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本文首次报告在巴里萨尔见到的一例阿米巴性皮肤溃疡患者。病人主诉一个月来右腿内侧疼痛,在内踝上方有散布的溃疡。溃疡的直径为2.5 cm,深1cm,排出红色脓液,溃疡边缘不规则。患者病前在劳动时曾搔破其右腿,经用油膏涂敷及肌注抗菌素治疗无效。询问既往,七年前有急性痢疾史,经服药后有所减轻,但服药不规则。住院后体检时,体质差,营养不良,体重不足,伴有中度贫血,体温37.2℃,无黄疸或水肿,肝可扪及,在右肋缘下1指,心、肺均正常。白细胞计数为11,500,小红细胞色浅淡。血红蛋白
This is the first report in a case of amoebic skin ulcer seen in Barisal. The patient complained of pain in his right leg for one month and scattered ulcers on the medial malleolus. The ulcer has a diameter of 2.5 cm and a depth of 1 cm. It discharges red pus and the edge of the ulcer is irregular. The patient had scratched his right leg during labor and was ineffective with ointment and intramuscular antibiotic therapy. Ask about the past, seven years ago, a history of acute diarrhea, relieved after taking the medication, but medication irregular. Physical examination after admission, poor health, malnutrition, underweight, accompanied by moderate anemia, body temperature 37.2 ℃, no jaundice or edema, palpable liver, right margin of the fingers 1, heart, lungs are normal. White blood cell count was 11,500, small red cell color light. Hemoglobin