一名肝硬化患者的菌血症和腹膜炎：一例因仙人掌刺伤引发的危及生命的病例
Bacteremia and Peritonitis in a Patient With Cirrhosis: A Life-Threatening Case From a Prick of a Cactus.
作者信息
Wallace Jodi-Anne, Hussain Jonathan, Unzueta Alberto, Morelli Giuseppe
机构信息
University of Florida, Gainesville, FL, USA.
出版信息
J Investig Med High Impact Case Rep. 2017 Aug 30;5(3):2324709617726103. doi: 10.1177/2324709617726103. eCollection 2017 Jul-Sep.
Abstract
A 58-year-old male with nonalcoholic steatohepatitis cirrhosis presents with right lower extremity cellulitis, abdominal tenderness, and severe sepsis after sustaining puncture injury from a cactus on a property with feral cats. Blood cultures and diagnostic paracentesis were consistent with spontaneous bacterial peritonitis due to , a gram-negative coccobacillus found in the respiratory tract of domestic animals. The patient received timely antibiotic coverage with resolution of spontaneous bacterial peritonitis and sepsis after 14-day treatment. This case emphasizes the life-threatening nature of systemic infection as well as an indirect way of acquiring a zoonotic infection in a patient with end-stage liver disease.
摘要
一名58岁的非酒精性脂肪性肝炎肝硬化男性患者，在一处有野猫的房产上被仙人掌刺伤后，出现右下肢蜂窝织炎、腹部压痛和严重脓毒症。血培养和诊断性腹腔穿刺结果与自发性细菌性腹膜炎相符，致病菌为 ，一种在家畜呼吸道中发现的革兰氏阴性球杆菌。患者接受了及时的抗生素治疗，14天后自发性细菌性腹膜炎和脓毒症得到缓解。该病例强调了全身性感染的致命性，以及晚期肝病患者感染人畜共患病的一种间接途径。
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