BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 七月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在危险因素
  • 腹泻
  • 恶心和呕吐
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其他诊断因素

  • 腹痛
  • 腹胀
  • 发热
  • 脱水
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危险因素

  • 老年人、儿童和妊娠女性
  • 慢性疾病
  • 近期旅行史
  • 免疫功能受损状态
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诊断性检查

首要检查

  • 粪便镜检以检查白细胞 (WBC) 和红细胞 (RBC)
  • 粪便培养
  • 粪便虫卵和寄生虫检查
  • 全血细胞计数 (FBC) 和分类计数
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需要考虑的检查

  • 粪便/血清肉毒毒素检测
  • 血液培养
  • 淀粉酶和脂肪酶
  • 肝功能检查 (LFT)
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新兴检查

  • 粪便聚合酶链反应 (PCR)
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治疗流程

推断

轻至中度疾病

重度疾病

疑似食源性肉毒中毒

急性

已知感染性病原体

贡献者

作者 查看所有

Consultant Gastroenterologist

Department of Gastroenterology

John Radcliffe Hospital

Oxford

UK

利益冲突披露
PA is a consultant for Abbvie and an advisor to Bresmed Health Solutions, and has received travel expenses from NPS Pharmaceuticals (now Shire).

Consultant Gastroenterologist

Department of Gastroenterology

John Radcliffe Hospital

Oxford

UK

利益冲突披露
SK declares that he has no competing interests.

Dr Philip Allan and Dr Satish Keshav would like to gratefully acknowledge Dr Michael Bennish, Dr Willem J.S. de Villiers, and Dr Houssam E. Mardini, the previous contributors to this topic. MB has received funds, salary, and/or research funding greater than 6 figures USD.

利益冲突披露
MB declares that he has no other competing interests. WJSDV and HEM declare that they have no competing interests.

同行评议专家 查看所有

Professor of Clinical Microbiology

Austrian Agency for Health and Food Safety (AGES)

Vienna

Austria

利益冲突披露
FA declares that he has no competing interests.

Department Head

Naval Health Research Center

San Diego

CA

利益冲突披露
NCC declares that she has no competing interests.

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