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一例通过粪便标本革兰氏染色和直接显微镜检查诊断为由弯曲菌肠炎引起的假性阑尾炎病例。

A Case of Pseudoappendicitis Caused by Campylobacter Enteritis Diagnosed by Gram Staining and Direct Microscopic Investigation of Stool Specimen.

作者信息

Tabata Hidetaka, Horinishi Yuta, Sano Chiaki, Ohta Ryuichi

机构信息

Gastroenterology, Fuchu Hospital, Osaka, JPN.

Community Care, Unnan City Hospital, Unnan, JPN.

出版信息

Cureus. 2023 Jan 19;15(1):e33980. doi: 10.7759/cureus.33980. eCollection 2023 Jan.

Abstract

Campylobacter infection may progress to a systemic infection through the intestinal tract. In many cases, symptoms are within the self-limiting range and do not require multidisciplinary treatment. In contrast, systemic infections in younger patients may be more severe and require hospitalization. Many differential diagnoses are considered when Campylobacter infection presents with severe abdominal pain, and the initial diagnosis may be difficult. We encountered a patient with Campylobacter infection who presented with acute-onset fever and general malaise. We diagnosed the case in a resource-poor setting by performing Gram staining of stool samples and fecal microscopy. This case suggests that a diagnosis of Campylobacter pseudoappendicitis can be made efficiently by combining various stool tests rather than waiting for culture results.

摘要

弯曲杆菌感染可能通过肠道发展为全身感染。在许多情况下,症状在自限范围内,不需要多学科治疗。相比之下,年轻患者的全身感染可能更严重,需要住院治疗。当弯曲杆菌感染出现严重腹痛时,需要考虑许多鉴别诊断,初步诊断可能很困难。我们遇到一名弯曲杆菌感染患者,表现为急性发热和全身不适。我们在资源匮乏的环境中通过对粪便样本进行革兰氏染色和粪便显微镜检查诊断了该病例。该病例表明,通过结合各种粪便检测而不是等待培养结果,可以有效地诊断弯曲杆菌假阑尾炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eae4/9941024/8890cb1d8ffb/cureus-0015-00000033980-i01.jpg

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