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不动杆菌椎前脓肿:以糖尿病患者吞咽困难为表现

Acinetobacter Prevertebral Abscess: Presenting as Dysphagia in a Diabetic Patient.

作者信息

Manmathan R, Kumanan T, Pradeepan J A

机构信息

University Medical Unit, Teaching Hospital Jaffna, Jaffna, Sri Lanka.

Department of Medicine, Faculty of Medicine, University of Jaffna, Jaffna, Sri Lanka.

出版信息

Case Rep Infect Dis. 2018 Sep 4;2018:6051641. doi: 10.1155/2018/6051641. eCollection 2018.

Abstract

Acinetobacter species frequently causes nosocomial infection, particularly in patients receiving invasive ventilation at intensive care units for a prolonged period. Odynophagia is a rare, initial clinical manifestation of prevertebral abscess which subsequently develops when the abscess extends into the retropharyngeal space causing a midline bulge of the posterior pharyngeal wall. Here, we present and discuss a patient with uncontrolled diabetic mellitus who presented with severe odynophagia and dysphagia. He was diagnosed to have prevertebral abscess caused by a rarely reported bacteria,

摘要

不动杆菌属经常引起医院感染,尤其是在重症监护病房接受长时间有创通气的患者中。吞咽痛是椎前脓肿罕见的初始临床表现,当脓肿延伸至咽后间隙导致咽后壁中线隆起时,随后会出现吞咽痛。在此,我们报告并讨论一名患有未控制的糖尿病且出现严重吞咽痛和吞咽困难的患者。他被诊断为由一种罕见报道的细菌引起的椎前脓肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e86/6142755/68a1076d8181/CRIID2018-6051641.001.jpg

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