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孙广玖, 孙伯红, 王红, 赫玉芬, 常鑫, 康瑞琪, 孙天水, 姚文清. 布氏菌病急性期病人合并腹泻症状调查[J]. 中国公共卫生, 2014, 30(10): 1310-1311. DOI: 10.11847/zgggws2014-30-10-24
引用本文: 孙广玖, 孙伯红, 王红, 赫玉芬, 常鑫, 康瑞琪, 孙天水, 姚文清. 布氏菌病急性期病人合并腹泻症状调查[J]. 中国公共卫生, 2014, 30(10): 1310-1311. DOI: 10.11847/zgggws2014-30-10-24
SUN Guang-jiu, SUN Bai-hong, WANG Hong.et al, . Prevalence of diarrhea among brucellosis patients in acute period[J]. Chinese Journal of Public Health, 2014, 30(10): 1310-1311. DOI: 10.11847/zgggws2014-30-10-24
Citation: SUN Guang-jiu, SUN Bai-hong, WANG Hong.et al, . Prevalence of diarrhea among brucellosis patients in acute period[J]. Chinese Journal of Public Health, 2014, 30(10): 1310-1311. DOI: 10.11847/zgggws2014-30-10-24

布氏菌病急性期病人合并腹泻症状调查

Prevalence of diarrhea among brucellosis patients in acute period

  • 摘要: 目的 调查布病急性期病人腹泻症状发生情况,探讨发生腹泻症状的原因。方法 以辽宁地区311例确诊布病急性期病人为研究对象,对腹泻病例进行便常规检查和便致泻病原菌分离,根据检测结果进行试验性治疗。结果 确诊的急性期病例311患者中,查出腹泻病例1例。该病例布病抗体阳性,布病病原培养结果阴性;便常规检出红细胞和白细胞并中分离到沙门氏菌;按沙门氏菌肠炎治疗康复。结论 布氏菌本身不能导致布病病人发生腹泻,布病隐性感染者偶合腹泻病病原体感染所致肠炎误诊为布病可能是文献记载的布病急性期腹泻的原因。

     

    Abstract: Objective To examine the prevalence of diarrhea symptom among diagnosed brucellosis patients in acute period and to explore the causes of diarrhea in the patients.Methods Totally 311 acute brucellosis patients were recruited in Liaoning province and routine stool examination and pathogen isolation of stool samples were conducted in the patients.Experimental treatment was carried out for the patients based on the results of laboratory detection.Results Of all the patients, only one had acute diarrhea;the patient was positive for Brucella antibody but negative for Brucella isolation and had abnormal red blood cell count(RBC)and white blood cell count(WBC)and positive result for Salmonella isolation of stool sample.The case was cured after specific treatment for Salmonella enteritis.Conclusion Brucella infection does not induce diarrhea in brucellosis patients and enteritis caused by other diarrheal pathogens may be the cause of complicated diarrhea among patients with acute brucellosis reported by researchers.

     

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