Murakami Takuya, Akimoto Tetsu, Yamazaki Tomoyuki, Yoshizawa Hiromichi, Okada Mari, Miki Atsushi, Nakagawa Saki, Ohara Ken, Sugase Taro, Masuda Takahiro, Kobayashi Takahisa, Saito Osamu, Muto Shigeaki, Nagata Daisuke
Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke, Japan.
Clin Med Insights Case Rep. 2018 Jul 3;11:1179547618785137. doi: 10.1177/1179547618785137. eCollection 2018.
A 28-year-old man was referred and admitted to our hospital due to O157-mediated hemorrhagic colitis with severe thrombocytopenia. A systemic workup concluded that the patient had acute pancreatitis as well as hemolytic uremic syndrome. The patient was ultimately discharged, with his platelet count having recovered. Our case serves an illustrative example of potentially serious complications of an increasingly recognized public health problem. Systemic studies on this topic are insufficient, and we strongly recommend the further accumulation of more experiences like ours. Several diagnostic and management concerns that emerged in this case are also discussed.
一名28岁男性因O157介导的出血性结肠炎伴严重血小板减少症转诊至我院并入院。全面检查发现该患者患有急性胰腺炎以及溶血尿毒综合征。患者最终出院,血小板计数已恢复。我们的病例是一个日益受到认可的公共卫生问题潜在严重并发症的典型例子。关于该主题的系统性研究不足,我们强烈建议进一步积累像我们这样的更多经验。本文还讨论了该病例中出现的一些诊断和管理问题。