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一条复杂的线索:一名患有克罗恩病的年轻女性的腹部放线菌病

A Complicated Thread: Abdominal Actinomycosis in a Young Woman with Crohn Disease.

作者信息

Nahum Ari, Filice Gregory, Malhotra Ashish

机构信息

Minneapolis Veterans Hospital, Minneapolis, Minnesota, USA.

出版信息

Case Rep Gastroenterol. 2017 Jun 14;11(2):377-381. doi: 10.1159/000475917. eCollection 2017 May-Aug.

DOI:10.1159/000475917
PMID:28690491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5498965/
Abstract

Crohn disease is a chronic inflammatory condition that primarily affects the gastrointestinal tract. Typical manifestations include fever, weight loss, fatigue, and abdominal pain, and abdominal abscesses and fistulae are frequent complications. Abdominal actinomycosis is a subacute or indolent disease associated with spp. Symptoms can be very similar to those of Crohn disease, and fistulae are also common. Since ulcerations in the intestinal tract are thought to be caused by escaping from the gut lumen and establishing intra-abdominal infection, it seems likely that abdominal actinomycosis may occur in patients with inflammatory bowel disease. We report a case of abdominal actinomycosis in a woman with active Crohn disease.

摘要

克罗恩病是一种主要影响胃肠道的慢性炎症性疾病。典型表现包括发热、体重减轻、疲劳和腹痛,腹部脓肿和瘘管是常见并发症。腹部放线菌病是一种与 菌属相关的亚急性或慢性疾病。症状可能与克罗恩病非常相似,瘘管也很常见。由于肠道溃疡被认为是由 菌从肠腔逸出并引发腹腔内感染所致,因此炎症性肠病患者似乎有可能发生腹部放线菌病。我们报告一例患有活动性克罗恩病的女性发生腹部放线菌病的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1b0/5498965/5e1208196613/crg-0011-0377-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1b0/5498965/5e1208196613/crg-0011-0377-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1b0/5498965/5e1208196613/crg-0011-0377-g01.jpg

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