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钩端螺旋体病表现为急性非结石性胆囊炎。

Leptospirosis presenting as acute acalculous cholecystitis.

作者信息

Davies Peter, Aoyagi Yuki

机构信息

Medical Department Whangarei Base Hospital Whangarei New Zealand.

出版信息

Clin Case Rep. 2017 Sep 15;5(11):1775-1779. doi: 10.1002/ccr3.1173. eCollection 2017 Nov.

DOI:10.1002/ccr3.1173
PMID:29152269
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5676275/
Abstract

Leptospirosis is the commonest zoonotic infection worldwide but is vastly underreported and extremely heterogeneous in its presentation. Acalculous cholecystitis is an under recognized presentation of acute leptospirosis. In the appropriate clinical context, with a clear exposure history, recognition of this association presents a unifying diagnosis and limits unnecessary surgical interventions.

摘要

钩端螺旋体病是全球最常见的人畜共患感染病，但报告严重不足，其临床表现极为多样。无结石性胆囊炎是急性钩端螺旋体病一种未得到充分认识的表现形式。在适当的临床背景下，结合明确的暴露史，认识到这种关联可得出统一诊断，并减少不必要的手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/5676275/c60d67f45427/CCR3-5-1775-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/5676275/c60d67f45427/CCR3-5-1775-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/5676275/c60d67f45427/CCR3-5-1775-g001.jpg

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