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題 名 | Rose Spots in Non-typhoidal Salmonellosis--A Case Report=非傷寒型沙門菌病之玫瑰斑--病例報告 |
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作 者 | 蔡昌霖; 蘇琳惠; 蕭正祥; 徐毓聆; 張英睿; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 25:2 2007.06[民96.06] |
頁 次 | 頁112-114 |
分類號 | 415.27 |
關鍵詞 | 非傷寒型沙門氏菌; 玫瑰斑; Non-typhoid; Rose spots; Salmonella; Typhoid fever; |
語 文 | 英文(English) |
中文摘要 | 在未接受治療的沙門氏菌感染病人身上,“玫瑰斑”是可能發現的一種皮膚徵候。但是,在非傷寒型沙門氏菌感染造成菌血症的病人身上較少發現此種病徵。我們報告-男性成人其最初表現為咳嗽有痰、發燒、全身無力及意識不清。一開始的臨床診斷是肺炎、泌尿道感染及貧血。住院後,病人出現發燒、腹瀉、以及白血球增多;3天後,病人的軀幹及大腿出現紅色的丘疹。血液及糞便培養皆證實存在有Group B的沙門氏菌感染。紅色丘疹的皮膚切片中可發現有微血管擴張及白血球破碎性血管炎,此與玫瑰斑的病理特徵相符。當以ceftriaxone治療此病人之後,其皮膚病灶隨即消退。此病例為台灣首次之非傷寒型沙門氏菌感染造成玫瑰斑的病例報告,雖然並不常見,當病人以玫瑰斑症狀表現時,傷寒型及非傷寒型沙門氏菌感染皆須考慮。 |
英文摘要 | Rose spots are known as one of the symptoms of the untreated typhoidal salmonellosis patients. However, they are rarely seen or reported in patients with bacteremia caused by other species of salmonella. In this article, we report a man who manifested with productive cough, mild fever, general weakness, and drowsiness. Pneumonia, urinary tract infection and anemia were impressed initially. After admission, he developed fever, diarrhea, and leukocytosis. Erythematous papules were noted over the trunk and thighs 3 days later. Blood and stool cultures were shown to be positive for Group B Salmonella. Biopsy of the erythematous papules was performed and the histopathology showed telangiectasia and leukocytoclastic vasculitis, which were compatible with the characteristics of 'rose spots'. After several days of ceftriaxone treatment, the lesions subsided. Our case may be the first reported case of rose spots in non-typhoidal salmonellosis patient in Taiwan. Although not frequently seen, when facing patients with rose spots, we should consider the possibility of both typhoidal and non-typhoidal salmonellosis. |
本系統中英文摘要資訊取自各篇刊載內容。