患伤寒肝炎的病人

M. V. Arfijanto, Isty Rindryastuti
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引用次数: 0

摘要

伤寒肝炎是伤寒伴有黄疸、肝肿大和肝功能检查异常的症状。伤寒患者的发病率在0.4% -26%之间。我们报告一例34岁男性,表现为发热、鼻出血、胃肠道症状、血小板减少和AST/ ALT升高,因此患者首先被诊断为登革出血热II级。第9天症状和体征持续,igm和igg革登革均为阴性。然后我们评估肝炎病毒标志物和血培养。血培养检出伤寒沙门菌,血培养检出乙肝表面抗原(HBsAg)、丙型肝炎抗体(HCV)、igg抗体(HAV)均为阴性。患者给予头孢曲松1000mg bid iv治疗,病情好转出院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Patient with Typhoid Hepatitis
Typhoid hepatitis is typhoid fever accompanied by symptoms of jaundice, hepatomegaly and abnormal liver function tests. The incidence varies between 0.4% -26% of typhoid fever patients. We report a case of a 34-year-old male, presented with fever, epistaxis, gastrointestinal symptoms, thrombocytopenia and elevated AST/ ALT, thus the patient was first diagnosed as dengue hemorrhagic fever grade II. On day 9th the signs and symptoms were persisted, Ig M and Ig G Dengue was negative. Then we evaluated the virus marker for hepatitis and blood culture. The results were negative for HBsAg, anti HCV and Ig M anti HAV, but Salmonella typhi detected on blood culture. The patient was treated with ceftriaxone 1000mg bid iv and get better then discharged from hospital.
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