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本文报告了2例肾病综合症,同时具有曼氏血吸虫和沙门氏菌属副伤寒甲感染的埃及患者。病例1,为18岁男性,因面部、腹部和双脚浮肿数月入院。2年来常发热伴季肋和腹部间歇性疼痛,经用氯霉素和酒石酸锑钾治疗几个疗程。体检有低热(37.8℃)、肝肿大和眼周、小腿凹陷性浮肿。多次粪检查到曼氏血吸虫卵,骨髓培养沙门氏菌属副伤寒甲阳性。尿蛋白9.1克/24小时,尿检有白细胞和透明、颗粒、白细胞管型。尿和血清免疫电泳未检出游离轻链。血清白蛋白和总蛋白各为1.4和5.6克,蛋白电泳α_2球蛋白升高
This article reports two Egyptian patients with nephrotic syndrome, both Schistosoma mansoni and Salmonella paratyphoid fever. Case 1, a 18-year-old man, was admitted to the hospital for months because of swelling of the face, abdomen and feet. 2 years often fever with seasonal ribs and abdominal intermittent pain, with chloramphenicol and antimony potassium tartrate treatment of several courses. Physical examination with fever (37.8 ℃), hepatomegaly and eye week, calf depression edema. Multiple manure inspection to Schistosoma mansoni eggs, bone marrow culture Salmonella paratyphi A positive. Urinary protein 9.1 g / 24 hours, urine and white blood cells are transparent, granular, white blood cell tube. Urine and serum immunoelectrophoresis did not detect free light chains. Serum albumin and total protein each 1.4 and 5.6 grams, protein electrophoresis α 2 globulin increased