Monti Manlio, Torri Arianna, Amadori Elena, Rossi Alice, Bartolini Giulia, Casadei Chiara, Frassineti Giovanni Luca
Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola 47014, Italy.
Unit of Microbiology, Wide Catchment Area of Romagna Laboratory, Cesena 47522, Italy.
World J Clin Cases. 2019 Mar 26;7(6):759-764. doi: 10.12998/wjcc.v7.i6.759.
species are uncommon pathogens in biliary sepsis and cause substantial mortality in patients with impaired hepatobiliary function. Asia has the highest incidence of infection from , whereas cases in the west are rare.
We report the case of a 64-year-old woman with advanced pancreatic cancer and jaundice who manifested fever, abdominal pain, severe thrombocytopenia, anemia and kidney failure following the insertion of a percutaneous transhepatic biliary drainage. Blood culture results revealed the presence of (). After antibiotic therapy and transfusions, the life-threatening clinical conditions of the patient improved and she was discharged.
This was a rare case of infection, probably the first to be reported in West countries, caused by following biliary drainage. A finding of must alert clinician to the possibility of severe sepsis.
[具体菌种名称]是胆道败血症中不常见的病原体，在肝胆功能受损的患者中会导致相当高的死亡率。亚洲[具体菌种名称]感染的发病率最高，而在西方病例罕见。
我们报告了一例64岁晚期胰腺癌伴黄疸的女性患者，在经皮经肝胆道引流术后出现发热、腹痛、严重血小板减少、贫血和肾衰竭。血培养结果显示存在[具体菌种名称]。经过抗生素治疗和输血后，患者危及生命的临床状况有所改善并出院。
这是一例罕见的[具体菌种名称]引起的胆道引流术后感染病例，可能是西方国家首例报道。发现[具体菌种名称]必须提醒临床医生注意严重脓毒症的可能性。
