空肠弯曲菌感染引起的贫血性消化道出血

Julio César Moreno-Alfonso, Giuseppa Antona, A. M. Molina Caballero, A. Pérez Martínez
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引用次数: 0

摘要

我们接诊的是一名 13 个月大的男婴,他曾因感染空肠弯曲菌而多次腹泻,并伴有粘液和血便。他在最后一次腹泻时因粘液脓血便、发烧和口腔不耐受而入院。他接受了阿莫西林/克拉维酸治疗,并进行了血液检查,未发现白细胞增多(14 x109/L),但有中性粒细胞增多(10.2 x109/L)和 CRP 升高(85 毫克/升),此外还进行了腹部超声波检查,发现右髂窝有少量积液。住院第二天,他出现无痛胃肠道出血,需要输血(血红蛋白 6.3g/dL),但血流动力学稳定,下腹部微痛,但无腹膜刺激症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anemic Gastrointestinal Bleeding in Campylobacter Jejuni Infection
We present a 13-month-old male with a history of multiple diarrheal episodes with mucus and blood due to Campylobacter Jejuni infection. He was admitted in the last of them due to mucosanguinous stools, fever and oral intolerance. He was treated with amoxicillin/clavulanic acid and a blood test was performed without leukocytosis (14 x109/L) but with neutrophilia (10.2 x109/L) and elevated CRP (85mg/L), in addition to abdominal ultrasound with minimal fluid tab in the right iliac fossa. On the second day of hospitalization, he presented an anemizing and painless gastrointestinal bleeding that required transfusion (hemoglobin 6.3g/dL), however, he was hemodynamically stable, with slightly painful abdomen in lower quadrants, but without peritoneal irritation.
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