Ahmed Adeel Rafi, Townsend Liam, Tuite Helen, Fleming Catherine
Department of Infectious Disease, University Hospital Galway, UCHG, Newcastle Rd., Galway H91YR1, Ireland.
Case Rep Infect Dis. 2017;2017:1530507. doi: 10.1155/2017/1530507. Epub 2017 Dec 31.
Patients commonly present to the emergency department with acute respiratory distress; however, the differentials are broad and at times difficult to distinguish. We describe a case of severe community-acquired pneumonia (CAP) secondary to invasive . The patient was intubated within 3 h of presentation and suffered multiorgan failure within 72 h of intensive care unit (ICU) admission. This case is a stark illustration of how the most common bacteria associated with CAP can be fatal and highlights the associated markers of severity. It also outlines other potential complications including a very rare phenomenon of cardiomyopathy with myocarditis associated with . bacteraemia.
患者通常因急性呼吸窘迫前往急诊科就诊;然而,鉴别诊断范围广泛,有时难以区分。我们描述了一例继发于侵袭性[此处原文缺失相关内容]的重症社区获得性肺炎(CAP)病例。该患者在就诊后3小时内插管,并在重症监护病房(ICU)入院72小时内出现多器官功能衰竭。这个病例鲜明地说明了与CAP相关的最常见细菌如何可能致命,并突出了相关的严重程度标志物。它还概述了其他潜在并发症,包括一种与[此处原文缺失相关内容]菌血症相关的非常罕见的心肌病合并心肌炎现象。