Giacchino R, Fabbri A, Campelli A, Dodero P
Pediatr Med Chir. 1983 Mar-Apr;5(1-2):31-4.
The Authors present the cases of cholangitis in childhood observed in the Institute of Infectious diseases of Genoa from 1973 to 1982. Cholangitis rarely starts by alone, whereas it appears usually in association with hepatic underlying disease. In childhood the symptomatological triad (fever, jaundice, pain) is infrequent: only jaundice is a common sign of disease. Polymicrobial aetiology of cholangitis is very usual, but Streptococci and E. coli are the aetiological agents most frequently observed; sometimes also anaerobic organsimee, fungi and protozoa cause cholangitis.
作者介绍了1973年至1982年在热那亚传染病研究所观察到的儿童胆管炎病例。胆管炎很少单独发病,通常与肝脏基础疾病相关。在儿童中,症状三联征(发热、黄疸、疼痛)并不常见:只有黄疸是该病的常见体征。胆管炎的多微生物病因很常见,但链球菌和大肠杆菌是最常观察到的病原体;有时厌氧菌、真菌和原生动物也会引起胆管炎。