分析leptospisis病例的实验室分析,并伴有阿米巴肝功能ABSES

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL
Donaliazarti Donaliazarti
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引用次数: 0

摘要

钩端螺旋体病是由钩端螺旋体属的螺旋体微生物引起的疾病,而阿米巴肝脓肿是由溶组织内阿米巴引起的肠外并发症。这两种疾病均发生在一名个人卫生和环境卫生状况较差的45岁男子身上。发现阿米巴肝脓肿是一种巧合,认为在患者出现钩端螺旋体病之前就已经存在,两种疾病在患者身上造成了重叠的临床表现,但患者入院时出现的急性症状更有可能是由他的钩端螺旋体病引起的。病人主诉发高烧,皮肤和眼睛发黄,小便像浓茶,双腿僵硬,恶心,呕吐和胃灼热。体格检查发现发热,心动过速,皮肤及巩膜黄疸,睫状体注射,肝肿大。实验室检查显示轻度贫血伴正红细胞、嗜中性粒细胞右移的白细胞增多、血小板增多、ESR升高、APTT延长、高胆红素血症、SGOT、SGPT、ALP和GGT酶升高、低白蛋白血症、高球蛋白血症和胆红素尿。尿样镜检阴性发现钩端螺旋体。腹部超声检查显示肝右叶孤立性占位性病变(SOL),血清学检查显示抗阿米巴阳性。基于以上,诊断为钩端螺旋体病合并阿米巴肝脓肿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ANALISIS PEMERIKSAAN LABORATORIUM PADA KASUS LEPTOSPIROSIS DISERTAI ABSES HATI AMOEBA
Leptospirosis is a disease caused by spirochaeta microorganism of the genus Leptospira, while the amoebic liver abscess is an extraintestinal complication by Entamoeba Histolytica. Both diseases occurred in a 45-year-old man with poor personal hygiene and environment sanitation. Amoebic liver abscess was found to be a coincidence that was thought to have existed before the patient developed leptospirosis so that the two diseases caused overlapping clinical manifestations in the patient, but the acute symptoms experienced by the patient at the time of admission were more likely to be caused by his leptospirosis. Patient complained of high fever, yellowing of the skin and eyes, urinating like concentrated tea, stiffness in both legs, nausea, vomiting and heartburn. On physical examination found febrile, tachycardia, icteric on skin and sclera, ciliary injection, and hepatomegaly. Laboratory tests showed mild anemia with normocytic normochromic features, leukocytosis with neutrophilia shift to the right, thrombocytosis, increased ESR, prolonged APTT, hyperbilirubinemia, elevated SGOT SGPT, ALP and GGT enzymes, hypoalbuminemia, hyperglobulinemia, and bilirubinuria. Microscopic examination with negative staining of urine samples found Leptospira. Abdominal ultrasound examination showed a solitary space occupying lesion (SOL) in the right lobe of the liver and on serological examination showed positive antiamoeba. Based on the above, this patient was diagnosed as having coincident leptospirosis with amoebic liver abscess.
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来源期刊
Ceylon Medical Journal
Ceylon Medical Journal MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
16
期刊介绍: The Ceylon Medical Journal, is the oldest surviving medical journal in Australasia. It is the only medical journal in Sri Lanka that is listed in the Index Medicus. The CMJ started life way back in 1887 as the organ of the Ceylon Branch of the British Medical Association. Except for a brief period between 1893 and 1904 when it ceased publication, the CMJ or its forbear, the Journal of the Ceylon Branch of the British Medical Association, has been published without interruption up to now. The journal"s name changed to the CMJ in 1954.
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