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Toxic Megacolon in Salmonella Colitis: Report of Two Cases

沙門菌性結腸炎引起之毒性巨結腸症:二病例報告

摘要


毒性巨結腸症最常見是由炎性腸病(inflammatory bowel disease)引起的,而一些大腸的侵犯性疾病,像急性沙門菌性結腸炎、傷寒、阿米巴性結腸炎、缺血性結腸炎及為膜性結腸炎等均偶兩有人報告;但在小孩仍非常少見。我們提出一個13個月大及一個15個月大的孩子,發燒、腹脹及腹一週,感染B群沙門氏菌引起毒性巨結腸症罕見病例的治療過程並討論之,強調沙門菌亦會引起毒性巨結腸症,且在有效抗生素治療下仍可能會穿孔,需緊急開刀治療。

並列摘要


Toxic megacolon is a complication that usually presents in inflammatory bowel disease such as ulcerative colitis or Crohn’s disease. It also occurs in typhoid fever, acute bacillary dysentery, amebic colitis, ischemic colitis, pseudomembranous colitis and severe salmonellosis. This report describes the occurrence of toxic megacolon in two young children with Salmonella colitis manifesting as abdominal distension, diarrhea and fever. The clinical course of these two cases suggests that toxic megacolon is a severe complication of salmonellosis in children, irrespective of the use of antibiotics. In the light of its paucity in children and severity, accurate diagnosis and appropriate intensive medical-surgical management is essential.

並列關鍵字

toxic megacolon Salmonella colitis

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