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免疫功能低下患者的肠外沙门氏菌病:一例罕见的脓性肌炎病例。

Extraintestinal Salmonellosis in the Immunocompromised: An Unusual Case of Pyomyositis.

作者信息

Meyyur Aravamudan Veeraraghavan, Kee Fong Phang, Singh Pavel, Sze Chin Jong, Sam Yang Shiyao, Tambyah P A

机构信息

Department of Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074.

Department of Diagnostic Imaging, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074.

出版信息

Case Rep Med. 2017;2017:5030961. doi: 10.1155/2017/5030961. Epub 2017 Sep 11.

DOI:10.1155/2017/5030961
PMID:29081808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5612306/
Abstract

Salmonella infection can cause a wide range of presentations, predominantly gastrointestinal but occasionally with cardiovascular or other extraintestinal manifestations. The diagnosis of extraintestinal salmonellosis requires a high degree of clinical suspicion and should be considered in patients with deep-seated abscesses especially if they are immunocompromised. We present a case of salmonella causing gastroenteritis complicated by an intramuscular abscess of the left leg. With prompt recognition and multidisciplinary management, the patient recovered with no serious sequela.

摘要

沙门氏菌感染可导致多种临床表现,主要为胃肠道症状,但偶尔也会出现心血管或其他肠外表现。肠外沙门氏菌病的诊断需要高度的临床怀疑,对于有深部脓肿的患者,尤其是免疫功能低下的患者,应考虑该病。我们报告一例沙门氏菌引起的胃肠炎并发左腿肌肉脓肿的病例。通过及时识别和多学科管理,患者康复,未出现严重后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/6f55e4a7652b/CRIM2017-5030961.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/5bacea1535b8/CRIM2017-5030961.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/60fc35363c08/CRIM2017-5030961.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/7c4298c724d9/CRIM2017-5030961.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/a1c8eca21d97/CRIM2017-5030961.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/6f55e4a7652b/CRIM2017-5030961.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/5bacea1535b8/CRIM2017-5030961.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/60fc35363c08/CRIM2017-5030961.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/7c4298c724d9/CRIM2017-5030961.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/a1c8eca21d97/CRIM2017-5030961.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c518/5612306/6f55e4a7652b/CRIM2017-5030961.005.jpg

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本文引用的文献

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Clin Infect Dis. 2016 Aug 15;63(4):572-3. doi: 10.1093/cid/ciw351. Epub 2016 May 25.
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Same species, different diseases: how and why typhoidal and non-typhoidal Salmonella enterica serovars differ.
巴基斯坦伤寒沙门氏菌肠外播散。
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Typhoid in Kenya is associated with a dominant multidrug-resistant Salmonella enterica serovar Typhi haplotype that is also widespread in Southeast Asia.肯尼亚的伤寒与一种主要的多药耐药沙门氏菌血清型 Typhi 单倍型有关,该单倍型也广泛存在于东南亚。
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Burden of typhoid and paratyphoid fever in a densely populated urban community, Dhaka, Bangladesh.孟加拉国达卡人口稠密社区的伤寒和副伤寒负担。
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Non-typhoidal Salmonella bacteraemia: epidemiology, clinical characteristics and its' association with severe immunosuppression.非伤寒沙门菌败血症:流行病学、临床特征及其与严重免疫抑制的关联
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Clinical presentation of extraintestinal infections caused by non-typhoid Salmonella serotypes among patients at the University Hospital in Cracow during an 7-year period.克拉科夫大学医院7年间非伤寒沙门氏菌血清型引起的肠外感染患者的临床表现。
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