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严重弯曲杆菌肠炎并发症之大量下消化道出血

Massive Lower Gastrointestinal Hemorrhage as a Complication of Severe Campylobacter Enteritis.

作者信息

Sharma Radhika, Attarha Barrett O, Abadeer Kerolos, Ribeiro Bruno

机构信息

Internal Medicine, University of Florida College of Medicine, Jacksonville, USA.

Gastroenterology, University of Florida College of Medicine, Jacksonville, USA.

出版信息

Cureus. 2022 Apr 18;14(4):e24239. doi: 10.7759/cureus.24239. eCollection 2022 Apr.

Abstract

Campylobacter enteritis is typically caused by or and is a major cause of diarrheal illness worldwide. Patients with Campylobacter gastroenteritis can be asymptomatic, but commonly present with a wide range of clinical symptoms including abdominal pain, diarrhea, vomiting, and occasionally self-resolving hematochezia. Although hematochezia can occur, acute massive lower gastrointestinal (GI) bleeding is a rare complication of Campylobacter gastroenteritis and should be considered as a possible differential diagnosis in the presentation of lower GI bleeds. We describe a unique case of a 48-year-old male who presented with massive lower GI bleeding requiring multiple transfusions and admission to the medical intensive unit; the patient was ultimately diagnosed with severe Campylobacter gastroenteritis.

摘要

弯曲杆菌肠炎通常由[具体病菌]引起,是全球腹泻疾病的主要病因。弯曲杆菌肠胃炎患者可能无症状,但常见的临床症状包括腹痛、腹泻、呕吐,偶尔还有自行缓解的便血。虽然可能出现便血,但急性大量下消化道出血是弯曲杆菌肠胃炎的罕见并发症,在出现下消化道出血时应考虑作为可能的鉴别诊断。我们描述了一例独特病例,一名48岁男性出现大量下消化道出血,需要多次输血并入住医学重症监护病房;该患者最终被诊断为严重弯曲杆菌肠胃炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beb2/9117821/eb388519d9fa/cureus-0014-00000024239-i01.jpg

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