最后审阅: 20 九月 2021
最后更新: 18 六月 2021

小结

定义

病史和体格检查

其他诊断因素

  • 腹胀及不适
  • 不适感
  • 体重减轻
  • 恶心和呕吐

危险因素

  • 污染的水/食物
  • 室内或房子周围有家畜
  • 低丙种球蛋白血症
  • 低龄
  • 男性
  • 到过日托中心
  • 男男性行为
  • 近期抗生素的应用

诊断性检查

首要检查

  • 直接荧光抗体(DFA)试验或酶联免疫吸附测定
  • 粪便样本核酸扩增检测、聚合酶链反应
  • 粪便显微镜检查
  • 全血细胞计数 (FBC)

需考虑的检查

  • 侧流免疫测定(例如,ImmunoCard STAT!®)
  • 吞线试验(肠试验)
  • 十二指肠引流和活检

治疗流程

撰稿人

作者

Luther A. Bartelt, MD

Assistant Professor of Medicine

University of North Carolina School of Medicine

Division of Infectious Diseases

Chapel Hill

NC

利益声明

LAB declares that he has no competing interests. LAB is the author of two articles cited in this topic.

鸣谢

Dr Luther Bartelt would like to gratefully acknowledge Dr Fida Khan and Dr Musaddiq Waheed, previous contributors to this topic.

利益声明

FK and MW declared that they had no competing interests.

同行评议者

Zana Nikolla, MD

Faculty of Medicine

University of Tirana

Tirana

Albania

利益声明

ZN declares that she has no competing interests.

Rodney Adam, MD

Professor of Medicine and Immunobiology

University of Arizona

Tucson

AZ

利益声明

RA declares that he has no competing interests.

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