弯曲菌感染

最后审阅: 4 九月 2022
最后更新: 28 一月 2022

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
更多 关键诊断因素

其他诊断因素

  • 头痛、肌痛、寒战、发热前驱症状
  • 呕吐
其他诊断因素

危险因素

  • 近期曾到国外旅行
  • 食用生肉或半生肉(尤其是鸡肉)
  • 与家禽、牛、羊或其他家畜有过接触
  • HIV 感染
  • 男性
  • 饮用未经处理的水
  • 饮用未消毒的牛奶
  • 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)
更多 危险因素

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

急症处理

胃肠炎

撰稿人

作者

Eli D. Ehrenpreis, MD, FACG, AGAF

Associate Director for Research

Internal Medicine Residency

Advocate Lutheran General Hospital

Park Ridge

IL

Professor of Medicine

Rosalind Franklin University Medical School

North Chicago

IL

利益声明

EDE is CEO for E2Bio Life Sciences LLC and GI Pharmaceuticals Inc.

鸣谢

Dr Eli D. Ehrenpreis would like to gratefully acknowledge the assistance of Dr Thomas Adam Wichelmann who contributed to this update. Dr Eli D. Ehrenpreis would also like to gratefully acknowledge Dr Gregory Juckett, Dr Kristin Furfari, and Professor Sarah O'Brien, the previous contributors to this topic.

利益声明

TAW, GJ, and KF declare that they have no competing interests. SOB is the author of some references cited in this topic.

同行评议者

Justin T. Kupec, MD

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.

Stephen Morris-Jones, MBBS, MRCPath

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.

Michael Bennish, MD

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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