Ozen H, Seçmeer G, Kanra G, Ecevit Z, Ceyhan M, Dursun A, Anlar Y
Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara.
Turk J Pediatr. 1995 Apr-Jun;37(2):169-71.
Typhoid fever is endemic in developing countries and may cause very different clinical findings. Although hepatic involvement and abnormal liver function tests may be seen in 50% of the patients, intravascular hemolysis and renal involvement are rare. In this report, a 10-year-old patient with enteric fever presenting with hepatitis, severe intravascular hemolysis and glomerulonephritis is presented. To see all of these findings together in a patient with typhoid fever is very rare and may cause diagnostic difficulties.
伤寒热在发展中国家呈地方性流行，可能导致非常不同的临床表现。虽然50%的患者可能出现肝脏受累及肝功能检查异常，但血管内溶血和肾脏受累很少见。在本报告中，介绍了一名10岁患肠热病的患者，其表现为肝炎、严重血管内溶血和肾小球肾炎。在一名伤寒热患者身上同时出现所有这些表现非常罕见，可能会导致诊断困难。
