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成人空肠弯曲菌感染的临床方面

Clinical aspects of Campylobacter jejuni infections in adults.

作者信息

Peterson M C

机构信息

Department of Medicine, LDS Hospital, Salt Lake City, Utah.

出版信息

West J Med. 1994 Aug;161(2):148-52.

Abstract

Campylobacter jejuni is an almost ubiquitous, microaerophilic, gram-negative rod. Outbreaks have been associated with drinking raw milk or contaminated water and eating poultry. Campylobacter jejuni accounts for 3.2% to 6.1% of cases of diarrheal illness in the general population of the United States, and infected patients frequently present with abdominal pain and fever. Less frequently, C jejuni is responsible for bacteremia, septic arthritis, septic abortion, and other extraintestinal infections. Reactive arthritis, Reiter's syndrome, the Guillain-Barré syndrome, and pancreatitis may accompany or follow C jejuni enterocolitis. Campylobacter jejuni is an important cause of diarrheal illness and is a more commonly identified stool organism than Salmonella or Shigella species. Recurrent and chronic infection is generally reported in immunocompromised hosts.

摘要

空肠弯曲菌是一种几乎无处不在的微需氧革兰氏阴性杆菌。疫情爆发与饮用生牛奶或受污染的水以及食用家禽有关。在美国普通人群中,空肠弯曲菌占腹泻病病例的3.2%至6.1%,感染患者常出现腹痛和发热。较少见的是,空肠弯曲菌可导致菌血症、化脓性关节炎、感染性流产和其他肠外感染。反应性关节炎、赖特综合征、格林-巴利综合征和胰腺炎可能伴随空肠弯曲菌小肠结肠炎出现或在其后发生。空肠弯曲菌是腹泻病的重要病因,并且是比沙门氏菌或志贺氏菌属更常鉴定出的粪便微生物。免疫功能低下的宿主中一般会报告复发性和慢性感染。

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