从一名长期发热患者的肝脏中分离出沙眼衣原体。
Isolation of Chlamydia trachomatis from the liver of a patient with prolonged fever.
作者信息
Dan M, Tyrrell L D, Goldsand G
机构信息
Department of Medicine, University of Alberta, Edmonton, Canada.
出版信息
Gut. 1987 Nov;28(11):1514-6. doi: 10.1136/gut.28.11.1514.
Abstract
Chlamydia trachomatis was isolated from liver biopsy specimens on two separate occasions in a young, sexually inactive patient with a 10 month history of recurrent episodes of fever, chills, and abdominal pain. Liver function tests showed a five fold increase in alkaline phosphatase, and a 20 fold increase in 5'-nucleotidase. Liver histology changes consisted of mild inflammatory infiltrates in the portal tracts. Treatment with doxycycline was followed by complete recovery. We are not aware of any previous report describing isolation of this organism from the liver parenchyma, or of C trachomatis infection presenting as fever of obscure origin.
摘要
在一名年轻的、无性活动的患者中，两次从肝活检标本中分离出沙眼衣原体。该患者有10个月反复发热、寒战和腹痛的病史。肝功能检查显示碱性磷酸酶升高5倍，5'-核苷酸酶升高20倍。肝脏组织学改变包括门管区轻度炎症浸润。用强力霉素治疗后完全康复。我们不知道以前有任何关于从肝实质中分离出这种病原体的报告，也不知道有沙眼衣原体感染表现为不明原因发热的报告。
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