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[发热、肝肉芽肿病、心电图改变及小肠结肠炎耶尔森菌血清学诊断阳性:两例报告(作者译)]

[Fever, hepatic granulomatosis, electrocardiogram changes, and a positive serodiagnosis for Yersinia enterocolitica: two case reports (author's transl)].

作者信息

Piéron R, Mafart Y, Lesobre B, Zurbach J, Ferraud D, Meyniel D

出版信息

Ann Med Interne (Paris). 1980;131(6):353-5.

PMID:7469239
Abstract

Though no bacteria were isolated, a diagnosis of Yersinia enterocolitica infection was confirmed in two patients by strongly positive serology tests, with levels much above the normal. Both patients had fever, hepatic granulomatosis, and electrocardiogram anomalies, and there was associated dysuria and prostatitis in one case. The authors review the hepatic, urinary, and electrocardiogram manifestations reported in the published literature, and describe the antigenic and serologic relationships existing between Y. enterocolitica type 9 and Brucella abortus.

摘要

尽管未分离出细菌,但两名患者通过血清学检测呈强阳性确诊为小肠结肠炎耶尔森菌感染,其水平远高于正常范围。两名患者均有发热、肝肉芽肿和心电图异常,其中一例还伴有排尿困难和前列腺炎。作者回顾了已发表文献中报道的肝脏、泌尿系统和心电图表现,并描述了9型小肠结肠炎耶尔森菌与流产布鲁氏菌之间存在的抗原和血清学关系。

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