鼠疫耶尔森氏菌——一例误诊病例

• 作 者: 白常乐
• 出 处: 地方病译丛
• 发表日期: 1989年05期
• 关键词: 鼠疫耶尔森氏菌 鼠疫 鼠疫败血症 腺鼠疫 太平洋沿岸 顿挫感染 败血性 病例 内部器官 弥漫性

鼠疫耶尔森氏菌是四种不同类型的鼠疫的病原体:腺鼠疫、肺鼠疫、鼠疫败血症和轻型鼠疫(一种伴有轻微症状和淋巴结顿挫感染)。鼠疫败血症是特别严重的一型,常常并发败血性休克、弥漫性血管内出血、血栓形成和内部器官的坏死。在美国,鼠疫是一种不常见的疾病,从1975～1984年间,每年诊断的病例约20例。近10年来,人问鼠疫病例有所增加,大多数病例发生于美国西南和太平洋沿岸各州。虽然本病很少见,但是对来自鼠疫地方性流行地区的一些伴有发热、腹痛和具有明显白细胞左移的白细胞增

Yersinia pestis is the causative agent of four different types of plague: bubonic plague, pneumonic plague, plague septicemia and light plague (a complication associated with mild symptoms and lymph node setback infections). Plague septicemia is a particularly serious type, often complicated by septic shock, diffuse intravascular hemorrhage, thrombosis and necrosis of internal organs. Plague is an uncommon disease in the United States, with about 20 cases diagnosed each year from 1975 to 1984. The past decade has seen an increase in the number of human plague cases, most of which occur in the states of the Southwest and the Pacific Rim. Although this disease is uncommon, some of the leukocytosis associated with fever, abdominal pain and leftward leukocytosis from endemic areas of the plague