浙江省首例人附红细胞体病报告、随访及文献复习
Reports and follow-up visits and literature reviews of the first case of eperythrozoonosis in human in Zhejiang Province
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摘要: 目的附红细胞体病,临床少见,本文报告一例,以引起临床医生的注意。方法对一例附红细胞体病从临床症状、实验室检查、治疗等进行综合分析。结果附红细胞体病的临床特点:(1)间歇发热、乏力、出汗、纳差、体重减轻等中毒症状;(2)贫血、皮疹、黄疸、肝脾肿大、颌下淋巴结大;(3)肝功能检查显示谷丙转氨酶、谷草转氨酶、胆红素升高、球蛋白高于白蛋白;(4)外周血涂片附红细胞体阳性;(5)CT示肝脾肿大,右下肺炎;(6)强力霉素治疗效果满意。结论附红细胞体病临床上少见,详细询问病史和外周血检查附红细胞体,可以作出早期诊断,强力霉素治疗有效。Abstract: Objective The report was made to draw attention of the clinicians because Epery-throzoonosis WaS very rare in clinical. Methods A comprehensive analysis was conducted on a case of eperythrozoonosis based on the clinical symptoms，laboratory tests，and treatments．Results The clinical features of eperythrozoonosis were as follows:(1)toxic symptom such as intermittent fever，fatigue，sweat，anorexia，weight loss，etc；(2)anemia，rash，jaundice，splenomegaly，sub-mandibular lymph node enlargement;(3)liver function test showed increaSing in glutamic-pyruvic transaminase and glutamic oxaloacetic transaminase，bilirubin，and globulin high than albumin；(4) PB blood film showed eperythrozoon was positive；(5)CT showed splenomegaly and right lower pneumonia:(6) Doxycycline can get satisfactory effect of the treatment．Conclusion Eperythro-zoonosis is rare in clinical．The early diagnosis Can be made by detail ease history consultation and peripheral blood testing．Doxycycline is an effective medicine．
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