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感染诱发的噬血细胞综合征并随后发展为可能的消失性胆管综合征:一例报告及文献综述

infection-induced hemophagocytic syndrome with subsequent development of the probable vanishing bile duct syndrome: A case report and literature review.

作者信息

Xu Musen, Mo Shaojian, Fu Xifeng

机构信息

Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, China.

出版信息

SAGE Open Med Case Rep. 2023 Oct 27;11:2050313X231207562. doi: 10.1177/2050313X231207562. eCollection 2023.

Abstract

Vanishing bile duct syndrome is a rare clinical manifestation, and many clinicians tend to classify vanishing bile duct syndrome as a surgical disease and perform emergency surgery, leading to poor prognosis for patients. In this report, we present a case of a patient initially diagnosed with probable vanishing bile duct syndrome. However, through a meticulous step-by-step investigation, we ultimately determined that the patient was suffering from infection-induced hemophagocytic syndrome, which contributed to the development of the probable vanishing bile duct syndrome. Once a definitive diagnosis was established, the patient underwent treatment following anti- and Hemophagocytic lymphohistiocytosis-2004 protocols, leading to an improvement in the patient's condition. We conducted a literature review on , and it demonstrated the lack of specificity in diagnosing infections and the diverse range of clinical manifestations. Failure to arrive at a definitive diagnosis may result in clinical misdiagnosis and delayed treatment, thereby leading to grave consequences.

摘要

消失胆管综合征是一种罕见的临床表现,许多临床医生倾向于将消失胆管综合征归类为外科疾病并进行急诊手术,导致患者预后不良。在本报告中,我们介绍了一例最初被诊断为可能患有消失胆管综合征的患者。然而,通过细致的逐步调查,我们最终确定该患者患有感染诱发的噬血细胞综合征,这导致了可能的消失胆管综合征的发生。一旦确诊,患者按照抗噬血细胞性淋巴组织细胞增生症-2004方案进行治疗,病情得到改善。我们对相关文献进行了综述,结果表明在诊断感染方面缺乏特异性,且临床表现多样。未能做出明确诊断可能导致临床误诊和治疗延误,从而造成严重后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d84d/10612464/3a1659d54751/10.1177_2050313X231207562-fig1.jpg

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