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虽然四分之一的伤寒病人出现肝肿大,但临床肝炎相当少见,沙门氏菌肝脓肿更少见。作者报告4例(男、女各2例,年龄6～10岁)伤寒患儿发生罕见的肝脏并发症(2例肝炎,2例肝脓肿)。4例患儿均有发热、恶心、呕吐、黄疸和肝肿大,其中3例脾肿大。全部经血培养阳性确诊为伤寒,均有肝功能异常。例1和例2证实为胆汁淤积。超声检查例1正常;例2显示胆囊增大和胆管扩张;例3显示肝右叶脓肿;例4显示肝左叶脓肿。例1单用抗生素治疗有效。例2用抗生素仅部分有效,以后行胆囊
Although a quarter of typhoid patients have hepatomegaly, clinical hepatitis is rather rare, and salmonella liver abscesses are less common. The authors report a rare liver complication (2 hepatitis and 2 liver abscesses) in 4 children (2 males and 2 females, aged 6 to 10 years) with typhoid fever. All 4 patients had fever, nausea, vomiting, jaundice and hepatomegaly, of which 3 had splenomegaly. All menstrual blood culture positive diagnosed as typhoid fever, liver dysfunction. Cases 1 and 2 confirmed cholestasis. Sonography 1 normal; Example 2 shows gallbladder enlargement and bile duct dilatation; Example 3 shows the right lobe abscess; Example 4 shows the left lobe of the liver abscess. Example 1 Treatment with antibiotics alone is effective. Example 2 with antibiotics only partially effective gallbladder after