累及胸壁和腹壁的肺炎
pneumonia with chest and abdominal wall involvement.
作者信息
Storms Iris, van den Brand Marre, Schneeberger Peter, van 't Hullenaar Nico
机构信息
Canisius Wilhemina Ziekenhuis, Nijmegen, The Netherlands.
VU medisch centrum School of Medical Sciences, Amsterdam, The Netherlands.
出版信息
BMJ Case Rep. 2017 Apr 21;2017:bcr-2016-217377. doi: 10.1136/bcr-2016-217377.
Abstract
A 54-year-old man presented with a productive cough, chest pain, fever and weight loss. Initial analysis revealed a palpable chest wall mass and consolidation in the left lower lobe and pleural abnormalities on imaging. At that point no infectious cause or malignancy was identified. Microbiological analysis of a needle biopsy from a newly developed abdominal wall mass revealed growth of The patient was successfully treated with antibiotic therapy for 1 year. is a Gram-negative coccobacillus and is part of the normal oral flora. It is capable of causing infections in humans including periodontitis, soft tissue abscesses and systemic invasive infections, most commonly endocarditis.
摘要
一名54岁男性出现咳嗽、胸痛、发热和体重减轻症状。初步分析发现可触及胸壁肿块，左肺下叶实变，影像学检查显示胸膜异常。当时未发现感染病因或恶性肿瘤。对新出现的腹壁肿块进行针吸活检的微生物学分析显示有[具体细菌名称未给出]生长。患者接受了1年的抗生素治疗并取得成功。[具体细菌名称未给出]是一种革兰氏阴性球杆菌，是正常口腔菌群的一部分。它能够引起人类感染，包括牙周炎、软组织脓肿和全身侵袭性感染，最常见的是心内膜炎。
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