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一例罕见的气肿性肝炎继发感染性休克病例。

A Rare Case of Septic Shock Secondary to Emphysematous Hepatitis.

作者信息

Nada Khaled M, El Husseini Ibrahim, Abu Hishmeh Mohammad E, Shah Neerav S, Ibragimova Nadezhda, Basir Riyad

机构信息

Lincoln Medical and Mental Health Center, 234 E. 149th St., Bronx, NY 10451, USA.

Department of Pulmonary/Critical Care, Lincoln Medical and Mental Health Center, 234 E. 149th St., Bronx, NY 10451, USA.

出版信息

Case Rep Crit Care. 2017;2017:3020845. doi: 10.1155/2017/3020845. Epub 2017 May 30.

Abstract

OBJECTIVE

To describe a case of emphysematous hepatitis which is a rare clinical entity, characterized by a fatal, rapidly progressive infection of the liver with a radiological appearance simulating emphysematous pyelonephritis and to help provide more data about the causative organisms and precipitating factors of this pathology.

DATA SOURCES AND SYNTHESIS

Relevant literature was reviewed and, to the best of our knowledge, there is limited data regarding the pathogenesis, causative organisms, and management of this condition.

CONCLUSION

Emphysematous hepatitis is a rapidly progressive infection that can be fatal in the absence of appropriate therapeutic intervention. Initial clinical manifestations are usually subtle and thus high clinical suspicion is required for early diagnosis and management of this condition to help decrease the mortality rates.

摘要

目的

描述一例气肿性肝炎病例,这是一种罕见的临床病症,其特征为肝脏发生致命的、快速进展的感染,影像学表现类似气肿性肾盂肾炎,并有助于提供更多关于该病症的致病微生物和诱发因素的数据。

资料来源与综合

回顾了相关文献,据我们所知,关于该病症的发病机制、致病微生物及治疗的资料有限。

结论

气肿性肝炎是一种快速进展的感染,若无适当治疗干预可能致命。其初始临床表现通常不明显,因此早期诊断和治疗该病症需要高度临床怀疑,以降低死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fa1/5468554/f4b7f326e3f6/CRICC2017-3020845.001.jpg

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