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非霍乱弧菌感染

最后审阅: 5 Oct 2024
最后更新: 01 Dec 2023

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 腿疼
  • 蜂窝织炎
  • 腹泻
  • 腹部绞痛
  • 耳痛
  • 眼痛、眼红
完整详情

其他诊断因素

  • 发热
  • 精神状态改变
  • 恶心
  • 呕吐
  • 低血压
完整详情

危险因素

  • 接触咸水或海水
  • 处理和/或清洁海鲜
  • 摄食生的或未煮熟的贝类
  • 基础肝病(肝硬化、乙型肝炎或丙型肝炎、血色病)
  • 正在接受皮质类固醇治疗或存在其他免疫抑制状态(HIV、化疗、实体器官移植)
完整详情

诊断性检查

首要检查

  • 全血细胞计数
  • 血小板计数
  • 基础代谢检查
  • 血乳酸
  • 血培养
  • 伤口拭子革兰染色
  • 伤口拭子培养
  • 粪便培养
  • 耳道拭子培养
  • 结膜拭子、角膜刮片或眼房抽吸物培养
  • 无需培养的诊断性检测(CIDT)
完整详情

治疗流程

急症处理

脓毒症或严重全身性感染

仅局部皮肤/软组织感染

胃肠炎

浅表接种感染

撰稿人

作者

Michael Sands, MD, MPH & TM, FIDSA
Michael Sands

Professor of Medicine

College of Medicine

University of Florida

Jacksonville

FL

利益声明

MS declares that he has no competing interests.

Carmen Isache, MD
Carmen Isache

Associate Professor of Medicine

College of Medicine

University of Florida

Jacksonville

FL

利益声明

CI declares that she has no competing interests.

同行评议者

Larry Bush, MD, FACP, FIDSA

Affiliated Professor of Medicine

Charles E. Schmidt College of Medicine

Florida Atlantic University

Affiliated Associate Professor of Medicine

Department of Medical Education

University of Miami-Miller School of Medicine

FL

利益声明

LB declares that he has no competing interests.

Franz Allerberger, MD, MPH

Professor of Clinical Microbiology

Austrian Agency for Health and Food Safety (AGES)

Vienna

Austria

利益声明

FA declares that he has no competing interests.

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