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NEJM：与百日咳杆菌感染有关的肋骨骨折-病例报道

2018-01-18 xing.T MedSci原创

百日咳杆菌肋骨骨折
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该患者接受阿奇霉素治疗，并接受手术治疗修复发生骨折的肋骨和胸壁的相关疝。该患者完全康复出院。医务人员对其家庭接触者以及几名曾与患者密切接触的医务人员采用阿奇霉素进行暴露后预防。

患者为一名66岁的女性，其因干咳2周和右侧腰腹部烈疼痛而就诊。就诊前五天，她被确诊为病毒性上呼吸道感染，但她的症状并未因支持治疗而减轻。

体检发现在其右侧腰腹部出现了大片瘀斑（如图A所示），触诊胸壁右侧时伴有压痛。胸部和腹部的计算机断层扫描（如图B所示）显示右侧第九肋骨侧面移位骨折（如图箭头所示）。鼻咽培养证实为百日咳感染。



病人报告没有外伤，也没有已知的疾病接触史，8年前接种了破伤风-白喉-脱细胞百日咳疫苗。百日咳是阵发性咳嗽，严重时可导致如肋骨骨折和损伤肋间血管等并发症。

该患者接受阿奇霉素治疗，并接受手术治疗修复发生骨折的肋骨和胸壁的相关疝。该患者完全康复出院。医务人员对其家庭接触者以及几名曾与患者密切接触的医务人员采用阿奇霉素进行暴露后预防。

原始出处：

John A. Zambrano, et al. Rib Fracture Associated with Bordetella pertussis Infection.N Engl J Med 2018. http://www.nejm.org/doi/full/10.1056/NEJMicm1701940

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    2018-09-29 ms1490123962508630

    #百日咳杆菌#

    0

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    2018-01-19 小华子

    #百日咳#

    0

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    2018-01-19 zhs3885

    #肋骨骨折#

    0

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    2018-01-18 1ddf0692m34(暂无匿称)

    学习了.好文章

    0

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    2018-01-18 chunjianf

    学习了.谢谢分享

    0

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    2018-01-18 明月清辉

    谢谢分享.学习了

    0

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    2018-01-18 Y—xianghai

    学习了新知识

    0