Oken Harry A, Saleeb Paul G, Redfield Robert R, Schimpff Stephen C
University of Maryland School of Medicine, Baltimore, Maryland.
Open Forum Infect Dis. 2017 May 18;4(3):ofx104. doi: 10.1093/ofid/ofx104. eCollection 2017 Summer.
We present and discuss a 30-month investigation of a patient that presented with abdominal pain, postprandial diarrhea, bloating, and night sweats and was treated for Crohn's disease without significant improvement. The patient underwent an ileocecetomy with removal of an atonic segment with resolution of functional gastrointestinal symptoms, but profound night sweats continued postoperatively. The patient was presumptively treated for a mixed mycobacterial infection, blood cultures later grew (MAP), and she improved over time. We discuss MAP and its possible relationship to Crohn's disease.
我们展示并讨论了一项针对一名患者进行的为期30个月的调查。该患者出现腹痛、餐后腹泻、腹胀和盗汗症状，曾接受克罗恩病治疗但无明显改善。患者接受了回盲部切除术，切除了一段无张力肠段，功能性胃肠道症状得到缓解，但术后仍有严重盗汗。患者被初步诊断为混合分枝杆菌感染并接受治疗，后来血培养长出（鸟分枝杆菌），随着时间推移她的病情有所改善。我们讨论了鸟分枝杆菌及其与克罗恩病可能存在的关系。
