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一名糖尿病控制不佳的患者出现伴有多处脓肿的葡萄球菌败血症、尿路感染及双侧肾静脉血栓形成。

Staphylococcal sepsis with multiple abscesses, urinary tract infection, and bilateral renal vein thrombosis in a patient with uncontrolled diabetes mellitus.

作者信息

Khan Malik A A, Hunter Jonathan Michael, Tan Christopher, Seleem Mostafa, Stride Peter J O

机构信息

The School of Medicine, University of Queensland, Brisbane, QLD 4072, Australia.

出版信息

Case Rep Med. 2012;2012:357502. doi: 10.1155/2012/357502. Epub 2012 Oct 11.

DOI:10.1155/2012/357502
PMID:23097670
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3477554/
Abstract

We report a case of staphylococcal sepsis with vascular complications including peripheral emboli and renal vein thrombosis. Bilateral renal vein thrombosis has not been reported as a complication of Staphylococcus aureus (SA) axillary abscess. Uncontrolled diabetes was the only detected predisposing medical condition. The patient was treated successfully with incision and drainage of soft-tissue abscesses and intravenous antibiotic for six weeks and with anticoagulation for renal vein thrombosis.

摘要

我们报告一例葡萄球菌败血症伴血管并发症，包括外周栓子和肾静脉血栓形成。双侧肾静脉血栓形成作为金黄色葡萄球菌（SA）腋窝脓肿的并发症尚未见报道。未控制的糖尿病是唯一检测到的易感疾病。该患者通过软组织脓肿切开引流及静脉注射抗生素治疗六周，并针对肾静脉血栓形成进行抗凝治疗，获得成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd3/3477554/6643aeb9a403/CRIM2012-357502.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd3/3477554/0c2752b5c422/CRIM2012-357502.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd3/3477554/2e2671834d71/CRIM2012-357502.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd3/3477554/34e35182260f/CRIM2012-357502.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd3/3477554/6643aeb9a403/CRIM2012-357502.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd3/3477554/0c2752b5c422/CRIM2012-357502.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd3/3477554/2e2671834d71/CRIM2012-357502.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd3/3477554/34e35182260f/CRIM2012-357502.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd3/3477554/6643aeb9a403/CRIM2012-357502.004.jpg

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Staphylococcus aureus bacteraemia: a major cause of mortality in Australia and New Zealand.金黄色葡萄球菌败血症：澳大利亚和新西兰的主要死亡原因。
Med J Aust. 2009 Oct 5;191(7):368-73. doi: 10.5694/j.1326-5377.2009.tb02841.x.
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J Infect. 2009 Oct;59(4):240-6. doi: 10.1016/j.jinf.2009.08.001. Epub 2009 Aug 8.
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