临床误诊误治2011，Vol.24Issue(3)：67-68,2.
人粒细胞无形体病误诊为流行性出血热
Human Granulocytic Anaplasmosis Misdiagnosed as Epidemic Hemorrhagic Fever
王海涛 1杨桂生 1宋修爱1
作者信息
- 1. 264400,山东,威海,威海市文登中心医院感染性疾病科
- 折叠
摘要
Abstract
Objective To analyze the clinical characteristics and misdiagnosis cause of human granulocytic anaplasmosis(HGA), and strengthen the cognition of HGA. Methods The clinical data of the HGA patient admitted in July 2010 was analyzed. The patient was admitted with complaints of fever, headache, and low back pain complicated with dyspnea. Examination results showed lower level of leukocyte and blood platelets. The patient was diagnosed as epidemic hemorrhagic fever and given salvia miitiorrhiza bunge and levofloxacin with no improvement, however aggravation injury of heart and liver function occurred. Results On the 5th Day after admission, the patient was suddenly convulsive, with bleeding from mouth and nose. Blood pressure was 90/60 mmHg, lymphocytes was 0.52( abnormal lymphocyte 0.34), blood platelets was 73 × 109/L; enzyme indicator increased, and blood clotting was abnormal. On the 6 th Day, the patient was asystole and died after unsuccessful salvage. Blood sample was collected for serology and was confirmed as HGA. Conclusion Symptoms of fever, decreasing blood platelets, and multi-organ functional injury are likely to be HGA, granulocytes inclusion bodies and antibody examinations should be taken to avoid misdiagnosis.关键词
人粒细胞无形体病/误诊/流行性出血热Key words
Human granulocytic anaplasmosis/ Misdiagnosis/ Epidemic hemorrhagic fever分类
医药卫生引用本文复制引用
王海涛,杨桂生,宋修爱..人粒细胞无形体病误诊为流行性出血热[J].临床误诊误治,2011,24(3):67-68,2.
