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- 诱导性脾静脉血栓形成：一例关于急性腹痛罕见病因的病例报告

-induced splenic vein thrombosis: A case report on infrequent cause of acute abdomen.

作者信息

Saini Ruchika, Jesrani Gautam, Gupta Monica, Gupta Samiksha, Chhabra Ankit

机构信息

Department of General Medicine, Government Medical College and Hospital, Chandigarh, India.

出版信息

Turk J Emerg Med. 2021 Oct 29;21(4):210-213. doi: 10.4103/2452-2473.329625. eCollection 2021 Oct-Dec.

DOI:10.4103/2452-2473.329625
PMID:34849434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8593428/
Abstract

Splenic vein thrombosis and splenic infarction are complications beyond the usual clinical spectrum of paratyphoid fever, and the presentation is rarely described. We report the case of a young female, who presented with high-grade fever and severe left upper quadrant pain. Her blood culture was positive for A, with Widal test suggesting 4-fold rise in titers. Computed tomography revealed splenic vein thrombosis and multiple splenic infarcts, for which antibiotic and anticoagulation were instituted simultaneously. She had a complete resolution with this management, and anticoagulation was tapered off on subsequent visits.

摘要

脾静脉血栓形成和脾梗死是超出伤寒热常见临床范围的并发症，其表现很少被描述。我们报告了一例年轻女性病例，她出现高热和严重的左上腹疼痛。她的血培养显示甲型副伤寒杆菌阳性，肥达试验提示效价升高4倍。计算机断层扫描显示脾静脉血栓形成和多发性脾梗死，对此同时给予抗生素和抗凝治疗。经此治疗，她完全康复，后续复诊时逐渐停用抗凝药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbfd/8593428/bcb18a67248e/TJEM-21-210-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbfd/8593428/939b98337695/TJEM-21-210-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbfd/8593428/bcb18a67248e/TJEM-21-210-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbfd/8593428/939b98337695/TJEM-21-210-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbfd/8593428/bcb18a67248e/TJEM-21-210-g003.jpg

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本文引用的文献

1
Cytomegalovirus-Associated Splenic Infarction in a Young Female Patient.一名年轻女性患者的巨细胞病毒相关性脾梗死
Cureus. 2020 Oct 5;12(10):e10801. doi: 10.7759/cureus.10801.
2
Antibiotic Susceptibility Patterns of Salmonella Typhi and Salmonella Paratyphi in a Tertiary Care Hospital in Islamabad.伊斯兰堡一家三级护理医院中伤寒沙门氏菌和副伤寒沙门氏菌的抗生素敏感性模式
Cureus. 2020 Sep 3;12(9):e10228. doi: 10.7759/cureus.10228.
3
Laboratory Diagnosis of Paratyphoid Fever: Opportunity of Surface Plasmon Resonance.副伤寒热的实验室诊断：表面等离子体共振的机遇
Diagnostics (Basel). 2020 Jun 28;10(7):438. doi: 10.3390/diagnostics10070438.
4
Epstein Barr Virus-induced Antiphospholipid Antibodies Resulting in Splenic Infarct: A Case Report.爱泼斯坦-巴尔病毒诱导抗磷脂抗体导致脾梗死：一例报告
Cureus. 2019 Feb 22;11(2):e4119. doi: 10.7759/cureus.4119.
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A practical approach to infarction of the spleen as a rare manifestation of multiple common diseases.以一种实用的方法来处理脾脏梗死，这是多种常见疾病的罕见表现。
Ann Med. 2018 Sep;50(6):494-500. doi: 10.1080/07853890.2018.1492148. Epub 2018 Jul 31.
6
Splenic Infarction: An Under-recognized Complication of Infectious Mononucleosis?脾梗死：传染性单核细胞增多症一种未被充分认识的并发症？
Open Forum Infect Dis. 2018 Feb 17;5(3):ofy041. doi: 10.1093/ofid/ofy041. eCollection 2018 Mar.
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A rare neurological complication of typhoid fever: Guillain-Barre' syndrome.伤寒热的一种罕见神经并发症：吉兰 - 巴雷综合征。
J Pediatr Neurosci. 2014 May;9(2):148-9. doi: 10.4103/1817-1745.139323.
8
Acute splenic infarction in a hiker with previously unrecognised sickle cell trait.一名具有先前未被识别的镰状细胞性状的徒步旅行者发生急性脾梗死。
BMJ Case Rep. 2013 Apr 29;2013:bcr2013008931. doi: 10.1136/bcr-2013-008931.
9
Acute transverse myelitis: an unusual complication of typhoid fever.急性横贯性脊髓炎：伤寒热的一种罕见并发症。
Paediatr Int Child Health. 2012 Aug;32(3):174-6. doi: 10.1179/2046905512Y.0000000011.
10
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Clin Microbiol Infect. 2004 Jul;10(7):595-7. doi: 10.1111/j.1198-743X.2004.00816.x.