Nakaya Y, Shiota S, Sakamoto K, Iwase A, Aoki S, Matsuoka R, Tei Y, Okada Y, Miyake Y
Department of Infectious and Respiratory Medicine, Showa General Hospital, Kodaira, Tokyo.
Intern Med. 1998 May;37(5):489-92. doi: 10.2169/internalmedicine.37.489.
While traveling in India, a previously healthy twenty-year-old man had febrile diarrhea. The patient was prescribed medical therapy, and all symptoms were resolved. Fourteen days later, however, similar symptoms recurred. The patient was admitted to a local hospital, but was transferred to our department because of oliguria. Salmonella paratyphi A was isolated from blood and stool specimens, and Giardia lamblia was identified in his stool. The patient's condition was complicated by acute renal failure. The patient received tosufloxacin and metronidazole. Renal function recovered completely without hemodialysis. Paratyphoid fever and giardiasis were resolved. It is suggested that giardiasis exacerbated the paratyphoid fever.
一名此前健康的20岁男性在印度旅行期间出现发热性腹泻。患者接受了药物治疗，所有症状均得到缓解。然而，14天后，类似症状再次出现。患者入住当地医院，但因少尿被转至我科。从血液和粪便标本中分离出甲型副伤寒沙门氏菌，粪便中检出蓝氏贾第鞭毛虫。患者病情并发急性肾衰竭。患者接受了妥舒沙星和甲硝唑治疗。未进行血液透析，肾功能完全恢复。副伤寒热和贾第虫病均得到治愈。提示贾第虫病加重了副伤寒热。
