Reina J, Serra A
Servicio de Microbiología Clínica, Hospital Universitario Son Dureta (UIB), Palma de Mallorca.
Rev Clin Esp. 1994 Jan;194(1):17-9.
We report the clinical characteristics of three adult patients with a chronic gastroenteritis (more than 10 days duration) due to Plesiomonas shigelloides. The three patients presented previously an underlying disease; a chronic liver disease (alcoholic and viral) and a cancer disease. Although the immunosuppressed condition of the patients, the diarrhea was moderate with 6-12 movements/day; the feces were liquid with mucose and blood. No one patient presented fever but all of them had important abdominal pain. Two patients were treated with cotrimoxazole and ciprofloxacin because of their underlying disease. We review the clinical characteristics of chronic diarrhea caused by P. shigelloides in adult patients, and the possibility that this microorganism would be considered a true enteropathogen.
我们报告了3例因类志贺邻单胞菌导致慢性肠胃炎（病程超过10天）的成年患者的临床特征。这3例患者之前均有基础疾病，分别为慢性肝病（酒精性和病毒性）和癌症。尽管患者存在免疫抑制状况，但腹泻程度为中度，每天排便6 - 12次；粪便呈黏液样且带血。无一例患者发热，但均有严重腹痛。2例患者因其基础疾病接受了复方新诺明和环丙沙星治疗。我们回顾了成年患者中由类志贺邻单胞菌引起的慢性腹泻的临床特征，以及该微生物被视为真正肠道病原体的可能性。
