[一名地中海贫血女孩患小肠结肠炎耶尔森菌败血症]
[Yersinia enterocolitica septicemia in a thalassemic girl].
作者信息
Arístegui J, Gárate J, Ondárroa E, Cos B, Sánchez E, Cisterna R, Delgado A
出版信息
An Esp Pediatr. 1985 Jul;23(1):51-8.
PMID:4062076
Abstract
We report a four-year-old girl, previously splenectomized because of thalassemia major, who was admitted with gastroenteritis, abdominal pain and high grade fever. At laparotomy she was found to have appendicitis and mesenteric adenitis. Blood and stool cultures grew yersinia enterocolitica. Clinical course was favourable under Ampicillin-Gentamycin treatment. The importance of iron metabolism in the pathogenesis of yersinia sepsis is stressed, being this topic reviewed.
摘要
我们报告了一名4岁女童，因重型地中海贫血此前已行脾切除术，因肠胃炎、腹痛和高热入院。剖腹探查时发现她患有阑尾炎和肠系膜腺炎。血液和粪便培养物中培养出小肠结肠炎耶尔森菌。在氨苄西林-庆大霉素治疗下临床病程良好。强调了铁代谢在耶尔森菌败血症发病机制中的重要性，并对该主题进行了综述。
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