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重症伤寒热揭示的胡桃夹综合征:一例罕见病例报告

Nutcracker syndrome unveiled by severe Typhoid fever: A rare case report.

作者信息

Eddouali Mohamed Amine, Slaihi Zakariae, Armel Bouchra, El Hamzaoui Hamza, Ziani Hicham, Guenoun Souleimane, Azouzi Imane, Arfaoui Manal El, Alilou Mustapha

机构信息

Unit of Critical Emergency Care Hospital IBN SINA, Rabat, Morocco.

Department of intensive care Unit, Hospital IBN SINA, Rabat, Morocco.

出版信息

Radiol Case Rep. 2024 Feb 2;19(4):1646-1649. doi: 10.1016/j.radcr.2024.01.034. eCollection 2024 Apr.

DOI:10.1016/j.radcr.2024.01.034
PMID:38327558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10847834/
Abstract

Typhoid fever, caused by Salmonella Typhi, is a severe bacterial infection prevalent in developing countries, and can result in life-threatening complications if untreated. Nutcracker Syndrome is a rare vascular disorder involving compression of the left renal vein between the aorta and the superior mesenteric artery. It can lead to various symptoms and poses diagnostic and management challenges. We present a case study of a patient diagnosed with typhoid fever in a Unit of Critical Emergency Care. Coincidentally, the evaluation through CT-scan revealed the presence of Nutcracker Syndrome. This report underscores the incidental discovery of Nutcracker Syndrome during the assessment of a patient with typhoid fever in a critical emergency care setting.

摘要

伤寒热由伤寒沙门氏菌引起,是一种在发展中国家普遍存在的严重细菌感染,如果不治疗可能会导致危及生命的并发症。胡桃夹综合征是一种罕见的血管疾病,涉及左肾静脉在主动脉和肠系膜上动脉之间受压。它可导致各种症状,并带来诊断和管理方面的挑战。我们展示了一例在重症急救病房被诊断为伤寒热的患者的病例研究。巧合的是,通过CT扫描评估发现了胡桃夹综合征。本报告强调了在重症急救环境中对伤寒热患者进行评估时偶然发现胡桃夹综合征的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d42/10847834/01570d5c5d34/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d42/10847834/01570d5c5d34/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d42/10847834/01570d5c5d34/gr1.jpg

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Nutcracker syndrome unveiled by severe Typhoid fever: A rare case report.重症伤寒热揭示的胡桃夹综合征:一例罕见病例报告
Radiol Case Rep. 2024 Feb 2;19(4):1646-1649. doi: 10.1016/j.radcr.2024.01.034. eCollection 2024 Apr.
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本文引用的文献

1
Changing Patterns in Enteric Fever Incidence and Increasing Antibiotic Resistance of Enteric Fever Isolates in the United States, 2008-2012.2008 - 2012年美国伤寒热发病率的变化趋势及伤寒热分离株抗生素耐药性的增加
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2
Nutcracker phenomenon and nutcracker syndrome.胡桃夹现象和胡桃夹综合征。
Mayo Clin Proc. 2010 Jun;85(6):552-9. doi: 10.4065/mcp.2009.0586.
3
Effect of renal Doppler ultrasound on the detection of nutcracker syndrome in children with hematuria.
肾多普勒超声对血尿患儿胡桃夹综合征的检测效果。
Eur J Pediatr. 2007 May;166(5):399-404. doi: 10.1007/s00431-006-0252-7. Epub 2006 Oct 19.
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Typhoid fever.伤寒热
N Engl J Med. 2002 Nov 28;347(22):1770-82. doi: 10.1056/NEJMra020201.