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卡介苗(BCG)膀胱内免疫疗法治疗尿路上皮癌后,腋-双股旁路移植血管发生感染,原因是……和…… (原文此处“due to and.”表述不完整,可能存在信息缺失)

Infection of an axillo-bifemoral bypass graft following intravesical bacillus Calmette-Guerin (BCG) immunotherapy for urothelial cancer due to and .

作者信息

DeSimone Daniel C, Tande Aaron J

机构信息

Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN, United States.

出版信息

J Clin Tuberc Other Mycobact Dis. 2016 Sep 16;5:1-3. doi: 10.1016/j.jctube.2016.09.001. eCollection 2016 Dec.

DOI:10.1016/j.jctube.2016.09.001
PMID:31723689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6850222/
Abstract

We report a case of occult left axillary-bifemoral bypass graft infection, with superimposed acute methicillin-susceptible (MSSA) infection in an 82 year old male following intravesicular bacillus Calmette-Guerin (BCG) for adjuvant therapy of urothelial cancer. The patient underwent partial removal of the bypass graft and treated with antimycobacterial therapy-rifampin and isoniazid for 9 months, and intravenous cefazolin followed by oral cephalexin for chronic suppressive therapy for MSSA. This presentation highlights the need to consider indolent infection masquerading as mechanical erosion, even when an alternate infection is present.

摘要

我们报告一例隐匿性左腋-双股旁路移植感染病例,该82岁男性在膀胱内注射卡介苗(BCG)辅助治疗尿路上皮癌后,叠加了耐甲氧西林金黄色葡萄球菌(MSSA)急性感染。患者接受了旁路移植部分切除术,并接受了9个月的抗分枝杆菌治疗(利福平和异烟肼),以及静脉注射头孢唑林,随后口服头孢氨苄用于MSSA的慢性抑制治疗。本病例强调,即使存在其他感染,也需要考虑将伪装成机械侵蚀的隐匿性感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f19/6850222/cddbf266d40e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f19/6850222/346a8d0f5778/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f19/6850222/cddbf266d40e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f19/6850222/346a8d0f5778/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f19/6850222/cddbf266d40e/gr2.jpg

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Int J Surg Pathol. 2015 May;23(3):189-95. doi: 10.1177/1066896914567332. Epub 2015 Jan 22.
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