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題 名 | 漢他病毒出血熱併腎病變:一病例報告=Hemorrhagic Fever with Renal Syndrome: A Case Report of Hantavirus Infection |
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作 者 | 陳淑廷; 劉永慶; 王任賢; 陳垚生; 王堯顯; 萬樹人; 林錫勳; 李欣蓉; 顏慕庸; 鄭德齡; | 書刊名 | 微免與感染雜誌 |
卷 期 | 31:1 1998.03[民87.03] |
頁 次 | 頁64-68 |
分類號 | 415.239 |
關鍵詞 | 漢他病毒出血熱併腎病變; 間接免疫螢光抗體檢驗; Seoul型; 類Seoul型; Hemorrhagic fever with renal syndrome; IFA; Seoul-like; |
語 文 | 中文(Chinese) |
中文摘要 | 本文報告一例臺灣罕見的漢他病毒出血熱併腎病變。病人為44歲男性,入院主 訴發燒、頭痛、腹痛、骨頭酸痛及嘔吐。發病前三週曾到大陸福建,停留5天。理學檢查僅 顯示左腰部輕微敲痛。實驗室檢查:白血球正常,但帶形嗜中性白血球高達15%;血小板減少; 及肝、腎功能異常。尿液常規檢查:蛋白尿及血尿。住院第7天開始尿液大增,5天後恢復正 常。病人情況穩定後出院。臨床表現僅有發燒期、多尿期及恢復期,屬輕微的出血熱併腎病 變。血清學檢查,經衛生署預防醫學研究所以間接免疫螢光抗體檢驗,比較急性期與恢復期 的Hantaan與Seoul型抗體效價,前者呈4倍上升,後者呈8倍上升。本例傾向於Seoul或 類Seoul血清型。建議臨床醫師對患者有發燒、頭痛、腹痛、血小板減少及腎功能異常者, 應將漢他病毒出血熱併腎病變列入鑑別診斷,尤其是曾去過流行區者。患者可經由血清學檢 查確定診斷。 |
英文摘要 | We report a case of hemorrhagic fever with renal syndrome (HFRS), which is a rare disease in Taiwan. A 44-year-old man was admitted due to fever, headache, abdominal pain and vomiting for 4 days. The patient had been to Fu Chien, Mainland China 3 weeks ago before he developed illness, and stayed for 5 days. Physical examination showed only mild knocking tenderness over left flank area. Laboratory data disclosed normal white blood cell count, but with bandemia (15%); thrombocytopenia; abnormal renal and liver function tests. Urinalysis showed hematuria and proteinuria. Polyuria developed on the 7th day of hospitalization and recovered 5 days later. The patient was discharged in stable conditions. Clinical course included a febrile phase, polyuric phase and convalescent phase, which was deemed as the mild case of HFRS. Serological diagnosis was based on a 4-fold rise and 8-fold rise, between the acute and convalescent stage, of IgG antibody titers to the antigen of Hantaan virus and Seoul virus, respectively, which was performed at National Institute of Preventive Medicine by indirect immunofluorescent antibody method. The Seoul or Seoul-like serotype of Hantavirus is the most likely cause in this case, Clinicians should be alert to the possibility of HFRS when examining patients who complain of fever associated with headache, abdominal pain, thrombocytopenia and renal insufficiency, especially those have been to endemic areas. The diagnosis can be confirmed by specific serology. |
本系統中英文摘要資訊取自各篇刊載內容。