Medina-Piñón Isaí, Reyes-Mondragón Alan Ledif, Martínez-Reséndez Michel Fernando, Camacho-Ortiz Adrián
Infectious Diseases Service, Hospital Universitario "Dr. José E. González" and Medical School, Universidad Autónoma de Nuevo León, Madero y Gonzalitos S/N, 64460 Monterrey, NL, Mexico.
Department of Internal Medicine, Hospital Universitario "Dr. José E. González" and Medical School, Universidad Autónoma de Nuevo León, Madero y Gonzalitos S/N, 64460 Monterrey, NL, Mexico.
Case Rep Infect Dis. 2018 Jan 24;2018:1460283. doi: 10.1155/2018/1460283. eCollection 2018.
is a common cause of bacteremia in the general population and can lead to serious metastatic infection particularly in immunocompromised persons. However, prompt diagnosis and management can result in favorable outcomes. In the following case report, the clinical course of an HIV-infected man is presented; he developed bloodstream infection (BSI) and associated complications: septic pulmonary embolism, right renal abscess, and ipsilateral renal vein thrombosis. Methicillin-resistant (MRSA) was identified as the cause of sepsis and successfully treated with surgery and antimicrobials. Intravenous vancomycin was the primary therapy, followed by oral linezolid after resolution of bacteremia.
在普通人群中是菌血症的常见病因，尤其在免疫功能低下者中可导致严重的转移性感染。然而，及时诊断和治疗可带来良好预后。在以下病例报告中，呈现了一名感染HIV男子的临床病程；他发生了血流感染（BSI）及相关并发症：脓毒性肺栓塞、右肾脓肿和同侧肾静脉血栓形成。耐甲氧西林金黄色葡萄球菌（MRSA）被确定为败血症病因，并通过手术和抗菌药物成功治疗。静脉注射万古霉素是主要治疗方法，菌血症消退后改为口服利奈唑胺。
