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題名 | Leptospirosis: Report of One Case=鉤端螺旋體病:一病例報告 |
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作者姓名(中文) | 王士忠; 王育美; | 書刊名 | 微免與感染雜誌 |
卷期 | 32:2 1999.06[民88.06] |
頁次 | 頁129-132 |
分類號 | 415.291 |
關鍵詞 | 鉤端螺旋體病; Leptospirosis; Microscopic agglutination test; |
語文 | 英文(English) |
中文摘要 | 一位八歲大的原住民男童在疑似川崎病的診斷下從外院轉入本院。他的主訴為高 燒六天。其他的症狀包括嗜睡,頭痛,噁心,嘔吐,腹疼,腹瀉,頸部僵硬,淋巴腺腫大, 結膜下出血及小腿肌肉疼痛。在住院期間脊髓液的檢查發現白血球增多;腹部超音波顯示肝 脾腫大,中等量的腹水及膽囊壁增厚,鉤端螺旋體抗體的顯微凝集效價大於 1:100。 綜合 以上因素,我們診斷為鉤端螺旋體病。在給予靜脈注射 penicillin 與 gentamicin 後臨床 症狀即獲得改善。 |
英文摘要 | An 8-year-old male aborigine was referred to our hospital with a presumptive diagnosis of Kawasaki disease. the major symptom presented was a persistent fever for six days. Several other symptoms were drowsiness, headache, nausea, vomiting, abdominal pain, diarrhea, nuchal rigidity, lymphadenopathy, subconjunctival hemorrhage, and muscle aching of the calfr. During hospitalization, cerebrospinal fluid studies showed pleocytosis. Abdominal sonograms revealed hepatosplenomegaly, moderate ascites and gallbladder wall thickening. These data were suggestive of leptospirosis. The microscopic agglutination test of leptospiral antibodies further confirmed the diagnosis. After treatment with intravenous aqueous penicilin and gentamicin, the clinical course improved significatly. |
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