小兒曲状桿菌腸炎之臨床觀察

Clinical Observation of Campylobacter Enterocolitis in Children

林佳宏(Gar-Hung Lin) ； 黃富源(Fu-Yuan Huang) ； 邱世昌(Shr-Chang Chyou) ； 李宏昌(Hung Chang Lee) ； 洪漢陽(Han-Yang Hung) ； 楊定一(Dean-I Yang)

《Acta Paediatrica Sinica》 27卷2期 (1986/04) Pp. 114-117

摘要

曲狀桿菌屬(the genus Campylobacter)，長久以來卽被認爲與動物和人類的疾病有關，直到最近30年，因爲細菌學的進步，才使我們了解此屬細菌在人類疾病的重要性。馬偕醫院小兒科自民國73年3月至74年2月，由糞便中培養出Campylobacter jejuni的腸炎患者76例加以分析。共中男性49例，女性27例。年齡分佈由2天大至3歲6個月，以新生兒最多佔36例(50%)。季節分佈以較熱的月份爲多，其中6月爲最高峯。臨床表徵以稀水便最多66例(86.8%)，發燒32例(42.1%)，血便16例(21.0%)，脫水合併酸中毒15例(19.7%)，嘔吐6例(29%)。其中30例以口服erythromycin治療，但對下痢的天數並無明顯的縮短。

並列摘要

Campylobacter jejuni has become a major cause of bacterial enterocolitis throughout the world. From March 1984 to February 1985, a total of 76 cases were admitted to Mackay Memorial Hospital with enterocolitis associated with campylobacter jejuni in the stool. The patients included 49 boys and 27 girls, with an age range from 2 days to 3 years and 6 months. Most cases (38/76, 50%) were newborns. Campylobacter enterocolitis is prevalent during the warm months, peaking in June. Over 86% of the present patients developed diarrhea which was watery in character. Fever occurred in 42.1% of the patients. Symptoms of bloody stool, dehydration and vomiting were less common. Thirty cases were treated with oral erythromycin. There was no evident influence on the clinical course of the disease whether treatment was used or not.

並列關鍵字

campylobacter enterocolitis ； campylobacter jejuni