Galperine T, Flateau C, Venon M D, Lescure F X, Béraud G, Said Ibrahim T, Delisle F, Durand F, Faure K, Pialoux G, Guery B
Service des Maladies Infectieuses et Tropicales, AP-HP Hôpital Tenon, 75970 Paris cedex 20, France.
Case Rep Med. 2009;2009:407053. doi: 10.1155/2009/407053. Epub 2009 Aug 16.
We report the first description of recurrent bacteremia in two patients after cyanoacrylate injection for gastric varices bleeding treated with antibiotics alone. Adapted and prolonged antibiotic treatment allowed a complete resolution of the infection with no relapse after more than 6 months. According to recent data, prophylactic antibiotics should be further investigated for patients with bleeding varices undergoing cyanoacrylate injection.
我们报告了首例关于两例患者在接受氰基丙烯酸酯注射治疗胃静脉曲张出血后出现复发性菌血症的描述,这两例患者仅接受了抗生素治疗。调整并延长抗生素治疗使感染完全消退,6个月以上未复发。根据最新数据,对于接受氰基丙烯酸酯注射治疗静脉曲张出血的患者,应进一步研究预防性使用抗生素的情况。