最近审阅: 24 十月 2020
最近更新: 30 四月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 全身性症状
  • 淋巴结炎(腺鼠疫)
  • 咯血(肺鼠疫)
  • 腹泻(耶尔森菌病)
  • 腹痛(耶尔森菌病)

其他诊断因素

  • 胸膜炎性胸痛(肺鼠疫)
  • 呼吸困难(肺鼠疫)

危险因素

  • 接触跳蚤(鼠疫)。
  • 接触鼠疫患者(鼠疫)
  • 居住或者到疫区旅行(鼠疫)
  • 接触感染动物(鼠疫)
  • 幼儿(耶尔森菌病)
  • 摄入生的或未全熟的猪肉制品(耶尔森菌)
  • 铁过载综合征(耶尔森菌病)
  • 慢性肝病、糖尿病、酒精中毒(耶尔森菌病)

诊断性检查

首要检查

  • 血培养(鼠疫)
  • 腹股沟淋巴结穿刺液培养(腺鼠疫)
  • 痰培养(肺鼠疫)
  • 脑脊髓培养(败血型鼠疫)
  • 抗原检测(鼠疫)
  • 白细胞计数(鼠疫)
  • 胸部 X 线检查(肺鼠疫)
  • 粪便培养(耶尔森菌病)
更多 首要检查

新兴检查

  • 聚合酶链反应 (PCR)
更多 新兴检查

治疗流程

撰稿人

John Williams

Consultant Infectious Diseases Physician

Department of Infection and Travel Medicine

The James Cook University Hospital

Middlesbrough

UK

利益声明

JW declares that he has no competing interests.

同行评议者展开全部内容

Professor

Pathology/Microbiology and Immunology

University of Texas Medical Branch

Galveston

TX

利益声明

VLM declares that he has no competing interests.

Associate Professor

Medical Director of Infection Control

Infectious Disease

Department of Medicine

SUNY Upstate Medical University

Syracuse

NY

利益声明

WJ declares that he has no competing interests.

Consultant Microbiologist

Microbiology Department

Southern General Hospital

Glasgow

UK

利益声明

AL declares that he has no competing interests.

Associate Professor of Medicine

Division of Infectious Diseases

Department of Internal Medicine

Southern Illinois University School of Medicine

Springfield

IL

利益声明

JK declares that he has no competing interests.

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