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胰腺作为免疫功能低下患者复发性菌血症的隐匿来源

Pancreas as an Occult Source of Recurrent Bacteremia in an Immunocompromised Patient.

作者信息

Tai Don Bambino Geno, Upadhyay Laxmi, Jain Ruchika, Goldstein Robert

机构信息

Montefiore New Rochelle Hospital, 16 Guion Place, New Rochelle, NY 10801, USA.

Montefiore Medical Center, 1825 Eastchester Road, Bronx, NY 10461, USA.

出版信息

Case Rep Infect Dis. 2018 Jun 11;2018:7296295. doi: 10.1155/2018/7296295. eCollection 2018.

Abstract

infection usually presents as gastroenteritis and enteric fever. Some cases of bacteremia can lead to invasion of different organ systems and become occult sources for recurrence. Almost all organs of the body can be affected and have been reported in the literature. We report a rare case of repeated infection in a patient with systemic lupus erythematosus. She was treated with intravenous and oral antibiotics but still had recurrence of fevers and bacteremia. After a thorough workup, pancreatic abscesses were identified and drained with abscess culture revealing . She was then treated with a prolonged course of antibiotics and finally cleared the infection. This case demonstrates that nontyphoid can be invasive and cause persistent infection. This is particularly pertinent in immunocompromised patients who are at an increased risk of infection. An aggressive workup and prolonged antibiotic course might be beneficial for this subset of patients.

摘要

感染通常表现为肠胃炎和伤寒热。一些菌血症病例可导致不同器官系统的侵袭,并成为复发的隐匿来源。身体几乎所有器官都可能受到影响,文献中已有报道。我们报告一例系统性红斑狼疮患者反复感染的罕见病例。她接受了静脉和口服抗生素治疗,但仍有发热和菌血症复发。经过全面检查,发现了胰腺脓肿并进行了引流,脓肿培养显示……然后她接受了长时间的抗生素治疗,最终清除了感染。该病例表明非伤寒菌可具有侵袭性并导致持续感染。这在免疫功能低下、感染风险增加的患者中尤为相关。积极的检查和长时间的抗生素疗程可能对这部分患者有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e0/6016173/d01fbf703cf1/CRIID2018-7296295.001.jpg

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