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[腐蚀埃肯菌败血症导致脓胸、出血性心包炎和非结石性胆囊炎]

[Empyema thoracis, hemorrhagic pericarditis and acalculous cholecystitis caused by Eikenella corrodens sepsis].

作者信息

Dézsi Csaba András, Kullmann Tamás, Issekutz Akos, Zsoldos Péter, Fi Zsolt, Szabó Albert, Knausz Márta, Szentes Veronika, Molnár F Tamás, Szalai Zsuzsanna

机构信息

Petz Aladár Megyei Oktató Kórház Kardiológiai Osztály Győr Vasvári Pál u. 2-4. 9024.

出版信息

Orv Hetil. 2013 Nov 24;154(47):1873-6. doi: 10.1556/OH.2013.29752.

Abstract

The authors present a case of a 29-year-old woman who was diagnosed with pneumonia in the left side complicated with pleural effusion and hemorrhagic pericarditis one month after she had undergone tonsillectomy. Eikenella corrodens was identified as pathogenic agent when the empyema was removed during thoracotomy. After the patient was given antibiotic treatment she was discharged from the hospital without any symptoms or complaints. However, one month after she had left the hospital she was readmitted to the surgical unit as an emergency because of acute abdominal complaints. On admission acalculous cholecystitis as well as hemorrhagic pericarditis requiring pericardiocentesis were also observed. A rare cause of sepsis, Eikenella corrodens was identified which resulted in a severe disorder including polyserositis. Pericardiocentesis was performed two times and the patient was given targeted antibiotics and non-steroidal anti-inflammatory drugs. She was also treated with antimycotics as she had developed mycosis. After one month the patient recovered and was discharged from the hospital. No further recurrence of symptoms or complaints was observed during follow up.

摘要

作者报告了一例29岁女性病例,该患者在扁桃体切除术后1个月被诊断为左侧肺炎并伴有胸腔积液和出血性心包炎。在开胸手术清除脓胸时,鉴定出腐蚀埃肯菌为病原体。患者接受抗生素治疗后出院,无任何症状或不适。然而,出院1个月后,她因急性腹部不适作为急诊再次入住外科病房。入院时还观察到无结石性胆囊炎以及需要进行心包穿刺术的出血性心包炎。鉴定出一种罕见的败血症病因——腐蚀埃肯菌,其导致了包括多浆膜炎在内的严重病症。进行了两次心包穿刺术,并给予患者针对性抗生素和非甾体类抗炎药治疗。由于她发生了真菌病,还接受了抗真菌药物治疗。1个月后患者康复出院。随访期间未观察到症状或不适的进一步复发。

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