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白喉在未接种疫苗人群中再度出现。

Diphtheria re-emerges in the unimmunized.

作者信息

Anderson Paul, Solomon Matthew, Ramlatchan Sidhartha, Banerjee Paul, Ganti Latha

机构信息

Coliseum Medical Centers Emergency Medicine Residency Program, Mercer School of Medicine, Macon, GA, USA.

Brown University, Providence, RL, USA.

出版信息

IDCases. 2020 Dec 10;23:e01020. doi: 10.1016/j.idcr.2020.e01020. eCollection 2021.

DOI:10.1016/j.idcr.2020.e01020
PMID:33364166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7753149/
Abstract

The authors present a case of a 33-year-old African American male with respiratory diphtheria. The patient was initially assumed to have a peritonsillar abscess before various laboratory tests. He complained of dysphagia, throat pain, and shortness of breath. The patient's physical examination, supported by video laryngoscopy imaging and a CT scan, showed swelling of his pharynx. The patient reports that he was recently incarcerated for one year and did not receive immunizations as a child. Following his diagnosis, the patient was treated and subsequently recovered.

摘要

作者报告了一例33岁患有呼吸道白喉的非裔美国男性病例。在进行各种实验室检查之前,该患者最初被假定患有扁桃体周围脓肿。他主诉吞咽困难、咽痛和呼吸急促。患者的体格检查,在视频喉镜成像和CT扫描的辅助下,显示其咽部肿胀。患者报告称他最近被监禁了一年,小时候未接种过疫苗。确诊后,该患者接受了治疗并随后康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ab/7753149/1de91ec4f47b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ab/7753149/d32f6792079e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ab/7753149/8ec284a7f464/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ab/7753149/1de91ec4f47b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ab/7753149/d32f6792079e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ab/7753149/8ec284a7f464/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ab/7753149/1de91ec4f47b/gr3.jpg

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本文引用的文献

1
Global Epidemiology of Diphtheria, 2000-2017.全球白喉流行病学,2000-2017 年。
Emerg Infect Dis. 2019 Oct;25(10):1834-1842. doi: 10.3201/eid2510.190271.
2
Clinical and Epidemiological Aspects of Diphtheria: A Systematic Review and Pooled Analysis.白喉的临床和流行病学特征:系统评价和汇总分析。
Clin Infect Dis. 2020 Jun 24;71(1):89-97. doi: 10.1093/cid/ciz808.
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Vaccinations in prisons: A shot in the arm for community health.监狱中的疫苗接种:对社区健康的一剂强心针。
Hum Vaccin Immunother. 2015;11(11):2615-26. doi: 10.1080/21645515.2015.1051269. Epub 2015 Jul 9.
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Molecular and epidemiological review of toxigenic diphtheria infections in England between 2007 and 2013.2007年至2013年间英格兰产毒素白喉感染的分子与流行病学综述
J Clin Microbiol. 2015 Feb;53(2):567-72. doi: 10.1128/JCM.03398-14. Epub 2014 Dec 10.
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A 9-year-old boy with severe diphtherial infection and cardiac complications.一名患有严重白喉感染并伴有心脏并发症的9岁男孩。
BMJ Case Rep. 2014 Nov 20;2014:bcr2014206085. doi: 10.1136/bcr-2014-206085.
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