非伤寒沙门菌作为主动脉瓣置换术后纵隔脓肿的病因：一例病例报告及术后感染综述
Nontyphoidal as a Cause of Mediastinal Abscess after Aortic Valve Replacement: A Case Report and Review of Postoperative Infections.
作者信息
Spottiswoode Natasha, Peluso Michael J, Deuse Tobias, Babik Jennifer M
机构信息
College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Division of Infectious Diseases, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
出版信息
Case Rep Infect Dis. 2018 Nov 26;2018:6758672. doi: 10.1155/2018/6758672. eCollection 2018.
BACKGROUND
Nontyphoidal (NTS) is a pathogen that causes several human clinical illnesses, most commonly gastroenteritis. Focal infections are rare and are generally reported in the gastrointestinal and genitourinary systems. Very few studies have reported NTS abscess as a postoperative complication.
CASE REPORT
We describe an elderly patient who developed NTS bacteremia and mediastinal abscess after aortic valve replacement.
CONCLUSIONS
This report describes an extremely rare occurrence of an NTS mediastinal abscess complicating a surgical procedure. The patient may have acquired the pathogen from a snake kept as a family pet and likely developed bacteremia followed by seeding of the surgically damaged tissues.
背景
非伤寒沙门氏菌（NTS）是一种可引发多种人类临床疾病的病原体，最常见的是肠胃炎。局灶性感染较为罕见，一般报道见于胃肠道和泌尿生殖系统。极少有研究报道NTS脓肿作为术后并发症的情况。
病例报告
我们描述了一名老年患者，其在主动脉瓣置换术后发生了NTS菌血症和纵隔脓肿。
结论
本报告描述了一种极为罕见的情况，即NTS纵隔脓肿并发外科手术。患者可能从作为家庭宠物饲养的蛇身上感染了该病原体，并可能发展为菌血症，随后病菌播散至手术受损组织。
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