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一名转移性胃肠道腺癌患者的败血症

Septicemia in a Patient with Metastatic Gastrointestinal Adenocarcinoma.

作者信息

Trapani Kevin M, Boghossian Leigh J, Caskey Elizabeth

机构信息

Nazareth Hospital, Philadelphia, PA, USA.

Lankenau Medical Center, Wynnewood, PA, USA.

出版信息

Case Rep Infect Dis. 2018 May 22;2018:6031510. doi: 10.1155/2018/6031510. eCollection 2018.

Abstract

is a rare member of the family that is rarely cultured. This report examines a case of cultured from the blood of a 72-year-old man who was ultimately diagnosed with metastatic gastrointestinal (GI) adenocarcinoma. The patient was receiving treatment for nosocomial pneumonia prior to culture of the , which led to suspicion for malignancy. Extensive GI and oncologic workup demonstrated multiple comorbidities and a primary GI cancer, which likely caused a breach in the GI mucosa and entrance into the bloodstream. After a prolonged intensive care unit (ICU) stay, the patient died on hospital day 23. Though rarely reported, septicemia has been demonstrated in patients with malignancy, specifically of the GI tract. Therefore, this case represents a typical septicemia patient. Given the prevalence of and the contemporary emergence of multidrug resistant (MDR) microorganisms, both typical and atypical cases regarding rare members of the species have a significant role in the clinical management and public health planning.

摘要

是该菌属中一种罕见的成员,很少能培养出来。本报告研究了一例从一名72岁男性血液中培养出该菌的病例,该男性最终被诊断为转移性胃肠道(GI)腺癌。在培养出该菌之前,患者正在接受医院获得性肺炎的治疗,这引发了对恶性肿瘤的怀疑。广泛的胃肠道和肿瘤学检查显示出多种合并症以及原发性胃肠道癌症,这可能导致胃肠道黏膜破损,该菌进入血液。在重症监护病房(ICU)长时间住院后,患者于住院第23天死亡。尽管报道很少,但在恶性肿瘤患者中,特别是胃肠道恶性肿瘤患者中已证实存在该菌败血症。因此,该病例代表了一名典型的该菌败血症患者。鉴于该菌的流行以及当代多重耐药(MDR)微生物的出现,关于该菌种罕见成员的典型和非典型病例在临床管理和公共卫生规划中都具有重要作用。

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