Isolated thrombocytopenia: the presenting finding of typhoid fever.
Isolated thrombocytopenia: the presenting finding of typhoid fever.
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孤立性血小板减少症：伤寒的表现。
DOI：
10.1046/j.1365-2257.2003.00478.x
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Yasemin Ersoy
中科院分区：
文献类型：
--
作者：
K. Şerefhanoğlu;Emin Kaya;A. Sevinc;İ. Aydoğdu;I. Kuku;Yasemin Ersoy
血小板减少症通常被视为伤寒的并发症。然而，它也可以作为入场时的出示标志。一名29岁的男子投诉发烧和腹泻住院，因为孤立的血小板减少症遇到常规全血细胞计数检查。当从血培养中分离出伤寒沙门氏菌时，伤寒的诊断成立。血小板计数在头孢曲松治疗的第一周内恢复到正常水平。血小板减少症的可能机制进行了讨论。
Thrombocytopenia is generally seen as a complication in typhoid fever. However, it can also be encountered as a presenting sign on admission. A 29-year-old man with complaints of fever and diarrhoea was hospitalized because of isolated thrombocytopenia encountered on routine complete blood count examination. The diagnosis of typhoid fever was established when Salmonella typhi was isolated from the blood cultures. The platelet count returned to normal level within the first week of ceftriaxone therapy. Possible mechanisms of thrombocytopenia were discussed.