最近审阅: 3 十一月 2020
最近更新: 18 九月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 腹痛
  • 腹泻

其他诊断因素

  • 头痛、肌痛、寒战、发热前驱症状
  • 呕吐

危险因素

  • HIV 感染
  • 与家禽、牛、羊或其他家畜有过接触
  • 食用生肉或半生肉(尤其是鸡肉)
  • 近期曾到国外旅行
  • 近期曾去发展中国家/地区旅行
  • 饮用井水或地表水
  • 饮用未消毒的牛奶
  • 男性
  • 年龄<1 岁
  • 与感染者密切接触
  • 质子泵抑制剂或 H2 拮抗剂的使用(尤其在老年患者中)

诊断性检查

首要检查

  • 粪便显微镜检查
  • 粪便培养
  • 白细胞计数
更多 首要检查

需考虑的检查

  • 弯曲杆菌血清学检查
  • 小肠活检
  • 粪便镜检
  • 粪便革兰染色
更多 需考虑的检查

治疗流程

急性处理

撰稿人

Professor of Medicine

Rosalind Franklin University Medical School

North Chicago

Illinois Adjunct

Professor of Pediatric Gastroenterology

University of Miami

Miller Medical School

Miami

Florida

Associate Director for Research

Internal Medicine Residency Advocate

Lutheran General Hospital

Park Ridge

Illinois

利益声明

EDE declares that he is a consultant for Pediatric Pharmaceuticals. .

Dr Eli D. Ehrenpreis would like to gratefully acknowledge Dr Gregory Juckett, Dr Kristin Furfari and Professor Sarah O'Brien, the previous contributors to this topic. GJ declares that he has no competing interests. KF declares that she has no competing interests. SOB is the author of some of the references cited in this topic.

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Assistant Professor

Section of Digestive Diseases

Department of Medicine

West Virginia University

Morgantown

WV

利益声明

JTK declares that he has no competing interests.

Consultant in Infectious Diseases and Clinical Microbiology

University College London Hospitals NHS Foundation Trust

Windeyer Institute of Medical Sciences

London

UK

利益声明

SMJ declares that he has no competing interests.

Senior Associate

Department of Population, Family and Reproductive Health

Bloomberg School of Public Health

Johns Hopkins University

Baltimore

MD

利益声明

MB declares that he has no competing interests.

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