Surgical presentation of hepatobiliary disease due to Salmonella typhi
Surgical presentation of hepatobiliary disease due to Salmonella typhi
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DOI：
10.1111/j.1445-2197.1995.tb00588.x
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发表时间：
1995-12-01
期刊：
影响因子：
--
通讯作者：
Yeo, B
中科院分区：
文献类型：
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作者：
Gosbell, I;Jones, PD;Yeo, B
急性伤寒的手术并发症发生在不到5%的患者中，通常在疾病的第三或第四周发生，继发于出血和肠穿孔的局部胃肠道并发症。伤寒沙门氏菌的慢性携带发生在1 -3%的伤寒患者中，通常无症状。慢性携带者通常有胆道感染以及其他胆道疾病的发病率较高。本文报告两例伤寒慢性带菌者的晚期肝胆并发症。伤寒。这些病例说明了胆道疾病患者中沙门氏菌肝胆脓毒症的发展以及胆管癌与伤寒携带的关系。
Surgical complications of acute typhoid fever occur in less than 5% of patients and usually develop during the third or fourth weeks of illness secondary to local gastrointestinal complications of haemorrhage and bowel perforation.'Chronic carriage of Salmonella typhi occurs in I-3% of patients after typhoid fever and is usually asymptomatic. Chronic carriers usually have biliary tract infection as well as a higher incidence of other biliary tract disease. This report describes two cases of the late hepatobiliary complications of typhoid fever occurring in chronic carriers of S. typhi. The cases illustrate the development of Salmonella hepatobiliary sepsis in patients with biliary tract disease and the association of cholangiocarcinoma with typhoid carriage.