Dronfield M W, Fletcher J, Langman M J
Br Med J. 1974 Jan 19;1(5898):99-100. doi: 10.1136/bmj.1.5898.99.
Five cases of coincident salmonellosis and ulcerative colitis are described. In three the diagnostic combination was recognized late. If corticosteroid therapy is given for the colitis once the combination is recognized, then simultaneous systemic antibiotic cover is advisable. One of the five patients died during corticosteroid therapy alone with salmonella septicaemia due to a usually non-invasive organism.
本文描述了5例同时患有沙门氏菌病和溃疡性结肠炎的病例。其中3例较晚才确诊这两种疾病并存。一旦确诊两种疾病并存,若对结肠炎采用皮质类固醇治疗,则建议同时进行全身性抗生素覆盖。5例患者中有1例在仅接受皮质类固醇治疗期间死于沙门氏菌败血症,该病原体通常为非侵袭性。