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[脾切除的地中海贫血患者中的小肠结肠炎耶尔森菌败血症。2例病例描述]

[Yersinia enterocolitica sepsis in splenectomized thalassemic subjects. Description of 2 cases].

作者信息

Rasore-Quartino A, Mattiello A, Cominetti M, Casini Lemmi M, Traverso T, Sansone G

出版信息

Pediatr Med Chir. 1986 Jan-Feb;8(1):121-4.

PMID:3725604
Abstract

Two cases of Yersinia enterocolitica septicemia in two splenectomized children with thalassemia major are reported. Human Yersinia enterocolitica septicemia is an uncommon condition, but its frequency may increase in patients having debilitating diseases or blood disorders, as well as a consequence of the splenectomy. Some brief considerations on the pathogenetic factors yielding, to severe infections in splenectomized thalassemic children are discussed. The high number of thalassemic people in Italy makes necessary an early diagnosis in case of septicemia. Particularly important is the blood culture, because of the slowness of the microbic development in stools.

摘要

报告了两例患有重型地中海贫血的脾切除儿童发生小肠结肠炎耶尔森菌败血症的病例。人类小肠结肠炎耶尔森菌败血症是一种罕见病症,但在患有衰弱性疾病或血液疾病的患者中,以及作为脾切除的后果,其发生率可能会增加。本文讨论了导致脾切除的地中海贫血儿童发生严重感染的致病因素。意大利地中海贫血患者数量众多,因此败血症时需要早期诊断。由于粪便中微生物生长缓慢,血培养尤为重要。

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