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我院于2000年6月从一例长期腹泻患者粪便中分离出金黄色葡萄球菌,现报告如下。1 临床资料1.1 一般资料 男,50岁。因食入不洁食物后出现腹泻、乏力、头晕70余天,每日排黄色稀水样便10余次。无粘液、脓血,无腹痛、无里急后重及肛门下坠感,无恶心、呕吐、发热,先后服用诺氧沙星、黄连素、思密达等药物治疗,腹泻症状无改善,每日仍排7～8次。因出现全身乏力,活动后心慌来我院就诊。查体:体温35.7℃,血压135/98 mmHg,血尿便常规正常,肝胆胰B超及血生化丙氨酸转氨酶未见异常,因无明显阳性体征,故初步诊断为:①肠易激综合征;②腹泻待查。住院第2天,第5天,第10天各进行粪便培养3次,检出同一种菌,按药物敏感试验结果给予头孢唑林钠3g,环丙沙星注射液100 ml静脉滴注,15天后病情好
Our hospital in June 2000 from a case of long-term diarrhea in patients with Staphylococcus aureus isolated, are as follows. 1 Clinical data 1.1 General information Male, 50 years old. Diarrhea due to ingestion of unclean food, fatigue, dizziness more than 70 days, day row of yellow water samples will be more than 10 times. No mucus, sepsis, no abdominal pain, no tenesmus and anal fall, no nausea, vomiting, fever, nooxifloxacin, berberine, metamiside and other drug treatment, no improvement of diarrhea, daily row 7 ~ 8 times. Due to generalized fatigue, palpitation after activities to our hospital. Physical examination: body temperature 35.7 ℃, blood pressure 135/98 mmHg, normal urine hematuria, hepatobiliary and pancreatic ultrasound and blood biochemical alanine aminotransferase no abnormalities, because no significant positive signs, so the initial diagnosis: irritable bowel syndrome ; ② diarrhea pending investigation. On day 2, day 5 and day 10 of hospitalization, stool culture was carried out 3 times respectively to detect the same bacteria. Cefazolin sodium 3 g and ciprofloxacin 100 ml were intravenously dripped according to the drug sensitivity test results. 15 Good condition after days