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一名成人支原体肺炎感染的非典型表现酷似急性急腹症

An Atypical Presentation of Mycoplasma pneumoniae Infection Mimicking Acute Surgical Abdomen in an Adult.

作者信息

Lim Jia Yi, Wenham Timothy

机构信息

Internal Medicine, Barnsley Hospital NHS Foundation Trust, Barnsley, GBR.

Anaesthesia and Intensive Care Medicine, Barnsley Hospital NHS Foundation Trust, Barnsley, GBR.

出版信息

Cureus. 2024 Nov 14;16(11):e73665. doi: 10.7759/cureus.73665. eCollection 2024 Nov.

DOI:10.7759/cureus.73665
PMID:39552739
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11565626/
Abstract

is a causative organism of atypical pneumonia and often presents with extrapulmonary symptoms and signs involving cardiovascular, dermatological, gastrointestinal and neurological systems. This is mostly seen in children but less commonly reported in adults. This case describes infection in an adult who presented with severe abdominal pain and was initially investigated for surgical causes and underwent diagnostic laparoscopy with unremarkable intraoperative findings. This case report highlights the importance of recognising atypical presentations of and consideration of non-gastrointestinal pathologies in patients presenting with acute abdominal pain.

摘要

是一种非典型肺炎的致病微生物，常伴有涉及心血管、皮肤、胃肠道和神经系统的肺外症状和体征。这在儿童中最为常见，但在成人中报道较少。本病例描述了一名成年患者的感染情况，该患者表现为严重腹痛，最初因外科病因接受检查，并接受了诊断性腹腔镜检查，术中发现无异常。本病例报告强调了认识[微生物名称未给出]非典型表现以及考虑急性腹痛患者非胃肠道病理情况的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6f/11565626/fd09337a6933/cureus-0016-00000073665-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6f/11565626/5da3790e328a/cureus-0016-00000073665-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6f/11565626/fd09337a6933/cureus-0016-00000073665-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6f/11565626/5da3790e328a/cureus-0016-00000073665-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6f/11565626/fd09337a6933/cureus-0016-00000073665-i02.jpg

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本文引用的文献

1
Primary symptoms of severe mycoplasma pneumoniae pneumonia with acute abdomen, scrotal swelling and pain, and fever: A case report.以急性腹痛、阴囊肿胀疼痛和发热为主要表现的重症肺炎支原体肺炎 1 例
Immun Inflamm Dis. 2023 Oct;11(10):e955. doi: 10.1002/iid3.955.
2
Rare presentation of community acquired pneumonia resulted in laparoscopic intervention in adult. Case Report.社区获得性肺炎的罕见表现导致成人进行腹腔镜干预。病例报告。
Int J Surg Case Rep. 2020;75:214-218. doi: 10.1016/j.ijscr.2020.09.046. Epub 2020 Sep 14.
3
Mycoplasma pneumoniae-related hepatitis in children.
儿童肺炎支原体相关性肝炎。
Microb Pathog. 2020 Feb;139:103863. doi: 10.1016/j.micpath.2019.103863. Epub 2019 Nov 9.
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Things that could be Mycoplasma pneumoniae.可能是肺炎支原体的东西。
J Infect. 2017 Jun;74 Suppl 1:S95-S100. doi: 10.1016/S0163-4453(17)30198-6.
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Classification of Extrapulmonary Manifestations Due to Mycoplasma pneumoniae Infection on the Basis of Possible Pathogenesis.基于可能的发病机制对肺炎支原体感染所致肺外表现的分类
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Acute Necrotizing Pancreatitis Associated with Mycoplasma pneumoniae Infection in a Child.一名儿童的急性坏死性胰腺炎与肺炎支原体感染相关
Pediatr Gastroenterol Hepatol Nutr. 2015 Sep;18(3):209-15. doi: 10.5223/pghn.2015.18.3.209. Epub 2015 Sep 25.
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Pathogenesis of extrapulmonary manifestations of Mycoplasma pneumoniae infection with special reference to pneumonia.肺炎支原体感染的肺外表现发病机制，特别是肺炎。
J Infect Chemother. 2010 Jun;16(3):162-9. doi: 10.1007/s10156-010-0044-x. Epub 2010 Feb 27.
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Mycoplasma pneumoniae-an emerging extra-pulmonary pathogen.肺炎支原体——一种新出现的肺外病原体。
Clin Microbiol Infect. 2008 Feb;14(2):105-17. doi: 10.1111/j.1469-0691.2007.01834.x. Epub 2007 Oct 19.
9
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Eur J Neurol. 2006 Feb;13(2):112-24. doi: 10.1111/j.1468-1331.2006.01174.x.
10
Role of prednisolone treatment in severe Mycoplasma pneumoniae pneumonia in children.泼尼松龙治疗在儿童重症肺炎支原体肺炎中的作用。
Pediatr Pulmonol. 2006 Mar;41(3):263-8. doi: 10.1002/ppul.20374.