10.1159/000453657. eCollection 2016 Sep-Dec.

DOI:10.1159/000453657
PMID:28203124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5260597/
Abstract

Legionnaires' disease may present with a broad spectrum of illnesses and nonspecific extrapulmonary symptoms including diarrhea. To our knowledge, bowel obstruction has not been reported as a manifestation of . We present a unique case of Legionnaires' disease contributing to a small bowel obstruction.

摘要

军团病可能表现为多种疾病和非特异性肺外症状,包括腹泻。据我们所知,肠梗阻尚未被报道为军团病的一种表现形式。我们报告一例导致小肠梗阻的独特军团病病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c310/5260597/b45d367d9592/crg-0010-0781-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c310/5260597/9e65c81e8138/crg-0010-0781-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c310/5260597/6338b55a9659/crg-0010-0781-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c310/5260597/b45d367d9592/crg-0010-0781-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c310/5260597/9e65c81e8138/crg-0010-0781-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c310/5260597/6338b55a9659/crg-0010-0781-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c310/5260597/b45d367d9592/crg-0010-0781-g03.jpg

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本文引用的文献

1
Evaluation and management of intestinal obstruction.肠梗阻的评估与处理。
Am Fam Physician. 2011 Jan 15;83(2):159-65.
2
Severe Legionnaires disease complicated by multi-organ dysfunction in a previously healthy patient: a case report.一名既往健康患者发生的重症军团病并发多器官功能障碍:病例报告
Cases J. 2009 Dec 7;2:9151. doi: 10.1186/1757-1626-2-9151.
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Fulminant legionellosis in two patients treated with infliximab for Crohn's disease: case series and literature review.两例接受英夫利昔单抗治疗克罗恩病的暴发性军团菌病患者:病例系列及文献综述
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Diarrhea caused by primarily non-gastrointestinal infections.主要由非胃肠道感染引起的腹泻。
Nat Clin Pract Gastroenterol Hepatol. 2005 May;2(5):216-22. doi: 10.1038/ncpgasthep0167.
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Legionnaires' disease associated with macular rash: two cases.与黄斑疹相关的军团病:两例报告。
Acta Derm Venereol. 2005;85(4):342-4. doi: 10.1080/00015550510030050.
6
The lipid A palmitoyltransferase PagP: molecular mechanisms and role in bacterial pathogenesis.脂质A棕榈酰转移酶PagP:分子机制及其在细菌致病中的作用
Mol Microbiol. 2005 Aug;57(4):900-12. doi: 10.1111/j.1365-2958.2005.04711.x.
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Legionella as a cause of severe pneumonia.嗜肺军团菌作为重症肺炎的病因
Semin Respir Crit Care Med. 2000;21(4):295-304. doi: 10.1055/s-2000-9862.
8
Legionnaires disease: a case study.军团病:病例研究
Am J Crit Care. 2003 May;12(3):234-8.
9
Legionella pneumophila: an aquatic microbe goes astray.嗜肺军团菌:一种误入歧途的水生微生物。
FEMS Microbiol Rev. 2002 Jun;26(2):149-62. doi: 10.1111/j.1574-6976.2002.tb00607.x.
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Legionellosis.军团病
N Engl J Med. 1997 Sep 4;337(10):682-7. doi: 10.1056/NEJM199709043371006.