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目的调查布病急性期病人腹泻症状发生情况,探讨发生腹泻症状的原因。方法以辽宁地区311例确诊布病急性期病人为研究对象,对腹泻病例进行便常规检查和便致泻病原菌分离,根据检测结果进行试验性治疗。结果确诊的急性期病例311患者中,查出腹泻病例1例。该病例布病抗体阳性,布病病原培养结果阴性;便常规检出红细胞和白细胞并中分离到沙门氏菌;按沙门氏菌肠炎治疗康复。结论布氏菌本身不能导致布病病人发生腹泻,布病隐性感染者偶合腹泻病病原体感染所致肠炎误诊为布病可能是文献记载的布病急性期腹泻的原因。
Objective To investigate the incidence of diarrhea in patients with acute brucellosis and to explore the causes of diarrhea. Methods A total of 311 cases of acute brucellosis diagnosed in Liaoning Province were selected as research objects. Diarrhea cases were routinely examined and pathogens of diarrhea were isolated. The experimental treatment was conducted according to the test results. The results of the diagnosis of acute cases of 311 patients, found in 1 case of diarrhea. The case of brucellosis antibody positive, brucellosis pathogen culture negative; routine detection of red blood cells and leukocytes and the separation of Salmonella; Salmonella enteritis treatment of rehabilitation. Conclusion Brucella bacteria itself can not lead to brucellosis in patients with diarrhea, Clostridium brucei infection coupled with diarrhea pathogens caused by enteritis misdiagnosed as brucellosis may be the reason documented in the acute phase of brucellosis.