Arad E, Naschitz J, Yeshurun D
Dept. of Medicine A, Bnai Zion Medical Center, Haifa.
Harefuah. 1996 Jun 16;130(12):815-6.
Salmonellae are frequently isolated from urine during the course of typhoid fever, although cystitis in typhoid is rare. In a young man who had returned from India with severe hemorrhagic cystitis, urine and bone marrow cultures confirmed the diagnosis of typhoid. Full recovery followed treatment with chloramphenicol. This case illustrates an unusual presentation of typhoid fever and the illustrates an unusual presentation of typhoid fever and the diagnostic difficulties occasionally encountered in patients returning from developing countries.
伤寒热病程中常从尿液中分离出沙门氏菌,尽管伤寒并发膀胱炎很少见。一名从印度归来的年轻男子患有严重出血性膀胱炎,尿液和骨髓培养确诊为伤寒。使用氯霉素治疗后完全康复。该病例说明了伤寒热的一种不寻常表现,也说明了从发展中国家归来的患者偶尔会遇到的诊断困难。