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[小肠结肠炎耶尔森菌所致末端回肠炎:一名12岁男性与克罗恩病的鉴别诊断]

[Terminal ileitis due to Yersinia enterocolitica: differential diagnosis with Crohn´s disease in a 12-year-old male].

作者信息

Cian Stefanía, Tabacco Omar, Costaguta Alejandro

机构信息

Servicio de Gastroenterología, Hepatología y Nutrición, Sanatorio de Niños, Rosario, Santa Fe, Argentina.

出版信息

Arch Argent Pediatr. 2020 Apr;118(2):e191-e193. doi: 10.5546/aap.2020.e191.

Abstract

Yersinia enterocolitica is a gram-negative rod causing intestinal infection in humans. It shows different clinical pictures with many different etiologies to be ruled-out, which sometimes makes it difficult to reach a timely and correct diagnosis. We report the case of an adolescent boy presenting with right lower quadrant pain from terminal ileitis with endoscopic findings akin to Crohn´s disease finally diagnosed as Yersinia enterocolitica, highlighting the usefulness of the different ancillary methods employed.

摘要

小肠结肠炎耶尔森菌是一种革兰氏阴性杆菌,可引起人类肠道感染。它表现出不同的临床症状,有许多不同的病因需要排除,这有时使得难以及时做出正确诊断。我们报告了一例青少年男性病例,该患者因末端回肠炎出现右下腹疼痛,内镜检查结果类似于克罗恩病,最终诊断为小肠结肠炎耶尔森菌感染,强调了所采用的不同辅助检查方法的作用。

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