临床误诊误治2018，Vol.31Issue(6)：16-19,4.DOI:10.3969/j.issn.1002-3429.2018.06.006
克罗恩病并肠道真菌感染误诊讨论
Analysis of Misdiagnosis of Crohnˊs Disease with Intestinal Fungal Infection
葛俊辰 1陈志彪 2李德成 1陈东风3
作者信息
- 1. 150080 哈尔滨,解放军第211 医院消化内科
- 2. 400042 重庆,陆军军医大学附属大坪医院消化内科
- 3. 050082 石家庄,解放军白求恩国际和平医院康复科
- 折叠
摘要
Abstract
Objective To summarize the clinical characteristics and misdiagnosis causes of Crohnˊs disease with intestinal fungal infection. Methods A retrospective analysis was conducted on the clinical data of a case of Crohnˊs disease with intestinal fungal infection which was misdiagnosed as ulcerative colitis ( UC) . Results The pa-tient was admitted to our hospital with abdominal pain and diarrhea for 7 years, which was aggravated 3 days before admission. The patient had visited the local hospital, and was misdiagnosed as UC and treated with Mesalazin Enter-ic-coated Tablets. However, the symptoms were not improved. After admission, on the basis of medical history and capsule endoscopy, the patient was diagnosed as Crohnˊs disease. During the treatment, the patient developed fever. The stool culture and other related tests confirmed Crohnˊs disease with intestinal fungal infections. The condition of the patient was improved and he was discharged home after treatment with Mesalazine SR Granules, methylpred-nisolone and fluconazole The patient was followed up for 6 months, and reported no recurrence. Conclusion Crohnˊs disease with intestinal fungal infection is rare in clinical settings, therefore, careful inquiry of medical history and comprehensive analysis of test results are useful for early diagnosis and improvement in prognosis.关键词
克罗恩病/真菌感染/误诊/溃疡性结肠炎Key words
Crohnˊs disease/Fungal infections/Misdiagnosis/Ulcerative colitis分类
医药卫生引用本文复制引用
葛俊辰,陈志彪,李德成,陈东风..克罗恩病并肠道真菌感染误诊讨论[J].临床误诊误治,2018,31(6):16-19,4.
