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重症急性胰腺炎合并韦尔病

Severe Acute Pancreatitis Associated with Weil's Disease.

作者信息

Guechi Meriem, Guenifi Wahiba, Gasmi Abdelkader, Ouyahia Amel, Rais Mounira, Boukhrissa Houda, Mechakra Salah, Hemamid Habiba, Hakimi Abdelmalek, Lacheheb Abdelmadjid

机构信息

Infectious Diseases Department, Teaching Hospital, Setif, Algeria.

Faculty of Medicine University Ferhat Abbes, Setif, Algeria.

出版信息

Middle East J Dig Dis. 2023 Jan;15(1):53-56. doi: 10.34172/mejdd.2023.320. Epub 2023 Jan 30.

DOI:10.34172/mejdd.2023.320
PMID:37547157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10404078/
Abstract

Leptospirosis is an emerging zoonosis of worldwide importance. Its distribution is closely linked to hydrometric conditions. It is characterized by a wide clinical range, from the subclinical form, or one with few symptoms; which resolves spontaneously, to the multi-visceral form, known as icterrohemorrhagic disease or Weil's disease, with a lethal risk. All organs can be affected but with variable frequency. Pancreatic involvement is not well documented. We describe a 45-year-old man with Weil's disease associated with acute necrotizing pancreatitis. The evolution was favorable but required a three-week stay in the intensive care unit.

摘要

钩端螺旋体病是一种具有全球重要性的新发人畜共患病。其分布与水文条件密切相关。它的临床范围广泛,从亚临床形式或症状轻微的形式(可自发缓解)到多脏器形式,即黄疸出血型疾病或韦尔氏病,存在致死风险。所有器官都可能受到影响,但频率各不相同。胰腺受累的记录并不充分。我们描述了一名45岁患有韦尔氏病并伴有急性坏死性胰腺炎的男性患者。病情进展良好,但需要在重症监护病房住院三周。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4e/10404078/e03d9274d283/mejdd-15-53-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4e/10404078/687fc6be3db1/mejdd-15-53-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4e/10404078/e03d9274d283/mejdd-15-53-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4e/10404078/687fc6be3db1/mejdd-15-53-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4e/10404078/e03d9274d283/mejdd-15-53-g002.jpg

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本文引用的文献

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[Extra hepatic manifestations of hepatitis A].[甲型肝炎的肝外表现]
Rev Med Interne. 2022 Oct;43(10):603-607. doi: 10.1016/j.revmed.2022.07.007. Epub 2022 Jul 26.
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Leptospirosis as an unusual culprit of acute pancreatitis and portal vein thrombosis in a New Yorker.钩端螺旋体病——纽约一名患者急性胰腺炎和门静脉血栓形成的罕见病因
Clin Case Rep. 2020 Feb 19;8(4):690-695. doi: 10.1002/ccr3.2736. eCollection 2020 Apr.
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[Leptospirosis revealed by acute pancreatitis].[急性胰腺炎并发钩端螺旋体病]
Pan Afr Med J. 2019 Oct 11;34:83. doi: 10.11604/pamj.2019.34.83.15680. eCollection 2019.
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[Update on leptospirosis].[钩端螺旋体病的最新情况]
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The microscopic agglutination test (MAT) is an unreliable predictor of infecting Leptospira serovar in Thailand.显微镜凝集试验(MAT)在泰国并非预测感染钩端螺旋体血清型的可靠方法。
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Comparison of leptospiral serovars identification by serology and cultivation in northeastern region, Thailand.泰国东北部地区通过血清学和培养法进行钩端螺旋体血清型鉴定的比较
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