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首页> 外文期刊>感染症学雑誌 >川崎病の診断基準を満たし,播種性血管内凝固を合併したYersinia pseudotuberculosis 4a感染症の1例
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川崎病の診断基準を満たし,播種性血管内凝固を合併したYersinia pseudotuberculosis 4a感染症の1例

机译：阳性血管内凝血造成扫描血管内凝血的案例，满足川崎病的诊断标准

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摘要

We report a case of Yersinia pseudotuberculosis (Y. ptbc) infection complicated by disseminated intravascular coagulation (DIC) that presented as Kawasaki disease (KD).A 9-year-old girl had been well until two days before, when she developed a fever, exanthem, and abdominal pain. An erythematous macular rash was observed in the perineum, and she had a strawberry tongue.The patient was admitted to Kawasaki Medical School Hospital because the macular rash spread over her entire body, and edema of her hands and conjunctivitis subsequently developed.Echo cardiography showed dilation of the left coronary artery.Thrombocytopenia and an elevated total fibrin degeneration product level were noted on the third hospital day,and the prothronmbin and partial-thromboplastin times were prolonged. Her clinical presentation was typical of KD and DIC.A stool culture and a blood culture were negative. Serologic tests were positive for antibodies to Y. ptbc. The antibody titer against Y.ptbe-derived mitogen was not elevated after her recovery.Y.ptbc infection should be considered in an older child whose clinical findings fulfill the criteria for KD complicated by DIC.
机译：我们举报了鉴于纵向血管内凝血（DIC）的yersinia假偶霉素（Y.PTBC）感染的情况。当kawasaki疾病（kd）时，它一直很好地展示了Kawasaki疾病（KD）。当她发烧时，直到两天才到两天，exanthem和腹痛。在Perineum中观察到红斑狼疮，她有一个草莓舌头。患者被克拉瓦斯医学院医院录取，因为黄斑疹蔓延在她的整个身体上，她的手和结膜炎随后发展。电子表现出的扩张在左冠状动脉中的左侧冠状动脉缺乏症和升高的总纤维蛋白变性产物水平，并在第三医院日记出，延长了诱导蛋白和部分血栓形成素。她的临床介绍是典型的KD和DIC.A粪便培养和血液培养为阴性。血清素试验对于Y.PTBC的抗体是阳性的。在她的恢复后，抗体滴度衍生的丝裂原溶液不会在临床发现符合DIC复杂的KD标准的年龄较大的孩子中考虑。

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