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首页> 外文期刊>感染症学雑誌 >A fatal case of shigellosis in an elderly patient
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A fatal case of shigellosis in an elderly patient

机译：一名老年患者发生志贺菌病的致命病例

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A 71 year-old male, with no recent history of travelling abroad and a past history of lung cancer two years prior to presentation, which had been successfully treated, developed a sudden onset of watery diarrhea more than ten times a day on February 26, 2001, which gradually became bloody. The next day he visited the Department of Integrated Medicine of the Tokyo Metropolitan Komagome Hospital by ambulance because his consciousness was deteriorating and he was hospitalized. He was hypotensive on admission, and a dopamine preparation was used throughout. The peripheral WBC was 3,800/microliter and the lymphocyte count was 76/microliter which thus suggested the presence of cellular immune suppression. HIV was not tested. He died seven hours after admission. His stool culture yielded a growth of Shigella flexneri 2a, and a blood culture on admission was sterile. No verocyte toxin-producing Esherichia coli was not detected. The causes of death in cases with shigellosis have been reported in the literature to be an electrolyte imbalance, septicemia and disseminated intravasucular coagulation (DIC) in developed countries. Our present case was considered to be a debilitated patient complicated with hemolytic uremic syndrome due to an infection with Shigella bacteria which resulted in death despite performing intensive treatments.
机译：一位71岁的男性，近期没有出国旅行史，在就诊前两年都没有肺癌史，并且已经成功治疗，2月26日，他每天突然发作水样腹泻超过十次， 2001年，这逐渐变得血腥。第二天，他因意识下降而住院，因此乘救护车前往东京都驹mag医院中西医结合科。他入院时血压低，整个过程中都使用了多巴胺制剂。外周血白细胞为3,800 /微升，淋巴细胞计数为76 /微升，因此提示存在细胞免疫抑制。艾滋病未经检测。他入院七小时后死亡。他的粪便培养产生了弗氏志贺氏菌2a的生长，入院时的血液培养是无菌的。没有检测到产生红细胞毒素的大肠杆菌。据报道，在志贺菌病病例中，死亡原因是发达国家的电解质失衡，败血症和弥散性血管内凝血（DIC）。我们的病例被认为是由于志贺氏菌感染引起的并发溶血性尿毒症综合征的虚弱患者，尽管进行了强化治疗仍导致死亡。

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