论文部分内容阅读
国内自1964年首次报道李斯特(Listeia)菌感染病例以来,迄今仅10例,其中败血症4例。由于该病易误诊,特将我院收治的2例并结合文献作一分析讨论。【例1】女,50岁,因寒战、高热及全身酸痛10多天入院。患者于10多天前突然感寒战,随即高热,热型不规则,伴头痛及全身酸痛。查体:T 39℃、P88次/分、R 26次/分、BP 13.6/10.4 kPa。于颌下、腋窝及腹股沟可触及多个肿大的淋巴结,有轻压痛。肝位于右肋下2cm,脾位于左肋下6cm。左眼近视乳头网膜可见火焰状出血。化验:血 WBC
So far only 10 cases of Listeia bacterial infections have been reported in China since 1964, including 4 cases of sepsis. As the disease is misdiagnosed, especially admitted to our hospital in 2 cases and an analysis of the literature for discussion. [Example 1] Female, 50 years old, admitted to hospital for more than 10 days due to chills, fever and body aches. Patients suddenly felt chills 10 days ago, then fever, irregular heat, with headache and body aches. Examination: T 39 ℃, P88 beats / min, R 26 beats / min, BP 13.6 / 10.4 kPa. In the submandibular, armpit and groin can reach multiple swollen lymph nodes, mild tenderness. Liver located in the right rib 2cm, spleen located in the left rib 6cm. Myopia myopia left eye flaming bleeding. Assay: Blood WBC