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系统性红斑狼疮患者中表现为缺血性结肠炎的胃肠道毛霉病。

Gastrointestinal mucormycosis mimicking ischemic colitis in a patient with systemic lupus erythematosus.

作者信息

Hosseini M, Lee J

机构信息

Department of Gastroenterology, University of California at Davis Medical Center, Sacramento 95817, USA.

出版信息

Am J Gastroenterol. 1998 Aug;93(8):1360-2. doi: 10.1111/j.1572-0241.1998.00417.x.

Abstract

This report describes the case of a 42-yr-old woman with systemic lupus erythematosus who presented with septic shock. Initially, a source of infection could not be found and the patient was started on stress dose corticosteroids and antibiotics. A CAT scan revealed thickened colon and endoscopy revealed possible ischemic colitis. She soon developed peritonitis, and was taken to surgery where gastrointestinal mucormycosis was found. The patient died despite amphotericin therapy.

摘要

本报告描述了一名42岁系统性红斑狼疮女性患者出现感染性休克的病例。起初,未找到感染源,患者开始接受应激剂量的皮质类固醇和抗生素治疗。计算机断层扫描显示结肠增厚,内镜检查显示可能存在缺血性结肠炎。她很快发展为腹膜炎,并接受了手术,术中发现胃肠道毛霉菌病。尽管接受了两性霉素治疗,患者仍死亡。

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