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严重再生障碍性贫血患者由非伤寒沙门氏菌引起的腰大肌脓肿。

Psoas abscess caused by non-typhoid Salmonella in a patient with severe aplastic anemia.

机构信息

Department of Internal Medicine, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan.

出版信息

Yonsei Med J. 2010 May;51(3):472-4. doi: 10.3349/ymj.2010.51.3.472.

DOI:10.3349/ymj.2010.51.3.472
PMID:20376908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2852811/
Abstract

The clinical spectrum of infections caused by non-typhoid Salmonella spp. includes gastroenteritis, enteric fever, bacteremia, and extraintestinal localized complications, especially in immunocompromised hosts. Here we report a patient with severe aplastic anemia developing left iliopsoas abscess caused by non-typhoid Salmonella (NTS), which was successfully treated by prolonged antibiotic treatment and repeated debridement. Our data indicate that aplastic anemia is a risk factor for infection caused by NTS.

摘要

由非伤寒沙门氏菌引起的感染的临床谱包括肠胃炎、肠热病、菌血症和肠道外局部并发症,特别是在免疫功能低下的宿主中。在这里,我们报告了一例严重再生障碍性贫血患者发生由非伤寒沙门氏菌(NTS)引起的左侧髂腰肌脓肿,通过延长抗生素治疗和反复清创手术成功治愈。我们的数据表明,再生障碍性贫血是由 NTS 引起感染的一个危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/2852811/7103fde37636/ymj-51-472-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/2852811/99091f925cbb/ymj-51-472-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/2852811/7103fde37636/ymj-51-472-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/2852811/99091f925cbb/ymj-51-472-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/2852811/7103fde37636/ymj-51-472-g002.jpg

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本文引用的文献

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Disseminated nocardiosis with psoas abscess in a patient with AIDS: first reported case.
Rev Inst Med Trop Sao Paulo. 2008 Mar-Apr;50(2):131-3. doi: 10.1590/s0036-46652008000200014.
2
Aplastic anemia.再生障碍性贫血
Curr Opin Hematol. 2008 May;15(3):162-8. doi: 10.1097/MOH.0b013e3282fa7470.
3
Psoas abscess in patients infected with the human immunodeficiency virus.感染人类免疫缺陷病毒患者的腰大肌脓肿
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Clinical characteristics of patients with psoas abscess due to non-typhi Salmonella.非伤寒沙门氏菌所致腰大肌脓肿患者的临床特征
Eur J Clin Microbiol Infect Dis. 2003 Dec;22(12):770-3. doi: 10.1007/s10096-003-1044-x. Epub 2003 Nov 11.
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Computed tomography-guided percutaneous catheter drainage of primary and secondary iliopsoas abscesses.计算机断层扫描引导下经皮导管引流原发性和继发性髂腰肌脓肿
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Pyogenic psoas abscess: difficulty in early diagnosis.化脓性腰大肌脓肿:早期诊断困难。
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Nontyphoidal salmonellosis.非伤寒沙门菌感染
Clin Infect Dis. 2001 Jan 15;32(2):263-9. doi: 10.1086/318457.
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CT of unusual iliopsoas compartment lesions.不寻常的髂腰肌间隙病变的CT检查
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[Abscess of the psoas muscle: analysis of 11 cases and review of the literature].
Enferm Infecc Microbiol Clin. 1998 Jan;16(1):19-24.