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艰难梭菌结肠炎:近期治疗与免疫学考量

Clostridium difficile colitis: recent therapeutical and immunological considerations.

作者信息

Delmée M, Warny M

机构信息

Unité de Microbiologie, UCL, Bruxelles, Belgium.

出版信息

Acta Gastroenterol Belg. 1995 May-Aug;58(3-4):313-7.

PMID:7491844
Abstract

Clostridium difficile is the main etiological agent of antibiotic associated diarrhoea and pseudomembranous colitis (PMC). It is considered as the most frequent agent of infectious diarrhoea occurring in hospitalized patients, in whom it is responsible for a high morbidity and occasional mortality even when the diagnosis and the treatment are pursued aggressively (1). The pathology is due to the production of at least two toxins: toxin A is an enterotoxin which induces intestinal tissue damage and a fluid response and toxin B is a cytotoxin which lacks any enterotoxic activity but is believed to exert an additive effect in vivo (2).

摘要

艰难梭菌是抗生素相关性腹泻和伪膜性结肠炎(PMC)的主要病原体。它被认为是住院患者中最常见的感染性腹泻病原体,即使积极进行诊断和治疗,它仍会导致高发病率和偶发性死亡(1)。其病理原因是产生至少两种毒素:毒素A是一种肠毒素,可诱导肠道组织损伤和液体反应;毒素B是一种细胞毒素,缺乏任何肠毒素活性,但被认为在体内发挥累加效应(2)。

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1
Clostridium difficile colitis: recent therapeutical and immunological considerations.艰难梭菌结肠炎:近期治疗与免疫学考量
Acta Gastroenterol Belg. 1995 May-Aug;58(3-4):313-7.
2
Cytotoxin and enterotoxin production by Clostridium difficile.艰难梭菌产生的细胞毒素和肠毒素
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3
[Practical experience with the detection Clostridium difficile].
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Clostridium difficile and cytotoxin in feces of patients with antimicrobial agent-associated pseudomembranous colitis.抗菌药物相关性假膜性结肠炎患者粪便中的艰难梭菌和细胞毒素。
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Can Med Assoc J. 1978 Nov 4;119(9):1058-60.
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Clostridium difficile colitis.艰难梭菌结肠炎
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[Pseudomembranous colitis probably caused by Clostridium difficile: first case appeared during preventive treatment of infection of ascitic fluid with norfloxacin].[可能由艰难梭菌引起的伪膜性结肠炎:首例病例出现在用诺氟沙星预防性治疗腹水感染期间]
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