口服万古霉素治疗艰难梭菌感染后发生耐万古霉素无害梭菌血症。
Vancomycin-resistant Clostridium innocuum bacteremia following oral vancomycin for Clostridium difficile infection.
作者信息
Hung Yuan-Pin, Lin Hsiao-Ju, Wu Chi-Jung, Chen Po-Lin, Lee Jen-Chieh, Liu Hsiao-Chieh, Wu Yi-Hui, Yeh Fang Hao, Tsai Pei-Jane, Ko Wen-Chien
机构信息
Departments of Internal Medicine, Tainan Hospital, Ministry of Health & Welfare, Tainan, Taiwan; Department of Internal Medicine, National Cheng Kung University Hospital and Medical College, Tainan, Taiwan; Graduate Institute of Clinical Medicine, National Health Research Institutes, Tainan, Taiwan.
Graduate Institute of Clinical Medicine, National Health Research Institutes, Tainan, Taiwan; National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, Tainan, Taiwan.
出版信息
Anaerobe. 2014 Dec;30:24-6. doi: 10.1016/j.anaerobe.2014.07.009. Epub 2014 Aug 5.
An 85 year-old male initially admitted for septic shock due to urinary tract infection experienced Clostridium difficile-associated diarrhea during hospitalization and was treated by oral vancomycin. His clinical course was complicated by cytomegalovirus colitis and then vancomycin-resistant Clostridium innocuum bacteremia, which was cured by uneventfully parenteral piperacillin-tazobactam therapy.
一名85岁男性因尿路感染导致脓毒症休克入院，住院期间出现艰难梭菌相关性腹泻，接受口服万古霉素治疗。其临床病程因巨细胞病毒结肠炎而复杂化，随后又出现对万古霉素耐药的无害梭菌血症，通过静脉注射哌拉西林-他唑巴坦治疗顺利治愈。
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