- 期刊
全身性紅斑性狼瘡併發沙門氏菌血症－病例報告
Systemic Lupus Eythematosus Complicated with Salmonella Bacteraemia: Case Report
摘要
沙門氏菌感染在一般人通常僅造成微的症狀，但在特殊免疫缺員病人卻常演變為沙門氏菌血症。另一方面，紅斑性畎瘡的病於其治療方式常導致發生一些罕見的感染；但是以沙門氏菌血症為紅斑性狼瘡的初次表現，亦有少數病例報告。這暗示紅斑性狼瘡病人的特殊扯抗力缺損，而文獻上對此論點亦持支持態度。本篇藉由一位年輕病人以沙門氏菌血症為初次表現繼而診斷為紅斑性狼瘡，提醒吾人在處理紅斑性狼瘡病人感染時，殆不能等閒視之；而面對一個來勢洶洶的沙門氏菌血症病人，亦應仔細探索是否有隱藏的免疫缺損。
關鍵字
無資料並列摘要
Non-tphoid salmonells species are pathogens that cause minor infections in the normal host but severe and widespread salmonella bacteraemia in the immunosuppressed host. Furthermore, systemic lupus erythematosus (SLE) is among the diseases thought to predispose patients to rare diseases while these patients are on immunosuppressive therapies. Salmonella bacteraemia which occurs concurrently with the first presentation of SLE without immunosuppressive therapies has been reported. These findings strongly suggest that there are defects in the ability of patients with SLE to deal with salmonella, compatible with many studies. This article describes a young patient with salmonella bacteraemia occurring concurrently with the first presentation of SLE. Emphasis in our report is placed on always being serious about infections of Patients with SLE. Besides, it would be wise to seek for ominous immunity defects in patients with salmonella bacteraemia.
延伸閱讀
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