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耶尔森菌病关节并发症的随访研究。

Follow-up studies of joint complications in yersiniosis.

作者信息

Kalliomäki J L, Leino R

出版信息

Acta Med Scand. 1979;205(6):521-5. doi: 10.1111/j.0954-6820.1979.tb06095.x.

Abstract

In 1971-73, 60 patients were hospitalized for an infectios disease caused by Y. enterocolitica serotypes III and IX or Y. pseudotuberculosis serotype I. In the spring of 1977 a follow-up study was carried out with 52 of these patients, one patient having died from intestinal perforation evidently resulting from yersiniosis-induced amyloidosis and colitis. The follow-up study showed that two patients had symptoms of sacroilitis, one had developed an apparent rheumatoid arthritis after yersiniosis and one had joint plans and a high serum rheumatoid factor titer with no objective joint changes. All results from kidney and liver studies were normal. No brucellosis antibodies were found in the follow-up study. Twelve patients had antibody titers against Y. enterocolitica serotype III.

摘要

1971年至1973年期间,60名患者因感染小肠结肠炎耶尔森菌血清型III和IX或假结核耶尔森菌血清型I而住院。1977年春季,对其中52名患者进行了随访研究,有一名患者死于明显由耶尔森菌病引起的淀粉样变性和结肠炎导致的肠穿孔。随访研究表明,两名患者有骶髂关节炎症状,一名患者在患耶尔森菌病后出现明显的类风湿性关节炎,一名患者有关节疼痛和高血清类风湿因子滴度,但无客观的关节变化。肾脏和肝脏检查的所有结果均正常。随访研究中未发现布鲁氏菌病抗体。12名患者针对小肠结肠炎耶尔森菌血清型III有抗体滴度。

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