Shah Puja, Rubia Arnikka, Iqbal Nimrah, Gonzalez Lisandra, Basak Ratna B
Pediatrics, Brookdale University Hospital Medical Center, New York, USA.
Pediatrics, Maimonides Medical Center, New York, USA.
Cureus. 2022 Aug 2;14(8):e27618. doi: 10.7759/cureus.27618. eCollection 2022 Aug.
Infection is a common cause of hematochezia in children. While infectious diarrhea can present with bloody stools, it is rare to have the passage of frank blood clots per rectum in the pediatric population. This is a case of a seven-year-old male who presented with vomiting, diarrhea, severe abdominal pain, and passage of blood clots per rectum. As symptoms progressed, consideration of non-infectious causes was investigated and subsequently ruled out. The stool polymerase chain reaction (PCR) was positive for Salmonella species, while stool culture was negative for any enteropathogen. This report highlights the unusual occurrence of the passage of blood clots per rectum in a child with salmonella enterocolitis.
感染是儿童便血的常见原因。虽然感染性腹泻可出现便血，但在儿科人群中经直肠排出新鲜血凝块的情况很少见。本文报告一例七岁男性患儿，出现呕吐、腹泻、严重腹痛及经直肠排出血凝块。随着症状进展，对非感染性病因进行了排查并排除。粪便聚合酶链反应（PCR）检测沙门氏菌属呈阳性，而粪便培养未检出任何肠道病原体。本报告强调了沙门氏菌小肠结肠炎患儿出现经直肠排出血凝块这一不寻常情况。
