一名转移性非小细胞肺癌患者出现以左臀部和大腿疼痛为表现的非创伤性气性坏疽。
Non-traumatic gas gangrene presenting as left buttock and thigh pain in a patient with metastatic non-small cell lung cancer.
作者信息
Leaning Darren James, Dixon Lynne, Fisher P
机构信息
Department of Medicine, Sheffield Teaching Hospitals, Derby, UK.
出版信息
BMJ Case Rep. 2010 Oct 28;2010:bcr0320102839. doi: 10.1136/bcr.03.2010.2839.
Abstract
We report a case of Clostridium septicum myonecrosis in a patient with metastatic non-small cell lung cancer receiving palliative chemotherapy. This is a rare but important differential diagnosis in patients with known malignancy presenting with acute pain. It is critical that the diagnosis is considered and confirmed promptly due to rapid deterioration and a potentially fatal outcome in the absence of aggressive treatment.
摘要
我们报告了一例转移性非小细胞肺癌患者在接受姑息化疗时发生败血梭菌性肌坏死的病例。对于已知患有恶性肿瘤且出现急性疼痛的患者，这是一种罕见但重要的鉴别诊断。由于病情迅速恶化且在未进行积极治疗的情况下可能导致致命后果，因此及时考虑并确诊该诊断至关重要。
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