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产芽孢梭菌致乳房肿块切除术后手术部位感染:病例报告。

Clostridium sordellii surgical site infection after breast mass excision: case report.

机构信息

Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA.

出版信息

Surg Infect (Larchmt). 2013 Feb;14(1):160-2. doi: 10.1089/sur.2011.060. Epub 2012 May 31.

DOI:10.1089/sur.2011.060
PMID:22650154
Abstract

BACKGROUND

Clostridium sordellii infection is a rare condition usually associated with obstetric operations. There have been few reports of C. sordellii in association with other invasive procedures. The mortality rate of this infection approaches 70%.

METHODS

Case report and review of the pertinent English-language literature.

RESULTS

We describe the first known C. sordellii infection after excision of a breast mass in an adult female. This patient had a prolonged hospital course in the surgical intensive care unit and endured multiple surgical debridements.

CONCLUSION

Our patient showed many clinical signs that have been described in past cases of C. sordellii infection. Although the patient had substantial acute morbidity secondary to necessary aggressive treatment, she did survive ultimately. Our case serves the purpose of establishing future treatment for C. sordellii breast surgical site infections with the hope that future treatment may be adapted from our experience.

摘要

背景

梭状芽胞杆菌感染是一种罕见的疾病,通常与产科手术有关。很少有关于梭状芽胞杆菌与其他侵入性手术有关的报告。这种感染的死亡率接近 70%。

方法

病例报告并复习相关的英文文献。

结果

我们描述了首例已知的成年女性乳房肿块切除术后梭状芽胞杆菌感染。该患者在外科重症监护病房经历了漫长的住院过程,并多次接受手术清创。

结论

我们的患者表现出许多临床症状,这些症状在过去的梭状芽胞杆菌感染病例中已有描述。尽管患者因必要的积极治疗而出现严重的急性发病,但最终仍存活下来。我们的病例为未来治疗梭状芽胞杆菌乳房手术部位感染提供了依据,希望未来的治疗方法能够从我们的经验中得到借鉴。

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