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腹泻:一种酷似感染的炎症性疾病。

Diarrhoea: An Inflammatory Disorder Mimicking an Infection.

作者信息

Khan Usman, Elseby Amr, Qureshi Hassan

机构信息

Internal Medicine, Royal Preston Hospital, Preston, GBR.

Family Medicine, Blackpool Victoria Hospital, Blackpool, GBR.

出版信息

Cureus. 2023 Aug 25;15(8):e44101. doi: 10.7759/cureus.44101. eCollection 2023 Aug.

Abstract

Diarrhoea is a common presentation in acute emergency with potentially multifactorial causes. Hence, the chances of misdiagnosis can be high. Among these causes are listed diseases which are primarily inflammatory in nature. Presented here is a rare case of Behcet's colitis with valuable clinical lessons, in a patient who is known to have Behcet's disease and was admitted with acute onset bloody diarrhoea. This was a gastrointestinal manifestation of the patient's multisystemic inflammatory disorder as proven by investigations via computed tomography (CT) scan, sigmoidoscopy, and histology. He was treated with steroids and mesalazine, and later switched to infliximab and made a quick recovery.

摘要

腹泻是急性急症中常见的症状,其病因可能是多因素的。因此,误诊的可能性很高。这些病因中包括本质上主要为炎症性的疾病。本文介绍了一例罕见的白塞氏结肠炎病例,该病例为一名已知患有白塞氏病且因急性发作血性腹泻入院的患者,从中可吸取宝贵的临床经验教训。经计算机断层扫描(CT)、乙状结肠镜检查及组织学检查证实,这是该患者多系统炎症性疾病的胃肠道表现。他接受了类固醇和美沙拉嗪治疗,后来改用英夫利昔单抗并迅速康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c258/10518136/9457debd88f2/cureus-0015-00000044101-i01.jpg

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